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Business Services Director

Provides direction and oversight to business services functions that may include accounts receivable, billing, charging, Medicare compliance, Medicaid compliance, reimbursement, appointments, and customer service. Oversees planning, development, and implementation of effective business service operations, including development of strategic plans, work processes, staffing plans, operating budgets, resource allocation, and logistical planning to ensure accurate patient billing and accounting. Typically requires a bachelor's degree in finance and four years of related work experience.: Manages and coordinates subordinate staff. Ensures quality of billing systems and processes. Establishes policies and procedures for patient billing, advance payments, collections, and third-party payments. Reviews official directives and correspondence to ascertain such data as changes prescribed in programs, policies, and procedures, and new assignments or responsibilities delegated. Coordinates departmental activities to provide designated services with optimum efficiency and accuracy. Conducts staff meetings for dissemination of pertinent information. Oversees selection, training, and motivation of staff. Prepares reports on activities.

Health Plan Marketing Services Director

Develops and implements an effective marketing plan. Manages the marketing services staff and implements strategies relative to the development and management of an effective marketing plan. Typically requires a bachelor's degree with seven years of client services or marketing experience.: Designs and implements programs to maintain positive relationships between the health plan, physicians, providers, and practice managers. Develops marketing materials and communications for employers and plan members. Maintains awareness of the competitive environment and develops appropriate product and sales strategies. Works with Account Executives to service client groups and assists in the development and management of strategic accounts. Oversees hiring, developing, and managing a qualified staff concerned with the maintenance and expansion of client relationships within the health plan. Oversees preparation, coordination, and delivery of plan performance presentations. Identifies supporting strategies for product and program pricing, retention, and net revenue growth. May also oversee the activities of Account Executives in building strong relationships with clients. Prepares, manages, and monitors the departmental budget.

Patient Financial Services Director

Plans and directs business office operations of the medical facility to ensure that revenue management functions meet customer and organizational requirements. Plans and directs business office operations to include such functions as admitting, patient registration, billing, collections, and insurance claims. Typically requires a college degree in business and related managerial experience.: Assists in coordinating and maintaining patient financial services programs to ensure compliance with current payments, rules, and regulations that impact the medical center and/or physician's billing and collections process. Monitors and ensures compliance with Medicare and Medicaid documentation guidelines. Monitors and evaluates current reimbursement/payment rules and ensures that legislative and regulatory changes impacting medical billing are anticipated and communicated to the clinical faculty, staff, and departmental billing personnel. Develops techniques for effective analyses of billing and collections efforts. Oversees resolution of third party denials and assists with reimbursement appeals and problems. Prepares financial reports and analyses to show progress or adverse trends and makes appropriate recommendations or conclusions. Assists in identification of new technologies that will improve departmental operations. Develops departmental strategies to meet cash projection formulas, reduce days in Accounts Receivable, and reduce denials. Ensures compliance with State and Federal law, compliance plans, HIPAA, and JCAHO guidelines. Prepares and manages the departmental budget. Hires, develops, and motivates a qualified Patient Financial Services staff. May provide assistance to physicians in determining appropriate use of codes for maximizing reimbursement of physician services.

Computing Services Company President

Plans, develops, and establishes policies and objectives of a computer services organization in accordance with board directives and corporation charter. Oversees the scheduling and directing of the development, production, and administrative processing of the organization. Ensures the organization's systems capabilities reflect the highest state of technical sophistication consistent with the corporation's needs and budget. Reports to Board of Directors and often is a member of the board.: Responsible for the profitability of the entire computer services organization. Confers with organization officials to plan business objectives, to develop organizational policies to coordinate functions and operations between divisions and departments, and to establish responsibilities and procedures for attaining objectives. Consults with management to determine information requirements of management, scientists, or engineers, determine boundaries and priorities of new projects, and discuss system capacity and equipment acquisitions. Reviews activity reports and financial statements to determine progress and status in attaining objectives and revises objectives and plans in accordance with current conditions. Directs and coordinates formulation of financial programs to provide funding for new or continuing operations to maximize returns on investments and to increase productivity. Plans and develops industrial, labor, and public relations policies designed to improve company's image and relations with customers, employees, stockholders, and public. Evaluates performance of executives for compliance with established policies and objectives of firm and contributions in attaining objectives. May preside over Board of Directors. May serve as chairman of committees, such as management, executive, engineering, and sales.

Director Employee Services

Directs activities for employees of industrial and/or commercial establishments in order to enhance employee relations and assist in positioning the organization as an employer of choice. Oversees arrangements for employee activities which may include programs and services, such as fundraising social activities, service award programs, physical fitness and wellness programs including arranging for physical examinations, first aid, and other medical attention, alcohol and substance abuse programs, employee assistance programs, service award programs, new employee orientation, libraries, lunchrooms, operation and maintenance of recreational facilities, and educational programs. Typically has managerial level employees reporting to this position.: Analyzes budget to identify budget needs and/or reductions, and may allocate operating budget funds. Controls expenditures for items, such as remodeling and repairing of buildings, upkeep of equipment, provision of food services, travel services, and other employee assistance programs. Reviews ideas and implements new services or programs or implements improvements to existing services or programs. May direct services, such as building maintenance, personnel, and payroll, in providing employee services.

