Kaiser Permanente Dir CA Patient Financial Svc in Pasadena, California
Establishes strategic direction, determines operational vision for the PBS regional billing operations. This includes establishing & implementing an Information Technology strategic direction w/in PBS to meet current & future market demands in the identification, billing, & collection of non-dues revenue for the CA Division. In addition, oversees local regional billing operations, deployment of training resources & special projects. Also responsible for establishing & maintaining relationships w/Sr leaders of the Medical Group through meetings, providing information, reviewing PBS performance & balancing priorities.
Essential Functions: - Develops & maintains billing controls w/in PBS. - Ensures proper systems are in place to optimize business operations including adequate financial controls of all accounts receivables & uncollectable reserves. - Collaborates w/other members of the Finance senior leadership team to standardize reporting & prioritize information processes to focus on those that have the greatest impact on decisions to effect revenue & cost-drivers. - Provides leadership in moving existing PBS functions from manual systems to automated processes to ensure cost effective measures, all critical business needs & requirements are identified & meet w/the automated systems & processes. - Serves as a liaison w/Accounting, Financial Reporting, Financial Planning & Operation Analysis & other related departments to support integrated & coordinated financial operations reporting for senior Hospital, Health Plan & PMG leadership. - Builds & maintains collaborative partnerships w/the Medical Groups, service areas & divisional services in order to assure the success of Finance business strategies & to ensure that they complement overall organizational strategies. - Plans, organizes & directs, through management & supervisory personnel, the cost-effective operations of the departments responsible for non-dues revenue to ensure PBS operates w/in established policies, procedures, regulations & budgets. - Leads multiple large-scale improvement efforts designed to facilitate attainment of key organizational objectives. Collaborates w/others to provide support to regional & Service Area leadership in the pursuit & attainment of organizational goals. - Support will include setting priorities for strategically focused areas, identifying opportunities for improvement, & advising on specific areas of expertise. - Oversees regional cash control management/reporting to ensure compliance w/cash control guidelines to include reconciliation of copay collections, deposit timeliness, employee security. - Establishes a liaison relationship w/KP-IT; manages IT system prioritization & strategy for regional billing systems to ensure billing system strategy is coordinated, maximizes revenue, & is w/in IT & operational budget constraints. - Ensures compliance w/administrative/legal requirements of governmental regulations concerning Medicare, MediCal, Workers' Compensation, bargaining unit contracts & organizational fee schedules. - Recruits, develops, & maintains competent & productive team. - Responsible for staff development & related goal setting/performance standards w/PBS managers & staff. - Delegates authority to unit managers for management of day-to-day operations & the completion of special projects. - Partners w/SAMs, Senior KFHP/KFH Divisional Managers, KP Information Technology & Senior Divisional/Regional Medical Group Managers to establish a single, strategic, integrated operational business plan to optimize the billing & collection of non-dues revenue. - This job description is not all encompassing.
Qualifications: Basic Qualifications: Experience - Minimum ten (10) years of experience in analytical and systems operations, systems development, information technology and services required. - Minimum five (5) years of experience in healthcare or health insurance environment required. Education - Bachelor's degree in finance, business administration, computer science or other related field OR four (4) years of experience in a directly related field. - High School Diploma or General Education Development (GED) required. License, Certification, Registration - N/A
Additional Requirements: - In-depth knowledge of general business concepts including financial management and accounting principles/ practices required. - Strong conceptual and analytical skills; excellent verbal and written communication skills required. - Strong negotiation and facilitation skills required. - Previous experience in state and federal regulatory areas including DOC, HCFA, DHS, Third Party Liability, Coordination of Benefits, and Workers' Compensation required. - Excellent supervisory, problem solving and decision making skills required. - Demonstrated ability to determine the key business issues and develop appropriate action plans from multidisciplinary perspectives. - Demonstrated ability to lead professionals through influence and collaboration. - Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications: - Minimum ten (10) years of experience managing a staff of professionals preferred. - Master's degree preferred. - Working knowledge of Knox-Keene and Federal HMO Acts preferred.
COMPANY Kaiser PermanenteTITLE Dir CA Patient Financial SvcLOCATION Pasadena, CAREQNUMBER 592557
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.