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Responsible for planning, organizing and executing the day to day operations of the Revenue Cycle Operations for special program services. Establishes effective claims processing controls to ensure the accuracy and timeliness of claim submissions and collection efforts in compliance with contractual, state and federal regulations.
Job Responsibility:
Utilizes key performance indicators to analyze processes in order to streamline workflow design operations, improve quality, service and revenue cycle performance
Directs and monitors pre-service processes, billing procedures, payer follow-up, cash posting, patient statements and payer relations to ensure accurate and timely reimbursement
Defines strategic objectives and implements process redesign, policies and measurement tools to ensure success
Coordinates activity with other departments in the Revenue Cycle, patient care operations, and system support functions
Stays current with all regulations and standards to ensure compliance with governmental. Regulatory agencies and third- party payers
Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business
Requirements:
Bachelor's Degree in Business Management or related field
Bachelor's Degree in Health Care Administration or related field
Typically requires 7 years of experience in revenue cycle management, preferably within a multi-facility hospital system with affiliated physician practices
Includes 3 years of management experience in revenue cycle management
Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service and conflict resolution
Strong interpersonal, communication and organizational skills
Ability to interact and positively influence at all levels of the organization to impact change
Strong financial analysis and management, long range planning and forecasting, and negotiation skills
Position requires travel
Must be on call to support the needs of the department
Operates all equipment necessary to perform the job
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs