Revenue Cycle Director ($30,000 Recruitment Compensation & $5,000 Relocation Assistance Available)

Description

GENERAL DESCRIPTION

The revenue cycle is defined as all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. The Revenue Cycle Director is responsible for enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure. These functional areas act interdependently during a patient visit, contributing critical information required for clinical service and procuring payment. Thus, the Revenue Cycle Director concentrates resources on improving core clinical care delivery and protecting the assets of organization. Critical responsibilities include achievement of annual and periodic goals for significant statistical indicators of revenue cycle performance and for the organization’s overall financial performance. The Revenue Cycle Director is expected to demonstrate, through plans and actions, that there is a consistent standard of excellence to which all departmental work is expected to conform. Such a standard should be based on establishing and maintaining a constancy of purpose, focusing on continuous improvement within the Director's area of influence, and delivering the highest degree of quality service possible.

ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable.

• Incorporate the facility’s values into all business staff development practices and all departmentally directed activities.
• Complete (or contribute to the completion of) various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables levels (days in AR and aging), cost center productivity, and any long-range strategic plans for the department.
• Plan, coordinate, and prepare year-end audits with public accounting firms and third-party auditors as they relate to AR operations. Mediate and resolve conflicts regarding public accounting firms, third-party auditors, and investigative parties
• Directly manage all service programs, including external vendor programs and systems.
• Monitor and support daily staff functions in all areas related to the scope of the manager’s responsibility. Participate in revenue cycle, denial management, and access management work teams.
• Maintain appropriate internal control safeguards over AR records and collection of cash. Maintain compliance standards for providing accurate information on all facility or health system billings.
• Assess and respond to organizational and customers’ needs with innovative programs to ensure customer satisfaction. Implement patient friendly billing guidelines.
• Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Oversee the financial interface between and performance analysis of the patient financial services functions and fiscal services functions.
• Oversee the integrity of financial and clinical interfaces, while facilitating the development of strategic system planning.
• Direct ongoing programs for staff development, which include:
• Hiring and training for leadership positions and directing the hiring and training of all staff in the Department
• Completing (or directing the completion of) all necessary human resource documentation and adhering to all human resources expectations for subordinates;
• Communicating regularly and effectively with subordinates and superiors regarding the status and condition of the business operations under control of the director;
• Developing multi-disciplinary patient financial services teams to enhance quality and efficiency.
• Carries out other assignments or special projects as assigned.

Requirements

EDUCATION & TRAINING REQUIREMENTS

• Bachelor’s degree required, preferably in business, health or public administration, management, or a related field. Masters in hospital or business administration, accounting, finance, or related field and closely related clinical disciple preferred.

WORK EXPERIENCE REQUIREMENTS

• A minimum of 7 years management experience in the healthcare receivables field required, with a work record that demonstrates:
• In-depth knowledge of hospital and physician billing and reimbursement
• Leadership in the core values of the organization
• Clear, effective communication skills
• A mature approach to problem-solving for all types of issues
• Skills in using mainframe and PC computers
• Knowledge of medical terminology
• Negotiating skills
• Working knowledge in the areas of patient registration, billing, accounts receivable (AR) and cash management requirements, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, business office operations, AR and financial reporting technology, wage and hour regulations, basic accounting, and industry standards for healthcare revenue resolution management practices.
• Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control.
• Financial management skills, including the ability to financially analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis; staffing and financial reporting skills
• Leadership skills to motivate cross-departmental teams’ performance towards excellence and develop team concepts and consensus-building management styles.
• The ability to make a significant contribution to the organization's overall effectiveness.
• Detail oriented