Collaborating with both hospital and physician leadership, this position works closely with Patient Access, Revenue Integrity, Coding and Case Management, HIM and Information Technology in defining vision, strategy and priority setting for enterprise revenue operations and revenue information systems initiatives, including:
Negotiates and establishes Service Level Agreements in support of the organizations goals. Manages, communicates and aggressively pursues enterprise Accounts Receivable targets. Develops Key Performance Metrics and reports results to senior leadership.
Works with business partners to interpret trends in Key Performance Metrics which will guide management decisions for achieving the periodic goals of the revenue cycle and the overall financial performance of the enterprise.
Ensures that appropriate controls exist throughout the enterprise to create accountability and effective management of the enterprise revenue cycle.
Stays current with regulatory, third party payor and contractual changes affecting the revenue cycle to ensure compliance.
Participates and/or chairs various committees to provide leadership and lend revenue cycle expertise.
Manages and develops a results oriented team, including director, manager and supervisor levels. Continuously assesses and develops an organizational structure that ensures high performance and achievement of goals.
Facilitates the communication, coordination, and implementation of any enterprise business process or information system that has been impacted by regulatory, industry, third party payers, federal, or state requirement.
Develops and maintains departmental policies and procedures.
Ensures adequate training and education occurs to the staff in the various departments reporting to the Senior Director. This training may be specific to any regulatory, industry, third party payers, federal, or state requirements, or a course that adds a new higher level skill or builds upon an existing one, or knowledge specific to an information system, or is specific to the requirements of their roles and responsibilities.
Oversees the production and distribution of revenue cycle business intelligence for the enterprise. Collaborates with business partners to understand and determine reporting requirements, and implement negotiated Service Level Agreements.
Demonstrates through plans and actions a consistent standard of excellence to which all departmental work is expected to conform based on establishing and maintaining a constancy of purpose, focusing on continuous improvement within the Senior Director s area of influence, and delivering the highest degree of quality service possible.
Completes (or contributes 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.
Ensures the planning, coordination, and preparation for year-end audits with public accounting firms and third-party auditors as they relate to enterprise revenue operations.
Mediates and resolves conflicts regarding public accounting firms, third-party auditors, and investigative parties.
Fiduciary responsibility for ensuring that compliance standards for providing accurate information on all patient billings are followed for the enterprise.
Assesses and responds to the needs of the organization and customers with innovative programs to ensure customer satisfaction.
Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
Directs ongoing programs for staff development, which include:
Carries out other assignments or special projects as assigned.
Bachelors degree required, preferably in business, healthcare or public administration, management, accounting, finance or a related field or equivalent experience in hospital revenue cycle operations. Masters preferred.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
A minimum of ten years of healthcare management experience in finance, revenue cycle and/or information systems. At least seven years of experience managing Patient Financial Services or healthcare business operations. At least five years in the role of a director is required.
Equivalent combinations of education and work experience will be considered.
KNOWLEDGE AND SKILLS:
The expertise of the Senior Director should include:
Ability to present and communicate complex information effectively in both written and oral forms to a variety of audiences, including hospital and physician leadership.
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