Director, Revenue Cycle

The leader of the Revenue Cycle, Central Scheduling, and Patient Access team is responsible for maximization of revenue and cash flow and compliant and efficient scheduling and patient registration while maintaining the highest levels of patient, physician/provider, and team member satisfaction and relations; This includes oversight of all business-related functions of the patient visit from point-of-entry to accurate adjudication of the patient's account. Specific areas of responsibility include coding, billing and collection, patient insurance data processing, denial management, integrity of patient accounts, and accounts receivable management. The Director is responsible for the direction of these efforts to ensure the accuracy and timeliness of charge capture, coding, claims submission, follow-up, denial, and underpayment management.

RESPONSIBILITIES (ESSENTIAL FUNCTIONS):

• Lead, manage, and direct patient insurance, billing, collection, and data processing service areas.
• Lead, manage, and direct Central Scheduling and Patient Access and their respective managers.
• Oversight and direction of: patient account status ensuring identification and resolution of billing and processing problems in a timely manner; an efficient system for the collection of delinquent accounts; daily operating activity of departments; effective billing and accounts receivable system or software.
• Supervises leaders, including hiring, scheduling and assigning work, training, orientation, mentoring/coaching, evaluating and reviewing performance, and recommending salary increases, promotions, transfers, demotions, or terminations.
• Maintains knowledge of and complies with established policies and procedures including government, insurance, and third-party payer regulations.
• Serves as subject matter expert for questions relating to patient accounts. Creates policies as needed.
• Provide the CFO and executive team with weekly, monthly, and ad-hoc reports as requested.
• Establish and maintain internal controls to safeguard assets, ensure accurate and reliable accounting records, promote efficiency of operation, and maintain compliance with system policies and procedures.
• Maintain professional and technical knowledge through continuing education opportunities including internal and external educational offerings.
• Must adhere to, and promote, safety protocols at all times.
• Per DRH policy, all required conditions of employment must be met and maintained including required vaccinations.
• Implement DRH Standards of Behavior and exhibit behaviors consistent with DRH core values.
• Performs other related duties as assigned.

LEADER PERFORMANCE EXPECTATIONS:

Leaders of Leaders

Skills

• Selecting, Managing and Developing leaders
• Managing the Whole Function: Listening for and collecting data to make informed decisions through conversation and emotional engagement.
• Selecting and Leaders
• Holding Leaders Accountable for Managerial Work
• Deploying and Redeploying resources among units.
• Managing Boundaries: Busting silos; help supervisors evolve beyond a purely functional/departmental/clinic mindset. Monitor workflow between supervisors.
• Deliver results in the following areas: operating efficiency, patient experience, leadership, management, relationships, community engagement and individual technical competence.

Work Values

• Temporal Perspective Shift: Move from annualized thinking to Longer-Term (3-5 years).
• Time Application: significant time spent in coaching and people development, dedicated time to strategy, dedicated time to network with peers outside
• Deliver results in the following areas: operating efficiency, patient experience, leadership, management, relationships, community engagement and individual technical competence.

Minimum Qualifications: Proven leadership and management experience is essential. Strong interpersonal skills to successfully represent the department and organization at all levels; Ability to engage with team members at all levels of the organization and exercise sound judgement. Computer skills with the information technology associated with the position; Ability to adapt procedures, processes, tools, equipment, and techniques to accomplish the requirements of the position.

Education and/or Experience: Bachelor’s degree in business or related field preferred. Three (3) to five (5) years of management experience demonstrating  team building, team member coaching, and counseling required. A minimum of five (5) years of hospital revenue cycle required. Experience in home care/hospice and/or physician billing/collections experience preferred. Must have proven experience leading a high performing team as well as the capacity to set and deliver outcomes in a fast-paced environment. Demonstrated knowledge of patient insurance, billing, collections, data processing, and related systems. Demonstrated knowledge of: business management and basic accounting principles; computer accounting programs, spreadsheets, and applications; medical terminology and coding; third-party/insurance company operating procedures, regulations, and billing requirements and government reimbursement programs; provider and facility credentialing and working with CAQH profiles as well as revalidation process; negotiated agreements and managed care contracting. Must be flexible, able to manage multiple priorities and shift resources and priorities as required. Strong leadership, communication, and problem-solving skills. Ability to apply the skills of self-motivation and project management. Ability to exercise initiative, judgment, discretion, and decision making consistent with organizational objectives. Proven ability to analyze and solve problems to deliver results.

Certifications, Licenses, Registrations:  FEMA ICS 100, 200, and 700 certifications required; May have up to 90 days from day of hire or transfer to obtain. For those positions requiring travel, a current valid driver’s license and automobile liability insurance must be maintained.

Non Safety-Sensitive Position

As a condition of employment, vaccinations are required per DRH Policy. Medical and Religious Exemptions are available upon request.