Director, Accounts Receivable - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)

The Accounts Receivable Director has the primary responsibility for all facets of accounts receivable (AR) collections and management. This includes comprehensive work flow through to liquidation, dispute management, analysis and in-depth AR trending, follow-up tactics and techniques and on-going staff education. Oversee all collections-related functions and outsourced vendors. Ensure all accounts have insurance coverage verification, correct insurance plan code assigned and setup. Monitor proper referral or authorization processes to maximize cash and limit disputed inventory. Work with payers directly on inventory and aging. Manage department in compliance with established policies and procedures. Oversee customer-focused collection self pay and balance after insurance and aiding patients with financial assistance application and approvals. Focus on core collections and minimize aging of inventory. Monitor credit balance reporting to ensure compliance with Variance Policy and State regulations, including AB1455. Review and approve refunds, write-offs and adjustments on accounts and ensure departmental and hospital policy regarding approval levels. Continually data mine to identify payer issues, trends and escalate as necessary and in support of long-term strategy development for revenue cycle initiatives. Monitors staff performance with monthly management operating reports. Develop and manage budget requirements. Hire, continually monitor, train staff on collections practices and techniques to drive best-in-class collections and dispute results. Manage payer and legal relationships and results to liquidate AR within established standards. Continually monitor inventory by payer and deliver accountable results of Net to 90/120 calculation and provide documentation for staff follow-up activities. Identify and implement improved workflow and procedures. Create and implement new procedures to respond to internal and external needs in a timely fashion. Monitor and ensure that issues with health plans are prioritized, communicated and resolved in a timely fashion.

Essential Duties:

• Oversees best practice to AR management; meet/exceed cash goals, aging goals for multi-campus revenue cycle operations. Ensure workflows are barrier free and minimize rework and aging. Establish and manage customer relations with USC patients, families and support the brand.
• Continually data mines for AR trends, barriers and escalation.
• Acts as liaison to hospital departments for resource for assistance. Be the point for internal and external audits. Support departments and as mandated by government and contracted agencies, third parties and department standard operating procedures.
• Responsible for comprehensive workflow through to liquidation, dispute management, analysis and in-depth AR trending, follow-up tactics and techniques and on-going staff education.
• Oversees all collections-related functions and outsourced vendors.
• Ensures all accounts have insurance coverage verification, correct insurance plan code assigned and setup.
• Monitors proper referral or authorization processes to maximize cash and limit disputed inventory.
• Works with payers directly on inventory and aging.
• Manages department in compliance with established policies and procedures.
• Oversees customer-focused collection self pay and balance after insurance and aiding patients with financial assistance application and approvals.
• Focuses on core collections and minimize aging of inventory.
• Monitors credit balance reporting to ensure compliance with Variance Policy and State regulations, including AB1455.
• Reviews and approves refunds, write-offs and adjustments on accounts and ensures departmental and hospital policy regarding approval levels.
• Monitors staff performance with monthly management operating reports.
• Develops and manages budget requirements.
• Hires, continually monitors, trains staff on collections practices and techniques to drive best-in-class collections and disputes results.
• Continually monitors inventory by payer and delivers accountable results of Net to 90/120 calculation and provide documentation for staff follow-up activities.
• Identifies and implements improved workflow and procedures.
• Creates and implements new procedures to respond to internal and external needs in a timely fashion.
• Demonstrates knowledge of and practices the hospital and department policies and operating procedures. This knowledge may include the use of specialized instrumentation, Quality Control requirements, and preventative maintenance, and the standards outlined in the hospital’s Code of Conduct as well as regulatory or compliance policies applicable to job responsibilities.
• Monitors and ensures that issues with health plans are prioritized, communicated and resolved in a timely fashion.
• Projects an image of professionalism, appearance and conducts.
• Self-motivated and proactive.
• Performs other duties as assigned.

Required Qualifications:

• Additional 3 years of experience may substitute for education requirement.

• Req 7-10 years Progressively responsible accounts receivable management and supervision experience.

• Req Knowledge of Registration, Patient Accounting data processing, customer service, California collection law and all insurance billing regulation.
• Req Demonstrated proficiency in Word, Excel and Access.
• Req Effective communication with all customers.
• Req Demonstrate knowledge of and practices the hospital and department policies and operating procedures.
• Req Knowledgeable in use of specialized instrumentation, Quality Control requirements, and preventative maintenance, and the standards outlined in the hospital's Code of Conduct as well as regulatory or compliance policies applicable to job responsibilities.
• Req Able to project an image of professionalism, appearance and conduct.
• Req Self-motivated and proactive.

Preferred Qualifications:

• Pref Bachelor’s Degree Business or Hospital Administration
• Pref Typing 35-45 wpm and 10-key adding machine and math concepts.

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $145,600.00 - $240,240.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.