Description
UCLA HEALTH
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Description
UCLA Health is seeking an Assistant Director of Patient
Business Services to oversee hospital billing operations across commercial and
government payers, including Medicare follow-up. Reporting to the PBS Director,
this role is responsible for ensuring accurate and timely claims submission,
regulatory compliance, and optimization of revenue cycle performance across the
health system.
This position leads Managers, Supervisors, and billing teams
while driving operational improvements that strengthen financial outcomes. The
Assistant Director partners with clinical, operational, finance, contracting,
IT, and revenue cycle leaders to remove barriers, improve workflows, and ensure
high-quality billing performance aligned with organizational goals.
In this role, you will:
- Manage
end-to-end billing operations for inpatient, outpatient, and emergency
services, ensuring accurate and timely submission of claims to Medicare,
Medi-Cal, commercial, and managed care payers - Direct
daily oversight of Medicare billing workflows, account resolution
activities, and payer-specific requirements to maximize clean claim rates
and reimbursement - Ensure
compliance with CMS, HIPAA, federal and state regulations, coverage
determinations, and coding guidelines while maintaining audit readiness
and reducing compliance risk - Monitor
key performance indicators including days in accounts receivable,
discharged not final billed volume, denial trends, clean claim rates, and
claim resolution times to drive measurable improvements - Implement
workflow optimization initiatives, automation strategies, and technology
enhancements that improve operational efficiency and financial performance - Recruit,
develop, and mentor supervisors and staff while fostering accountability,
performance management, and succession planning - Partner
cross-functionally with clinical departments, IT, Finance, Managed Care,
and Revenue Cycle leadership to address operational barriers and
standardize processes - Coordinate
with external vendors, consultants, and payer representatives to resolve
billing issues and support system-wide revenue cycle initiatives
Salary Range: $116,300 – $264,600 annually
Qualifications
Required
- A
bachelor’s degree in business, healthcare administration, or a related
field or equivalent combination of education and experience - A
minimum of ten years of progressive experience in hospital billing
operations - A
minimum of five years in a senior leadership role overseeing hospital
billing and Medicare collections - Expert
knowledge of Medicare regulations, CMS billing guidelines, and claim
submission requirements - Strong
proficiency with Epic EHR billing systems and related modules - In-depth
knowledge of CPT, HCPCS, ICD-10 coding, and National Correct Coding
Initiative edits - Experience
with delegated payment models and alternative reimbursement methodologies - Proficiency
using claims clearinghouse platforms, payer portals, and billing system
interfaces - Advanced
analytical skills to interpret performance data and implement workflow
improvements - Proven
ability to lead operational change, automation initiatives, and
performance improvement efforts across revenue cycle teams
Preferred
- A
master’s degree in health administration, public health, business, or
related discipline - Professional
certification with AAHAM, HFMA, or ACHE - Lean
Six Sigma or Project Management Professional certification - AAPC
certification such as Certified Professional Coder, Certified Professional
Biller, or Revenue Cycle Management Specialist