• Director of Eligibility

    Location US-IL-Chicago
    Job ID
  • About The Company

    MedData, a MEDNAX (NYSE: MD) company, is a technology-enabled services organization that improves financial outcomes for hospitals by enhancing the patient experience and expanding their access to healthcare. The MedData managed services program includes a range of patient access and communications, revenue cycle management, and consulting and analytics solutions for healthcare systems, including billing, coding, patient balances, eligibility and enrollment, third party liability, and mobile apps.
    At MedData, we take great pride in our company, in each other, and in our 30+ year history of accomplishments and success. This pride is reflected in our everyday approach to working together. Each team member understands the importance of being part of a company that values their individual contributions and strives to help them achieve their personal goals as they work together to achieve the broader corporate goals. We believe that every team member contributes directly to MedData’s growth and success, and we are constantly searching for new talented, passionate and enthusiastic people who will take pride in being an integral part of our culture.

    Job Description



    The Director of Eligibility position functions as the operational leader of an assigned geographical region or health system and works in conjunction with RVP/VP to developing, planning, directing, and controlling broad activities needed to ensure business success. The Director of Eligibility complies with organization objectives to ensure financial and operating success. The Director of Eligibility is responsible for creating an environment that engages staff, creates quality operations and administrative processes, growth, and predictable financial performance.  The Director of Eligibility works within the scope of authority established while supporting and adhering to our code of ethics, business standards, mission, and core values.


    The Director of Eligibility should be results focused and achieve predetermined metrics through strong employee performance.  As such, the Director of Eligibility must be proficient in creating a team environment, developing the talents of individuals on the team and be a constructive change agent.  The Director of Eligibility, while oversee a broad client base is responsible for the daily activity of their respective team members.




    • Carry out responsibilities in accordance with policies and procedures and applicable regulations, including HIPAA, ACA, State/Federal regulations related to operations, and labor regulations
    • Lead team to achieve performance of short term goals and shares in long term planning with respective Operation’s leadership team
    • Achieve financial objectives (revenue and earnings) for his/her region/business unit
    • Contributes to the business development process to increase market share and sale of additional service lines to existing clients
    • Monitor all departments for aggregate performance in resolving based root cause gap performance of revenue cycle activity
    • Designs and implements processes surrounding eligibility, billing, third party payer relationships, collections and other financial analyses
    • Develop monthly team goals with Project Managers and Supervisors
    • Ensure Key Performance Indicators (KPI) are met
    • Training and development of leaders and staff
    • Meet and exceed conversion percentages and goals
    • Analyze team needs and establish work priorities; determine workflow and establish schedules activities and avoid unnecessary duplication; distribute work responsibility, anticipate future needs, and provide guidelines for worker evaluation.
    • Escalate customer issues/concerns/problems in a pro-active and timely manner within reporting
    • Ensure continuous improvement of key operational processes and personnel
    • Evaluate and resolve general and specific business conditions as they relate to operational issues, and keep appropriate corporate departments fully informed
    • Work in concert with RVP/VP to develop and implement strategies by contributing information, analysis, and recommendations to strategic thinking and direction
    • Oversee the employee evaluation process, including but not limited to performance evaluations, merit increases, and benchmark standards
    • Responsible for interviewing, planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems
    • Continuous mentoring of Project Managers, Supervisors, Leads and Staff Advocates
    • Review, audit and approve payroll
    • Approve and submit team expenses
    • Assist with onboarding interviewing of department personnel
    • Attend HFMA, AHAM or relevant health care association seminars or conferences
    • Attend relevant client or county meetings as requested. A natural forward planner who critically assesses own performance




    • Minimum of 2-5 years of management skills, manages at least 25+ people
    • Hospital and/or applicable revenue cycle experience required
    • Thorough understanding and proven track record working with state and federal programs
    • Strong leadership and communication skills, high service orientation and strong computer system and analytical skills are required, self-driven, results-oriented with a positive outlook, and a clear focus on high quality and business profit
    • Demonstrates and involves others in learning about ongoing needs for change.  Must be adept at creating change and motivating teams through change
    • Excellent time management and prioritization skills
    • Accustomed to working in a rapidly changing environment
    • Demonstrated ability to hear, assess and prioritize client requests and concerns
    • Working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications
    • Proven track record of ability to work independently
    • Demonstrated ability to multi-task numerous system, employee and client urgencies
    • Excellent communication skills both written and oral
    • Knowledge of government programs
    • Strong background and work experience in Finance
    • Ability to research trends and address positive/negative trends timely
    • Challenge and debate issues of importance to the organization with management
    • Travel may be required.  Will also visit and confer with representatives of various county agencies that the company currently works with.  May require overnight travel.
    • Mature, credible, and comfortable dealing with senior hospital executives and government entities
    •  Ability to work under pressure, meets deadlines, make sound decisions, and possess strong problem solving skills
    • Ability to delegate responsibilities effectively
    • Self-driven, results-oriented with a positive outlook, and a clear focus on high quality and business profit
    • A natural forward planner who critically assesses own performance
    • May provide vacation and other temporary relief for supervisory positions, as needed
    • Mature, credible, and comfortable in dealing with senior hospital executives and government entities
    • Strategic Planning, Office Administration, Operations Management
    • Auditing compliance with Policies and Procedures, Planning and Organization
    • Client Maintenance
    • Demonstrates leadership and vision in managing staff groups and major projects or initiatives
    • Analytical Skills, Time Management, Ability to Work under Pressure, Decision Making and Problem Solving Skills
    • Knowledge of government programs and experience in organizational effectiveness and operations in implementing best practices
    • High comfort level working in a time sensitive, diverse and fast pace environment
    • Evidence of creativity, intensity, integrity, reasoned and thoughtful judgment, sense of urgency, a balance between analytical and intuitive skills and a willingness to “roll-up sleeves” and apply these attributes
    • Demonstrated strong listening and oral communication skills on an individual and group basis on all levels; excellent writing skills
    • Demonstrated willingness to get into the detail and capable of evaluating operations first-hand





    This job description is to serve as a guide but no way is it to be considered a comprehensive list of task, duties and responsibilities that will be required by the employee.


    To join our team of 2,000 employees and growing, please apply directly to this posting.


    MedData is an Equal Opportunity Employer




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