Administrative Director -Behavioral Health Financial/Business Ops

ADMINISTRATIVE DIRECTOR - BEHAVIORAL HEALTH FINANCIAL/BUSINESS OPERATIONS

Summary:

This class is accountable for overseeing the integrity of financial and clinical interfaces in all areas of the Behavioral Health Services. This includes the overall capture management and collection of patient service revenue for all service lines of the department and its service divisions. Delivering “High-Value Health Care” defined as: quality outcomes, patient engagement and satisfaction and reduced costs. This includes enhancing and maintaining a properly functioning revenue cycle process for Behavioral Health across all services and settings Responsibilities include developing fiscal operational practices and coordinating and promoting the common activities of all service lines in order to deliver the optimum level of care for the specific service. This position will ensure that fiscal operational goals are achieved efficiently and effectively. This position is also responsible for identifying potential or existing financial risks or liabilities relating to the respective programs and making appropriate recommendations to ensure quality care while maximizing revenue. This individual will plan, develop, and implement new programs and services while working collaboratively with other stakeholders while strengthening existing collaborations and administrative activities in an effort to enhance quality and promote access and population health.

Supervision Received:

Reports to the CNO/COO JDH, Chair of Psychiatry and Psychiatry Clinical Service Chief.

Supervision:

Supervision is exercised over professional staff.

Departmental Collaborators:

Works collaboratively with Nursing Director & Clinical Service Leaders

Duties & ResponsibilitiesResponsible for administrative, financial and business operations for all Psychiatric services including but not limited to 10 Talcott Outpatient Clinic, Inpatient Unit, CL Services, Mood & Anxiety Clinic, Intensive Outpatient Program, Child & Adolescent Program, Neuropsych, ECT & Primary Care embedded clinics

Financial Performance

• Lead efforts to develop, implement, monitor, and evaluate the effectiveness of billing and reimbursement practices to improve revenue capture and proper encounter tracking

• Actively review denials management for early signs of issues and address to avoid lost revenue. Coordinating and completing payment variance review to identify and collect payer underpayments

• Serve as dependable resource to providers for reimbursement questions and concerns, seeking and providing answers and proactively provide feedback and guidance for accuracy and correct, compliant documentation.

• Collaborate with the site clinical coordinator to ensure medical records are completed and closed in the time required.

• Stay abreast of payor rates, changes and collaborate with Contracting on issue resolution, research or improvement opportunities

• Complete (or contribute to the completion of) various financial forecasts, clinical service line productivity and program performance analysis

• Ensure the timely and complete onboarding of new providers

• Serve as a super-user for the institution’s new Strata Cost Accounting System

• Serve as the administrator empowerment meetings supporting presentation and follow-up by the Chair and other clinical leaders

Present issues and provide corrective actions with leadership relating to revenue capture, audits, new programs and existing program growth, new Business ventures, marketing, and EMR functionality

• Collaborate and coordinate with other departments and personnel at all levels to influence the best possible outcomes regarding billing, coding and reimbursement by shaping regulatory changes, responding to regulatory changes influencing reimbursement, and assuring appropriate collections

• Directly manage service lines build and growth through P&L preparation, marketing, philanthropy, donor engagement, and referral base enhancement

Regulatory & Compliance

• Oversee the successful completion of post audit improvement plans, actively engage providers and/or leadership in need education and correction in a timely manner

• Ensure clinical and administrative policy, procedures and workflow are uniform across all areas of Behavioral Health

• Work with Nursing and Physician leadership on internal and external audits, to ensure corrective actions and recommendations are met in all areas Behavioral Health and reported to JACC appropriately

• Work closely with the appropriate departments and leaders to ensure continuous Joint Commission readiness and to address survey concerns in a timely manner

• Serve as key team member in the design, implementation, and ongoing maintenance of the EPIC Behavioral Health module

Business Operations

• Collaborate with the site coordinators, nursing director and physician leadership to resolve issues relating to patient safety, care, and service and to assist clinical care teams in meeting operational aspects of its goals and objectives.

• Prepare Hospital/departmental budgets and allocation of contracts and staffing resources based upon reviews of department variance/recommendations, familiar with operating procedures and cost/revenue projections.

• Foster, support or lead external collaborations and partnerships with affiliated agencies, partners or funding sources to leverage mutual benefit and resources.

• Effectively communicates departmental, divisional, organization and industry information to staff, providers, and leadership.

• Lead collaborative work around space planning & utilization, supports capital expenditure requests

• Collaborate with Dept Administrator for faculty affairs administrative oversight including hiring, onboard and accuracy of provider time allocations to various functions.

• Responsible for recruiting, retaining, developing, and evaluating performance for all direct reports.

• Carries out other assignments or special projects as assigned

REQUIRED KNOWLEDGE, SKILLS, ABILITIES AND ATTRIBUTES:

Considerable knowledge and ability to apply management principles and techniques; extensive knowledge of Behavioral Health business and financial operations, working knowledge of acceptable business practices with contract agencies; knowledge of accounting and cost accounting techniques; ability to deal effectively with lay and professional persons and gain their support and cooperation; ability to establish and maintain effective working relationships with a wide range of professional administrative, technical and clerical staff; ability to communicate effectively both orally and in writing; sound professional judgment; resourcefulness; initiative; tact; discretion; thoroughness; integrity; strong organization skills and time management abilities; considerable computer skills.

EXPERIENCE AND TRAINING:

General Experience:

• Bachelor’s degree and Five (5) years of progressive fiscal experience in Behavioral Health with at least three (3) years of the experience at management level, with a work record that demonstrates in depth knowledge of revenue cycle operations, clear, effective communication skills, a mature approach to problem-solving for various issues, business office operations, healthcare revenue resolution management practices, negotiating skills, detail orientations, knowledge of healthcare industry financial statistical indicators

• Requires independent decision-making and business acumen.

Preferred

• Masters of Science Degree

Substitutions Allowed

Master’s Degree in Health Care, Health Science, Hospital Administration, Business Administration, or Public Administration may be substituted for one (1) year of the general experience

This is a full-time salaried position with occasional off shift hours.