Kennebec Behavioral Health Looking for Director of Patient Financial Services at Waterville, ME Full Time

Kennebec Behavioral Health, a comprehensive mental healthcare center in Central Maine and one of Maine’s Best Places to work in 2022, is seeking a Director of Patient Financial Services. The primary role of the position is to provide direct oversight to a department of six staff and to oversee the delivery of all billing and related services to clients and/or appropriate 3rd party payors. The Director also ensures that the credentialing for all licensed providers is completed in a timely manner.

Responsibilities will include:

Providing oversight to the Patient Financial Services Department staff to include:

• Provide ongoing education, training and support to team members
• Ensure workload is evenly shared by all staff and that staff are appropriately cross trained
• Provide support to improve or streamline business functions
• Ensure all billing, payments and reports are completed at end of each month.

Acting as a resource to management and clinical staff regarding billing requirements, provide a channel for communication and to ensure efficiency and compliance

• Monitor and ensure program compliance with payor requirements.
• Maintain quality assurance process for program evaluation.
• Collect and assemble all data as required for contracts, research, analytic, and internal reporting measures.
• Mediate and resolve issues and concerns of KBH staff, Insurance carriers and clients.
• Respond to management requests for data timely and accurately
• Work directly with IT Department for System and/or billing changes or issues
• Manage our Billing Clearing house and online credit card process.
• Understanding of medical coding nomenclature and process

Providing supervisory oversight to the Coordinators for Credentialing and Managed Care

• Develop tracking and reporting tools to reduce denials and maximize authorizations
• Work with Department of Health and Human Services for authorization for outstanding services.
• Guide clinical staff in following managed care policies and procedures.
• Ensure all requirements are met for new hires to be able to bill insurers
• Ensure confidentiality and security of licensing and financial records related to the process
• Ensure that all communications and requests of new providers meets insurer & KBH standards.
• Ensure Agency and Provider re-credentialing standards and enrollments for all insurances are kept current.

EDUCATION: Associates degree or higher and a minimum of 5 years equivalent work experience

REQUIRED EXPERIENCE:

• Staff Management experience
• Contracting & Payor relations background
• Understanding of billing processes and accounting principles
• Billing software
• Extensive Excel and/or other database use

REQUIRED KNOWLEDGE:

• Knowledge of third-party reimbursement preferred
• Knowledge of insurance payor contracting
• Knowledge of Medicare and Medicaid requirements
• Understanding of electronic claims and billing systems

KBH is an eligible employer for the Public Service Loan Forgiveness (PSLF) that provides workers with qualifying employment and loan payments federal student debt forgiveness after 10 years or 120 monthly payments.

Explore careers with Kennebec Behavioral Health: https://www.kbhmaine.org/give/job-openings/

Job Type: Full-time

Pay: $78,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Physical setting:

• Office

Schedule:

• Monday to Friday

Work Location: In person