Director Billing Collections and Reimbursement

Position Description :

We're looking for those individuals-the creative thinkers and innovation seekers-who are content with nothing short of changing the world.

Discover the endless opportunities within the Medical College of Wisconsin (MCW) and be inspired by the work we can do together to improve health, and make a positive, daily impact in our communities.

The Director of Billing, Collections, and Reimbursement is responsible for overseeing posting, cash collections, and reimbursement.

This key leader is responsible for ensuring optimal and cost-effective operations related to insurance collections, and reimbursement follow-up by maximizing efficiency and minimizing costs.

The Director of Billing, Collections, and Reimbursements works independently, under the direction of the Executive Director of Revenue Cycle Operations, to motivate and lead teams in facilitating department goals.

This is a hybrid role, working 90% remote & 10% onsite.

Responsibilities :

• Direct the collection, analysis, and dissemination of follow-up data including providing direction for complex analysis for Medical College Physicians (MCP), Children's Specialty Group (CSG), and Community Physicians (CP).
• Develop and directs implementation of plans to achieve targeted A / R metrics for MCP, CSG, and CP. Analytically reviews data on a daily / weekly / monthly basis to monitor payer follow up status and identify areas that need review by Supervisor / team or contact with payer representatives to resolve.
• Manage and maintain key relationships with all major payers including report design, strategy for effective A / R management including face-to-face meetings, advocacy on behalf of the practices, and effective escalation within payer and internal constituencies.
• Oversee areas of billing operations for MCP, CSG, and CP to include lockbox balancing, batching of incoming monies for application to patient accounts, direct bank deposits, payment posting and reconciliation, refunds, charge correction and other activities for three separate practices with multiple Tax IDs and banking institutions.

Includes ensuring monthly reconciliation of financial activities performed in multiple systems to the dollars collected that month.

• Oversee self-pay and collections vendor relationships and holds vendors accountable for results, including goal setting, and monitoring.
• Develop and oversee budget for each program area, including review of appropriate resources for each unit and task to ensure best outcomes.
• Assure compliance with regulatory and institutional policies.
• Oversee the monitoring and troubleshooting of revenue cycle metrics and tracking through resolution.
• Responsible for empowering and motivating team who developments, implements, and maintains comprehensive databases and files related to the billing & collections activities.
• Ensure that appropriate internal and external meetings, site visits, and special events have desired outcome of improved cash flow and accounts receivable management.
• Directs and oversees development plan for reimbursement and claims leaders and staff, ensuring that it meets objectives.
• Participate on appropriate committees relevant to the advancement of the program and the profession.
• Manages key relationships with clinical department and practice representatives ensuring an environment of proactive transparency and consistency in billing and collection practices.

Knowledge - Skills - Abilities

Excellent oral and written communication skills are essential. Strong critical thinking, problem solving and attentiveness to detail required.

Strong computer skills including in depth knowledge of IT revenue cycle systems preferably Epic used for professional billing and collections activities.

Proven capability to juggle multiple priorities, talent to delegate responsibility and ensure timely follow through with implementation.

A collaborative leader who motivates and empowers others while holding team members accountable and who actively works with staff to develop and enhance individual talents.

Preferred Schedule :

Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.

Position Requirements :

Minimum Qualifications :

Appropriate experience may be substituted for education on an equivalent basis

Minimum Required Education : Bachelor's Degree

Minimum Required Experience : 12 years of experience in multi-payer physician reimbursement with equivalent size and scope.

Preferred Qualifications :

Preferred Experience : Experience with in an academic medical setting preferred.

Preferred Certification : AAPC or other professional coding certification preferred.

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Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Pet Insurance
• On campus Fitness Facility, offering onsite classes.
• Additional discounted rates on items such as : Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a full list of positions see : www.mcw.edu / careers

For a brief overview of our benefits see : https : / / www.mcw.edu / departments / human-resources / benefits

Eastern Wisconsin is a vibrant, diverse metropolitan area. MCW is intent on attracting, developing, and retaining a diverse workforce and faculty body that reflects the community we serve.

We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine. MCW is a welcoming campus community with a strong culture of collaboration, partnership, and engagement with our surrounding community .

For more information, please visit our institutional website at https : / / www.mcw.edu / departments / office-of-diversity-and-inclusion .

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity / expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status.

Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.