Works under the supervision of the Chief Financial Officer.
Provides technical and leadership expertise to the facility on all aspects of the Revenue Cycle, including but not limited to Admitting, Coding, HIM, Billing and Collections.
This position is responsible for the direction of the efforts to ensure the accuracy and timeliness of charge capture, coding, claims submission, follow-up, denial and underpayment management.
PRIMARY JOB DUTIES
Develop enterprise wide Revenue Cycle strategy by developing clear, concise operational plans and processes that reflect goals and objectives established by the Chief Financial Officer.
Maintain excellent patient, physician, department and payer relationships
Develop and monitor Revenue Cycle Quality Assurance Program.
Coordinate and supervise the entire posting, billing and collection operation ensuring that the accounts receivable records meet the standards established by the organization while maximizing cash flow and revenue recognition.
Analyze Key Performance Indicator (KPI) data, participate in system wide Revenue Cycle meetings and report on trends and potential revenue impact.
Coordinate the activities with third party agencies, insurance companies, patients and departments within the Revenue Cycle.
Provide continuous training for quality improvement; remain updated on State, Federal and Managed Care regulations; communicate/implement appropriate changes. Is the subject matter expert for revenue cycle questions
Develop, interpret and enforce Revenue Cycle policies and procedures
Regularly attend required meetings and training for Directors/Managers
Follow hospital and departmental policies and procedures
Must be free from governmental sanctions involving health care and/or financial practices.
Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.
Responsible for interviewing, hiring, evaluating, and disciplinary actions of direct reports.
Performs other duties as assigned.
Education: Bachelor’s degree in Accounting, Finance or related discipline required.
High level of expertise and understanding of healthcare revenue cycle with a minimum of 5+ years progressive revenue cycle and regulatory experience in the healthcare industry, preferably in a hospital environment including Physician Clinics, Long Term Care, and BHS.
A hands-on leader who comprehensively understands revenue cycle functions, including developing accurate, meaningful and timely reports & dashboards, and revenue cycle education to the CFO, senior leadership team, and throughout the entire organization.
Focused on the big picture, with an innate curiosity and technical ability to dive into the details to uncover and find solutions.
Exceptional computer and technical knowledge, analysis and utilization of Meditech billing and accounting systems to implement standardized processes and procedures that result in improved efficiencies and cash flows.
Interpersonal / Other Characteristics:
Passionate and enthusiastic leader who demonstrates a consultative approach with working with physician partners, administrative leaders, and vendors to develop efficient patient and staff-focused revenue cycle solutions.
Effective communicator and listener who can facilitate conversations culminating in action and results.
Accessible and team-oriented individual with high level of integrity, who empowers, educates and mentors staff to achieve their fullest potential.
Inspiring, independent, and consistent - capable of building trust, models strong core values and assumes ownership of the role.
Essential Technical/Motor Skill: Ability to speak clearly when answering the phone and communicating with residents. Fine finger dexterity necessary for inputting data/typing.
Interpersonal Skills: Work requires interpersonal skills to communicate effectively with residents and visitors.
Essential Physical Requirements: Sitting for long periods. Able to concentrate on tasks in a noisy surrounding. Able to lift 20 pounds
Essential Mental Abilities: Ability to organize and prioritize workload and to work with computers and various software programs. Ability to multi-task numerous phone calls at one time. May require analyzing, explaining/teaching, attention to detail, memorization, assessing/evaluating, calculations, problem solving/reasoning. Requires patience and tolerance when assisting the residents and other customers. Ability to work with little or no supervision.
Essential Sensory Requirements: Inside work with possible temperature changes. Sufficient vision, hearing and speech to perform duties.
Exposure to Hazards: OSHA CATEGORY II TAKS THAT INVOLVE EXPOSURE TO BLOOD, BODY FLUIDS OR TISSUES. All procedures or other job-related tasks that involve an inherent potential for mucous membrane or skin contact with blood, body fluids, or tissues, or potential for spills or splashes of them, are Category II tasks. Use of appropriate protective measures is required for every employee engaged in Category II tasks. The normal work routine involves no exposure to blood, body fluids or tissue, but exposure or potential exposure may be required as a condition of employment.
Employees working in healthcare facilities have the potential to be exposed to hazardous materials including: Hazardous Chemicals/Drugs, Waste Anesthetic Gases, Radiation, Latex, Biological Hazards, Respiratory Hazards and Ergonomic Hazards. See Hazardous Materials in the Workplace Policy.
Location: Campbell County Health · CCMH REVENUE CYCLE