Essential Functions

• Establishes and manages revenue cycle goals for assigned Business Group based on practice-specific indicators, and track progress according to set goals. Provides leadership and guidance of Business Operations staff to maximize revenue and improve cash flow.

• Reviews revenue cycle diagnostic reports each month and provides feedback to appropriate parties. Performs rejection and revenue cycle analysis on a weekly - monthly basis.

• Monitors and provides oversight to ensure budgetary targets are achieved. Develops department revenue cycle metrics to meet standard sand benchmarking for all stages of the revenue cycle process.

• Identifies and analyzes trends in A/R by payor as well as turnaround times by payment source. Meets with representatives of Manage Care and/or other third party representatives to resolve revenue cycle issues. Participates in meetings and work groups with a variety of levels of personnel within and outside the organization and coordinates any action as needed.

• Provides effective communication and interpersonal skills with all levels of the organization including but not limited to Deans, Vice Presidents, Department Chairs, Medical Directors, Physicians, Director of Business Groups and Administrators on a routine basis to keep them apprised of opportunities and work collaboratively to resolve issues and implement process changes where appropriate.

• Analyzes and presents reports of accounts receivable, monthly financial reports and billing department operations issues to Department Chair(s), Director of Business Groups, Department Administrators, Finance and Compliance.

• Establishes and develops staff performance criteria, maintains policies and procedures for Charge Entry, Registration, Coding, and Follow-up for Business Groups to include quality audits that meet compliance guidelines to increase efficiency, workflow improvements and responsibilities for consistent efficient revenue cycle operations. Develops and directs quality assurance and quality improvement plans. Directs and develops the implementation of procedures and controls to increase efficiency in revenue cycle operations. Ensures that all policies and procedures related to revenue cycle responsibilities are performed in such a manner as to ensure a consistent efficient and cost effective billing operation.

• Communicates with Information Systems regarding system issues, and CDQ regarding reporting and surgical coding needs. Monitors and tests resolution of issues sent to IS. Continually monitors the functionality and efficiency of the billing system and makes recommendations for automated procedures or system modifications as needed. Communicates issues to IS system personnel along with recommendations and verifying accuracy of data received from various departments.

• Works with Senior Leadership to develop goals and objectives from strategic plans that include formulating, planning and assessing annual budgets through relevant trends and makes recommendations to ensure the viability of annual budgets and projections, establishing policies and procedures, and implementing processes to execute revenue cycle operations. Collaborates with Finance Department personnel as well as key department personnel in the planning and assessment of annual budgets. Researches relevant trends and makes recommendations to ensure the viability of budget projections.

Experience Requirements

Length of Experience Type of Experience Required/Preferred

5 years Management experience in physician revenue cycle operations or related healthcare experience required

5 years Significant knowledge of, and experience with revenue cycle processes, rules, and regulations required

5 years Managed care contracts required

5 years EHR/Medical Billing Software required

5 years Managing a group of 10 or more employees preferred

5 years Progressive administrative experience which includes management of non-clinical staff and working with physicians, management and leadership required

5 years Demonstrates management and leadership expertise required

Education Requirements

Degree/Diploma Obtained Required/Preferred

High School Diploma required

Bachelors required

Additional Details:

5-8 years of relevant work experience in lieu of a bachelor’s degree will be considered.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: In person