group
Category
Management & Supervision
business
Department
Finance - Clinic Division
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA 92270
info
Job #
R0257445
  • Job Description: A brief statement of the position, including the general job duties.
    • The Administrative Director/Controller for the Eisenhower Clinic Division is responsible for the accounting and month-end close of the division financials and oversees the overall financial management.  This includes the planning, budgeting, financial reporting and analysis of all clinic operations. This position assists medical directors and other division leadership in evaluating and monitoring financial performance in respective clinics. In addition the position works closely with clinic patient financial services operations regarding professional and technical fee billing related to Medicare, managed care, Medi-Cal, special billing, payment application, pre-collections, customer service teams as well as coordination with all the patient access team members. This responsibility includes all of the above activities with both inpatient and outpatient billings, and includes Medicare split billing for the professional and technical components of the office visits. The incumbent coordinates with physician groups on physician billing and monitors physician incentive payments and co-management agreements.  EMC is affiliated with UCSD under a Cancer Collaboration Agreement that requires financial management and oversight that this position oversees. The position also works closely with the Chief Compliance Officer and the Law Department on compliance related matters regarding payments to physician groups and contractual arrangements.

       

  • Reports to
    • Vice President Finance, dotted line to Vice President – Ambulatory Care 
  • Supervises
    • Assistant Controller – Clinic Administration; Financial Analysts – Financial Management, Planning and Budget Dotted line to Director Clinic Billing Services

       

  • Ages of Patients
    • None
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Required: BA in Business, Finance, Accounting or related field
      • Preferred: Master’s degree in same
    • Licensure/Certification
      • Preferred: CPA
    • Experience
      • Required: Minimum 5 years in a healthcare financial management position. Minimum 3 years supervisory experience.
  • Specific Skills, Knowledge, Abilities Required
    • Strong aptitude in PC based and mainframe financial management systems. In depth knowledge of hospital and physician office financial reporting and operations especially accounts receivable management.
    • Excellent verbal and written skills.
    • Ability to make presentations to Executive Groups.
    • Maintains confidentiality, ability to coach, direct staff and team build, think organizationally, conceptually and strategically.
    • Possesses excellent project management skills.
  • Essential Job Specific Responsibilities
    • Oversees the month-end close process, including journal entries, account analysis and reconciliation, and financial statement preparation.
    • Coordinates with the Hospital Division management during various month end and audit processes.
    • Formulate policies and procedures to maintain sound fiscal management and accounting operations. Assure that accepted accounting principles, as well as specific local, State and Federal financial record keeping and reporting regulations are met.
    • Provide overall management and supervision to the department’s staff. Evaluate the work of all direct reports.
    • Act as liaison and provide guidance in the conduct of the annual audit of the Medical Center by the Center’s firm of independent certified public accountants.
    • Oversee activities that maintain the segregation and consolidation of financial reporting for the various Clinic departments.
    • Direct and supervise function of Strategic Financial Planning/Forecasting in collaboration with Clinic leadership, gathering volume and expense trend input.
    • Prepares and/or reviews current and long range revenue projections, proformas, plans of action and budgets.
    • Monitors trends in healthcare and developments keeping appraised of rules and regulations affecting professional revenue cycle.
    • Oversee the development of the annual operating targets and budgets and capital budgets for all Clinic departments.
    • Provides appropriate, accurate and timely monthly reports at the physician level.
    • Coordinates with Vice President of EMA with onboarding of physician practices, financial reporting, budgeting and proformas.
    • Provides support to both physician and CAO’s of the Clinic Division related to the Professional Revenue Cycle for EMC.
    • Stay current with and interpret organizational impact of State or Federal reporting regulations and reimbursement changes. Make recommendations for operational/system changes to administer regulatory changes. Support updates to Medical Records Grouper, and to the hospital charge master as it relates to Medicare UB92/CPT coding and billing requirements, etc.
    • Prepares the department’s annual operating and capital budget targets.
    • Responsible for the development of policies and procedures that ensure the appropriate processing of third party billings and collections for professional fees.
    • Directs the professional billing and collecting operations for all professional fees for EMC. Ensures the accurate and timely billing and collection of charges. Establishes controls and reviews to ensure that systems and procedures are being followed correctly.
    • Coordinates with Quality department regarding physician level metrics.
    • Coordinates with CIO and CMIO regarding professional services software and vendors.
    • Issues appropriate statistical and non-statistical data and reports to the various levels of the organizations.
    • Coordinates with Contract Management for ongoing review of pricing levels related to the market and expected reimbursement levels, chargemaster, fees schedules and payor report cards.
    • Other Duties as assigned.