Catholic Health Initiatives DIRECTOR-REVENUE CYCLE (Mountain Management Office) Full-Time (P000084636) in CHATTANOOGA, Tennessee

DIRECTOR-REVENUE CYCLE (Mountain Management Office) Full-Time (P000084636)

Description

Job Summary:

The Director of Revenue Cycle will conduct end-to-end assessments of clients’ full revenue cycle and will develop, and implement solutions that optimize efficiencies and maximize collections. The Director, Revenue Cycle Management will work with clients to ensure the long-term financial viability of the organization by evaluating patient billing data and processes within the revenue cycle. This includes processes for billing and invoicing, payment, collections and accounts receivable, and evaluating financial systems that properly account for all services rendered. This direction will be responsible for directing and coordinating the overall function of the Revenue Cycle to ensure maximization of cash flow. He/she is responsible for planning, organizing, and supervising all MSO business operations, for the development, implementation, organization, and supervision of physician billing procedures, goals, and standards system-wide.

Essential Duties:

  • Manages the day-to-day Revenue Cycle operational processes.

  • Effectively leads, coaches, and councils Revenue Cycle managers and team members. Responsibilities include interviewing, hiring, training, and planning.

  • Reviews daily, weekly and monthly clinic operational indicators and takes appropriate steps with staff and clinic staff to improve indicators.

  • Analyze monthly volume, billing and accounts receivable reporting and evaluate exceptions to goals and timely corrective actions, if necessary.

  • Analyze trends and prepare reports for leadership review and decision making, which includes translation of data into meaningful, actionable information and provide insight into strategic implications.

  • Coordinate and report upon monthly performance results compared to plan for each area; identify and direct activities that will result in revenue and cash flow optimization and expense minimization.

  • Demonstrates accountability for revenue cycle performance.

  • Monitors adherence to revenue cycle policies and procedures and report/address exceptions.

  • Work with physicians and practice staff to ensure regulatory compliance with all revenue-related issues.

  • Monitor and report upon provider results against contract requirements and make recommendation for corrective actions to achieve desired results.

  • Report monthly payer mix and reimbursement results compared to contract and benchmarks and develop actions to improve revenue cycle performance.

  • Daily Monitor cash collections to ensure month to date and monthly cash goals are met or exceeded.

  • Coordinates with senior management on monitoring revenue cycle activities to ensure cost-effective revenue cycle processes. Lead cross functional teams in delivering high quality work products under set timelines.

  • Collaborate with leadership on revenue cycle initiatives and operational process with a financial impact.

  • Organizes the billing and collection activities of revenue cycle.

  • Create metrics and reporting tools to monitor and enhance Revenue Cycle performance.

  • Work collaboratively with other members of management to find solutions, create policy and monitor for successful resolutions.

  • Develop budgetary plans, programs and guidelines to ensure strict adherence with financial guidelines and requirements.

  • Enhance and standardize work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in standard operating procedures.

  • Handles patient complaints.

  • Assist with the development of capital and operating budgets. Assist in assuring that system-wide expenditures are maintained within those limits.

  • Reviews Fiscal Intermediary and other large third party bulletins specific to billing regulations. Determines clinical compliance protocols, as well as information system enhancements, which will assure billing compliance.

  • Participates in professional development activities to keep current with trends and practices in health care administration.

  • Meets with physicians as necessary relative to account receivables/collections.

  • Attends required meeting and participates on committees as directed/requested.

  • Improves job performance of staff by assisting in personal and professional growth.

  • Maintains patients' and employees' privacy and confidentiality.

  • Assist with compliance issues (coding, HIPPA, billing practices, CMS).

  • Counsel with MMS CEO on matters pertaining to basic operational policies and monitors those implemented.

  • Other duties as assigned.

Qualifications

Education

  • Bachelor's degree in Health or Business Administration

  • Master's Degree Preferred

Experience

  • Minimum 10 Years of operational management

  • Familiar with medical billing laws, regulation and standards.

  • Strong knowledge of medical insurance billing and collections with CPT, ICD10 coding and medical terminology

  • Knowledge of healthcare revenue cycle management

Additional Responsibilities:

Demonstrates a commitment to service, hospital values and professionalism through appropriate conduct and demeanor at all times.

  • Adheres to and exhibits our core values: Reverence: Profound respect and awe for all of creation, the foundation that shapes spirituality, our relationships with others and our journey to God. Integrity: Moral wholeness, soundness, fidelity, trust, truthfulness in all we do. Compassion: Solidarity with one another, capacity to enter into another's joy and sorrow. Excellence: Preeminent performance, becoming the benchmark, putting forth our personal and professional best.

  • Maintains confidentiality and protects sensitive data at all times.

  • Adheres to organizational and department specific safety standards and guidelines.

  • Works collaboratively and supports efforts of team members.

  • Demonstrates exceptional customer service and interacts effectively with physicians, patients, visitors, staff and the broader health care community.

Catholic Health Initiatives and its organizations are Equal Opportunity Employers

Job Finance

Primary Location TENNESSEE-CHATTANOOGA-MOUNTAIN MANAGEMENT OFFICE

Daily Schedule 1st

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0116023