Lead a team to maintain performance excellence and enhance client relationships while serving as a technical expert in financial class responsibilities. Ensure strict adherence to internal controls, healthcare regulations, and HIPAA standards to protect patient information.
Job Purpose
The Director, Client Engagement is responsible for providing the leadership to maintain the daily performance excellence of their team while enhancing the relationship with each client.
Duties & Responsibilities
- Provide assistance/resolution to external and internal client inquiries
- Prepare reports or logs as required
- Act as a technical expert in regard to financial class responsibility, to answer questions raised by clients and team members
- Maintain a current working knowledge of all healthcare related issues and regulations, especially Government payors and Managed Care contracts
- Work collaboratively with Operations to ensure proper internal controls and operation procedures are followed
- Comply with organizational and company policies and procedures.
- Analyze and solve problems quickly and thoroughly
- Establish realistic goals and priorities concurrent with organizational objectives
- Adhere to all company policies and procedures including but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adhere to all applicable laws and regulations and the company's governance/compliance program.
- Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation. Assists with internal control failure remediation efforts.
- Become knowledgeable of internal control responsibilities through training and instruction
- Responsible and accountable for internal control performance within their area of responsibility. Participate in the internal controls self-assessment process.
- Ensure concerns with internal control design or performance and process changes that impact internal control execution are communicated to management
- Possess a full and complete understanding of the internal control requirements within their area of ownership/responsibility. Responsible and accountable for internal control implementation and performance within their area of ownership/responsibility. Ensures proper internal control change management protocol is followed.
- Establish accountability for internal control performance within their area of ownership/responsibility. Promote the importance, residual benefits, and high priority nature of effective internal control performance.
- Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
- Other duties as assigned
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
- Bachelor’s Degree required or equivalent years experience
- 10 years min. experience in a hospital business office setting, vendor or similar setting
- 3-5 years minimum prior Management experience required
- Proficient in Insurance and Self Pay financial reporting and managing KPIs required
- Knowledge of governmental, legal, and regulatory provisions related to collection activity.
- Knowledge of insurance company practices regarding reimbursement
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
Working Conditions
- Occasional travel to client sites is required
- Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
- Work Environment: The noise level in the work environment is usually minimal
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.