Catholic Health Initiatives Director Physician Revenue in HOUSTON, Texas

Director Physician Revenue

Description

CHI

St. Luke’s Health is a part of Catholic Health Initiatives (CHI), one of

the nation’s largest health systems. Headquartered in Englewood, Colorado, CHI

operates in 18 states and comprises more than 90 hospitals, including four

academic medical centers and teaching hospitals; 24 critical-access facilities;

community health services organizations; accredited nursing colleges; home

health agencies; and other services that span the inpatient and outpatient

continuum of care. CHI St. Luke’s

Health is dedicated to a mission of enhancing community health

through high-quality, cost-effective care. In partnership with our physicians

and community partners, we are committed to excellence and compassion in caring

for the whole person while creating healthier communities. CHI St. Luke’s

Health is comprised of six hospitals across the Houston metropolitan area.

The Physician Enterprise Director of Revenue Cycle reports

directly to the Vice President of Physician Enterprise and works

collaboratively with stakeholders to develop revenue cycle strategies

and develop integration and implementation plans for the various markets within

the CHI Texas Division. Additionally, this role will be responsible for patient

registration, verification, and authorization of benefits and time of service

collections, revenue integrity; including, charge capture, contract management,

underpayments, charge description master, and pricing, and Health Information

Management.

Qualifications

Minimum Job

Qualifications

Minimum

Education:Bachelor’s degree in related discipline

Minimum years in field

previous to employment: 7 years of experience and 5 years of leadership experience

Knowledge of various coding systems used in the Physician Enterprises

(e.g., CPT/HCPCS Coding, ICD10). Requires high analytical skill, fundamental

understanding of health care financial management. Must possess organizational

and communication skills. Computer knowledge (Desktop, Database, Charge

Master/Epic, eCW Software applications and Internet Access)

Position

Responsibilities

  1. Develop revenue cycle strategies and develop integration and implementation

plans for the various markets within the CHI Texas Division.

  1. Establishes

Revenue Cycle performance standards and processes, including KPIs and A/R days

Collection/wRVU, preventable denials (top 5 monthly), write offs for bad debt,

patient/insurance refunds, matched payment/charges, review of top 5 payers with

top 20 CPT codes and comparison of allowable to payment.

  1. Assist with

patient access and workflow for optimization

  1. Responsible for the Revenue

Cycle, incorporates legislation, Federal regulations, and payment from both

governmental and private payers

  1. Resolves complex revenue cycle issues and

escalations.

  1. Manages 3rd Party vendors to improve patient financial

Services including billing, collections, denials management, cash posting,

accounts receivable management, and credit balance reconciliation.

  1. Reviews

operations data, budgets, audits, forecasts, accounts receivable, market data,

staffing reports, third party billing, and collection processes to improve

operational performance and to align with industry best practices.

  1. Reviews

net revenue projections including managed care, under or overpayments; assesses

pricing, and charge description master; aligns revenue strategies with

organizational goals to improve performance and to align with industry best

practices.

  1. Utilizes accounting principles in relation to debit and credit

transactions, charge transfers, contractual allowances, adjustments, and

accounts receivable; implements and develops revenue best practice

methodology.

  1. Provides direction on compliance with HIPAA, state and

federal regulations regarding patient access, billing, collections, and refunds.

Job Executive

Primary Location TEXAS-HOUSTON-ST LUKES ADMIN OFFICES

Daily Schedule Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0113995