Director, Physician Billing

at Ann & Robert H. Lurie Children's Hospital of Chica in Lake Forest, Illinois, United States

Job Description

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Day (United States of America)

Location680 Lake Shore Drive

Job Description
Essential Job Functions:

Maximize the efficiency of billing and follow-up processes for Lurie Children's Hospital of Chicago Medical Center's physician groups; review, analyze and interpret operational data to assess the need for process and workflow revisions and enhancements.

Monitor performance within all Lurie Children's physician billing and follow-up functions and address any issues to ensure that the activities of the billing and follow-up operations are following all regulatory guidelines and requirements. Take appropriate action to realign billing and follow-up processes to ensure we are meeting KPIs, industry best practice and benchmark standards.

Management and oversight of all billing and follow-up service and software vendors on a day-to-day basis. Analyze performance trends impacting billing and follow-up.

Manage physician billing and follow-up manager(s) on a day-to-day basis relating to billing, follow-up, credits and denials management operations.

Collaborate with other leaders in revenue cycle, third party vendors and Physician Coding and Auditing Director regarding physician billing denials task force activities.

Provide education, expert guidance and support to physician billing and follow-up staff.

Ensure that quality and productivity measures are in place, tracked and trended for individual staff performance.

Ensure that billing and collection functions are directionally aligned with overall Lurie Children's Hospital's service principles and leadership accountabilities.

Work with internal department that directly affect the physician billing and follow-up operations, such as Registration, Financial Clearance, Patient Financial Services and Faculty Practice Plan, to ensure an efficient Revenue Cycle.

Provide weekly, monthly, quarterly and annual reporting of physician billing and follow-up key performance indicators.

Provide input on strategy, planning, and implementation of new operations and systems.

Prepare and present physician billing metrics, monitoring and trending reports for review with providers and hospital leadership.

Analyze and trend statistical data to identify opportunities for improvement.

Develops and revises policies and procedures for all billing and follow-up workflows.

Takes initiative to improve both processes and outcomes, incorporating best practices and innovation in professional field.

Oversee physician billing projects as assigned.

Maintains the authority to hire, separate, promote, demote, write and administer performance evaluations.

Perform other related duties incidental to the work described herein.

Other job functions as assigned.

Knowledge, Skills and Abilities:

Bachelor's degree required. MBA or MHA or other related advanced coursework or certification strongly preferred.

Minimum of 5 years of physician office billing experience, preferably in an academic setting, required.

Must be able to make procedural decisions, to develop, plan, and implement short-and-long-range goals.

Must be able to communicate effectively with medical and administrative staff.

Ability to analyze procedures and processes and redesign workflows when necessary.

Must thoroughly understand the physician operations from charge entry to denials resolution.

Must be an outstanding team player, able to work effectively with direct and indirect reporting relationships.

Must have strong oral and written communication skills.

Epic experience required.

Other Skills (i.e. Project Management, Negotiation).

EducationBachelor's Degree (Required)

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match

Various voluntary benefits:

Supplemental Life, AD&D and Disability

Critical Illness, Accident and Hospital Indemnity coverage

Tuition assistance

Student loan servicing and support

Adoption benefits

Backup Childcare and Eldercare

Employee Assistance Program, and other specialized behavioral health services and resources... For full info follow application link.

EEO/AA Employer/Vets/Disability