Job Description

About the Company

Provides strategic guidance and direction for system-wide financial services; create and manage a strong financial services culture.

About the Role

Position is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care inpatient, post-acute care, and outpatient facilities in the healthcare system. This individual will oversee all administrative and technical aspects of Operations, and design and implement effective systems, processes, and procedures to ensure accurate and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit balances and vendor management.

Responsibilities

• Leads large teams in areas of Revenue Cycle Services including Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, and Customer Service.
• Oversight includes up to 17 Acute Care Facilities, 163 Outpatient Facilities, or 300+ physicians.
• Service lines include, inpatient and outpatient, emergency services, life flight, trauma, transplant, outpatient imaging, laboratory, inpatient/outpatient rehab, skilled nursing, and chemical dependency.
• Develops a short and long term plan for operation that is compatible with department and organizational goals.
• Contribute to initiatives with Net Revenue Improvement while maintaining oversight of an accounts receivable in excess of $2.6 Billion, Annual Cash Collections $4.3 Billion, and Annual Billed Claims volume 2 Billion.
• Analyzes and establishes strategic plans to ensure the financial services are progressive and effective; work with other hospital and system service departments to promote consistency in processes; stay up-to-date on all regulatory requirements.
• Provides leadership to revenue cycle management team regarding monthly trending analysis of operational performance including weekly and monthly financial reports.
• Change Management Experience for leading staff through change.
• Knowledge and experience in building team effectiveness.
• Oversight of 35 to 55 staff members including all human resource related activities such as hiring and performance management.
• Ability to create performance measures, goals, and produce sustainable outcomes.
• Uses analytical approach to problem solving using quantified data and measurable results to reach sound conclusions.
• Assures that revenue, expenses, contribution margin and FTE's meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances.
• Provides leadership and support to team members’ interactions with multidisciplinary groups, including Revenue Integrity, Clinical Documentation Improvement, Case Management and Quality departments, Physicians, and other multidisciplinary groups.
• Effectively communicates with all levels of management and staff, and actively participates in committees, project teams, and performance management initiatives.
• Works collaboratively with all departments to ensure operational functions are aligned with strategic goals.
• Identify key stakeholders of the organization.
• Maintains a supportive and positive working relationship with medical staff and senior level management; serves as an internal consultant throughout the organization on revenue cycle operation including reimbursement and regulatory guidelines for compliant billing and collections.
• Ensures safe care to patients, staff and visitors; adheres to all policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.

Qualifications

• Bachelor's degree.
• Must have extensive (10 years) hospital billing experience; with at least 5 years in a billing leadership position.
• Must have experience working for a large hospital system
• Experience in specialty billing (transplant, trauma, etc.).
• Understands CMS rules & UB04 on the hospital side.
• Experience with Form 1500.
• Epic EMR.

Required Skills

• Change Management Experience.
• Analytical approach to problem solving.
• Ability to create performance measures and goals.
• Effective communication skills.
• Leadership and team management.

Preferred Skills

• Coding Certification is a nice to have.
• Prefer experience working in an academic healthcare environment.

Pay range and compensation package

Salary: $142,000.00 - $177,000.00. There is a 20% bonus structure based on performance. Relocation is offered for top candidates.

Equal Opportunity Statement

Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.

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