Head of Corporate Services

Plans, develops, and establishes policies and objectives of functions in accordance with objectives of organization. Has multifunctional support responsibilities such as, but not limited to, administrative functions, data communications, facilities management, human resources services, insurance, office services, purchasing, security, etc. Typically reports to Chief Executive Officer or Chief Operating Officer level, and director-level personnel report to this position.: Confers with organization officials to plan business objectives, to develop organizational policies and to coordinate functions. Provides support and assistance to other functions and operating units of the organization. Interprets company policy to employees and enforces company policy and practices. Develops human resource management policy and programs that contribute to the acquisition, retention, motivation, and development of company employees capable of meeting current and future organizational needs and objectives. Provides physical working environment that provides a positive, productive climate for operations through maintenance, planning, and general building services. Ensures efficiency of internal non-electronic data processing (EDP) management systems through improved organizational structure, continued surveillance, work methods programs, and establishing performance standards. Provides non-EDP equipment and supplies that effectively meet operational requirements with a minimum expenditure. Counsels management on strategic planning and organization design processes, combined with recommendations and insights that contribute to overall plan strategic management and corporate direction. May guide the company's formal strategic planning effort. May provide general legal counsel to management, with a minimum use of external counsel.

Hospital Top Professional Services Executive

Directs activities of multiple professional services units of a hospital. Organizational units may include but are not limited to three or more of the following professional areas: clinical divisions, pharmacy, social services, diagnostic imaging, laboratories, etc. Typically reports directly to the Hospital Administrator.: Coordinates activities with those of other hospital departments. Establishes policies and procedures in cooperation with other hospital officials. Interprets and administers personnel policies and provides for training program. Reviews activities and recommends changes in, or better utilization of, facilities, services, and staff. Establishes and maintains work schedules and assignments of resident professional staff members. Authorizes purchase of supplies and equipment. Prepares and submits budget, records, reports, and statistical data.

Director Food Services

Directs the food services operation of a large hotel, large restaurant, large institutional food facility, or similar establishment. This position typically has managers reporting to it.: Confers and cooperates with management personnel in formulating administrative and operational policies and procedures. Directs and coordinates, through subordinate managerial personnel, activities of operations department to obtain optimum use of equipment, facilities, and personnel. Reviews and analyzes expenditure, financial, and operations reports to determine requirements for food services. Prepares recommendations on findings for management evaluation. Recommends capital expenditures for acquisition of new equipment that would increase efficiency and safety of operations. Approves requisitions for equipment, materials, and supplies within limits of operations department budget. Enforces compliance of operations personnel with administrative policies, procedures, safety rules, and governmental regulations. May negotiate contracts with equipment and materials suppliers.

Medicare Member Services Manager

Manages Medicare Service Representatives within the Medicare Membership function in a health plan. Monitors departmental statistics, reports results and develops action plans that address deficits. This position typically requires five years of health plan experience in a customer service call center.: Manages Medicare Service Representatives within the Medicare Membership function in a health plan. Implements policies and procedures within the Medicare Membership department to ensure provision of accurate explanation of benefits and response to Medicare members’ questions and complaints. Plans, implements and continuously evaluates the Medicare member service program to enhance the effective use of services and to improve customer satisfaction. Instructs departmental staff on proper member service procedures and monitors service levels. Researches and evaluates complaint reports to detect patterns, formulate solutions and report needed actions to appropriate individuals, departments or committees. Works with Medicare members on complex issues to offer mutually acceptable alternatives to problems and complaints. Responsible for hiring, developing and managing a qualified staff concerned with providing member service to Medicare members of the health plan. Assists in the preparation and management of the departmental budget. Monitors departmental statistics, reports results and develops action plans that address deficits. This position typically requires five years of health plan experience in a customer service call center.

Account Manager Client Services

Manages and motivates a staff to help deliver outstanding service and strong account management to a broad customer base. Manages the service or sale of certain accounts, with duties entailing estimating and analyzing records of present and past operations, trends and costs, estimated and realized revenue, administrative commitments, and obligations incurred. Provides thorough and professional services that enable the organization to meet the customer's expectations. Organizes, coordinates, and maintains the internal activities of team. : Finds and contacts potential new customers. Keeps in contact with customers, answers their questions, and deals with complaints. Establishes a strong customer service culture, helping to create the reputation of the business as a trusted advisor to customers. Possesses excellent communication and team leadership skills, and outstanding organizational skills. Uses innovation and forward thinking to build strong internal and external relationships. Understands and improves processes to deliver on customer expectations. Predicts future market trends and develops new sales ideas. Interprets accounts and records to management. May be responsible for sales budget. May attend trade shows and conferences.

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