We are seeking a Sr. Director Client Services, Medical Specialties who oversees and directs the coordination of functional activities across the Physicians Billing Service (PBS) and designated JHM entities. The Sr. Director is responsible for the oversight of the production/billing units for clinical departments related to medical specialties, non-surgical. The Sr. Director is a strategic partner and collaborates with the Executive Director RCM Site Services and has dotted line oversight of the Client Services Program Director and the Director of Patient Financial Services for All Children's Hospital (ACH). The Sr. Director also partners with the executive leadership of Johns Hopkins Community Physicians (JHCP). Additionally, the Sr. Director partners with the Sr. Director, Telemedicine, Johns Hopkins Regional Physicians and Community Connect entities; the Sr. Director, Compliance & Training and the Office of Billing Quality Assurance, and others across JHM to ensure all groups are aligned and adhere to practice standards and regulations for physician billing. The Sr. Director is responsible for the strategic development, implementation and refinement of all professional billing policies and procedures. Collaborates with the Senior Director of Revenue Operations on long-term and short-term strategies by providing analysis, consultation, planning and management of the financial and administrative operations for PBS. Analyzes and maintains performance standards in all areas of physician billing and develops and implements productivity measurements.
Specific Duties & Responsibilities
Provides oversight of all A/R and charge capture across the PBS, ACH, and other JHM entities.
Leads the PBS team in collaboration with the Epic team and the clinical departments to design, test, implement and maintain the Epic Charge Router application to ensure all. charges are accurately captured and billed.
Leads the PBS team providing financial and administrative management oversight across Johns Hopkins Medicine, encompassing SOM production/billing units and JHM entities. including ACH, JHCP, Johns Hopkins Regional Physicians and other affiliated hospitals and practices.
Management & Operations
Collaborates with the Senior Director of Revenue Operations on short-term and long-term strategic planning with data analysis, practice management consultation, planning and management of financial and administrative operations.
Oversees and directs the coordination of functional activities of Production Unit Billing Managers (PUMs) within SOM production units.
Will collaborate with the Executive Director of RCM Site Services and have a dotted line oversight of the Client Services Program Director and Professional Billing Patient Financial Services Director at ACH to ensure consistency of physician billing functions.
Partners with related JHCP leadership and revenue cycle staff to ensure seamless integration of billing operations.
Serves as primary contact for ten SOM production units.
Provides oversight of day-to-day operations and collaborates with PUMs, billing staff, as well as clinical managers, administrators and physicians.
Mentors PUMs and contributes to the technical and professional development of billing staff.
Oversees the development, implementation, and refinement of clinic policies and procedures relative to professional fee billing.
Functions as subject matter expert for Physician Billing regarding documentation and coding. Knows and identifies billing matters that impact compliance, and communicates and collaborates with the Office of Billing Quality Assurance when indicated.
Analyzes the Billing Operations Performance Standards and develops and implements productivity measurements.
Develops reports, analyzes data, and provides financial information to administrators and PUMs relative to billing and collections activities.
Performs, plans, directs and coordinates activities of numerous, complex, cross functional projects to ensure that projects are accomplished on time, within budget, and meeting quality standards.
Develops project plans, standardizes project documentation and reporting, coordinates work efforts of project personnel, keeps stakeholders apprised of project status.
Revises and refines billing operations policies and procedures to accommodate the needs of the production units, the CPA, and affiliated entities.
Participates on intra-entity Committees and assigns staff to committees.
Ensures continuous process improvement and identifies and resolves problem areas and ensures effective teamwork.
Work with Core team and billing managers to ensure interface feeds work properly and changes are communicated and implemented timely.
Ensure creation, maintenance and updates of billing manuals and specific billing instructions
Stay current with governmental mandates and changes and communicate and initiate projects to implement changes.
Networks with other academic institutions. Participate in peer group conferences and oversee ad hoc collection of operational benchmark data.
Provides strategic oversight of charge capture workflow processes across PBS and JHM entities.
Oversees the identification of auto action opportunities in charge router and works with IT to ensure creation of rules to automate assigning charging data elements to reduce manual intervention and improve accuracy and efficiency.
Oversees the vetting of charging related to Murdock issue requests submitted by the Production Unit Managers (PUMs) prior to IT action.
Oversees and ensures clear and consistent charging policies and procedures; ensuring procedures/workflows are well documented and communicated to PUMs.
Oversees the updating of pre-AR threshold provided by PUMs before new fiscal year. The pre-AR threshold is used to evaluate daily unbilled charges by Production Units and used by CPA Finance for accrual revenue projections.
Ensures updating Downtime Charging Procedures for each department to ensure Business Continuity during system downtime.
Responsible for ensuring maintenance of Charging BRD (Business Requirements Documents) to ensure documentation of critical charging operational decisions.
Chair and represent PBS in meetings.
Serve in a leadership role in technology implementations affecting charge capture for departments.
Professional & Personal Development
Participates in on-going educational activities.
Assists in the training and development of staff.
Keeps current of industry changes through research and awareness of work-related topics.
Completes three days of training annually.
Must adhere to Service Excellence Standards.
Continuous Performance Improvement.
Supervision of Others
Dotted line supervision of ACH Client Services Program Director and Professional Billing Patient Financial Services Director; dotted line supervision of SOM Production Unit Managers.
Additional Knowledge, Skills & Abilities
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Recent experience and subject matter expertise with Medicare and third-party payer regulations required.
Knowledge and expertise with EPIC PB Resolute required.
Demonstrated experience in charging in a multi-specialty practice environment.
Practice management experience in health care administration or consulting, internal auditing, or professional fee billing as well as in the planning, implementation and / or management of new and changing operational processes in an academic health care environment.
Skilled manager of people and operations in a highly complex environment.
Must be self-motivated and comfortable working independently, as a team leader and as a team member.
Must demonstrate relevant managerial experience in motivating staff to perform as a team in harmony with the goals of the organization and the team.
Must be highly motivated, productive, and results oriented.
Excellent communication and interpersonal skills, able to interact with all levels of personnel.
Ability to work independently and adapt to a rapidly changing work environment.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Requires a thorough understanding of clinical practice management, medical billing and the unique customer service requirements as related to patients, physicians and administrative staff in a high-volume medical services environment.
Excellent communication and customer service skills with the ability to work well under pressure.
Able to sit in a seated position for extended periods of time.
Able to reach by extending hand(s) or arm(s) in any direction.
Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
Bachelor's Degree in health care-related or business-related field required.
Ten years of management or consulting experience in professional billing in an academic health care environment.
CPC or equivalent coding certification, e.g. RHIT or CCS required.
Additional education may substitute for required experience and additional experience may substitute for required education, to the extent permitted by the JHU equivalency formula.
Master's degree highly preferred.
Classified Title: Sr. Director, Client Services Role/Level/Range: L/04/LH Starting Salary Range: Commensurate with experience Employee group: Full Time Schedule: Monday - Friday 8:30 am - 5pm Exempt Status: Exempt Location: Hybrid/JH at Middle River Department name: SOM Admin CPA Administration Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
*JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
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