Director of Revenue Cycle

Description

Job Title: Director of Revenue Cycle

Department: Finance

Supervisor: Chief Financial Officer

Status: Exempt

Approved Date: 02/28/2024

Our Mission: To improve the health and well-being of the communities we serve demonstrating compassionate, patient-centered care.

Summary

The Director of Revenue Cycle manages, directs, and coordinates activities of employees engaged in the revenue cycle and Patient Financial Services (PFS) area. This includes switchboard, cashiering, billing, collecting, and admissions. Works with all departments to enhance the efficiency of the revenue cycle process, the charge master, denials management, and reimbursement issues, in accordance with the philosophy, goals and objectives of Cozad Community Health System (CCHS).

Essential Duties and Responsibilities

This description intends to describe the general nature and level of work performed by employees assigned to this job. It is not intended to include all duties, responsibilities, and qualifications. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• In conjunction with the CFO, interacts with the CEO, Senior Leaders, Providers, regulatory agencies, and the public on patient financial matters affecting CCHS.
• Monitors and evaluates the procedures in patient accounting, pre-registrations, credit and collections and the changes to the functions and procedures of the departments.
• In conjunction with the CFO, monitors and projects short and long-term goals and objectives for Patient Financial Services. Provides technical support for patient billing and system changes.
• Maintains contracts and documents to ensure proper accountability and process for programs and related activities.
• Coordinates the preparation of reports and monitors performance of revenue producing departments.
• Works with Leaders of all CCHS Departments and considers policy changes that have a financial impact.
• Initiates systems that contribute to enhancing cash flow where needed and reduce accounts receivable days.
• Assists in the preparation of departmental budgets for Patient Financial Services including bad debts and charity care.
• Encourages and promotes interdisciplinary planning and collaboration to achieve revenue enhancement.
• Recommends additions/deletions to third party contracts during contract negotiations based on the evaluation of functions.
• Verifies accounts to be turned over to an outside collection agency.
• Consults with Senior Leaders and initiates changes in procedure with approval. Acts as a resource in the development of accurate charge capture tools.
• Manages admission process to ensure accuracy of admission, timeliness of admission, medical necessity compliance, and financial policy compliance.
• Supports and participates in CCHS’s commitment to continuous improvement. Through the development and use of objective data, plans, implements and evaluates processes that result in the delivery of integrated services.
• Prepares Patient Financial Services budgets.
• Reviews Accounts Receivable month-end reports prior to the close.
• Develops and maintains the annual operating budget for the Revenue Cycle and Business Office Departments, including productivity and FTE management based on business needs.
• Follows all HIPAA guidelines and promotes and ensures patient safety.
• Fulfills mission statement by performing job duties with a high level of customer service while contributing to a positive and professional environment.
• Special projects and other duties as assigned.

Supervisory Responsibilities

• Manages the Health System’s Revenue Cycle functions and Patient Financial Services. 
• Responsible for the overall direction, coordination, safety, and evaluation of these teams. 
• Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. 
• Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. 

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to fingers, handle, or feel and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Ability to operate a motor vehicle and complete errands based on business needs.

Work Environment

• While performing the duties of this job, the employee regularly works in an office setting. 
• The noise level in the work environment is usually moderate.

Equal Employment Opportunity

Cozad Community Health System is committed to hiring and developing the most qualified employees from the available workforce in the communities we serve.

Equal employment opportunity has been, and will continue to be, a fundamental principle at Cozad Community Health System, where employment is based upon personal capabilities and qualifications without discrimination and retaliation because of veteran status, uniformed service member status, race, color, national origin or ancestry, creed, religion, sex, sexual orientation, gender identity or expression, age, pregnancy (including childbirth, lactation, and related medical conditions), national origin or ancestry, physical or mental disability, genetic information (including characteristics and testing), or any other protected characteristic as established by applicable local, state, or federal law. 

Requirements

Education and/or Experience

• Bachelor’s Degree in Business Administration or Accounting is required; seven year’s experience in health-care; or equivalent combination of education and experience. 
• Master’s Degree in Business Administration, Finance, or a related field preferred.  

Licensure/Certification

• Certified Revenue Cycle Representative
• Basic Life Support (CPR)
• Valid Driver’s License