Director, Revenue Cycle

Job Summary:


* Provide leadership and strategic direction for direct and indirect revenue cycle functions.


* Demonstrate effective leadership by developing and defining vision, mission, customer service, business plans, and quality improvement activities and measures.

Directs revenue cycle initiatives to build a compliant, comprehensive revenue cycle.

Oversees coordination and standardization, work integration, change management, issue resolution, and measurement and communication related to revenue cycle initiative.

Develops overall vision and implementation plans to effectively support organizational strategies requiring billing capability.

Identifies and develops necessary infrastructure to support the implementation of strategies.

Coordinates efforts with key functional units to establish organization-wide metrics, processes, procedures, templates, and collaborative tools to support the revenue cycle.


* Provide effective human resource management by providing, assessing, and teaching appropriate staff and promoting communication and feedback.


* Effectively manage information to meet the needs of the organizations by creating systems, analyzing data, and providing timely reporting.


* Direct and oversee the operations of patient access, PBX, Coding, Clinical Documentation Improvement Program, and Patient Financial Services including billing, follow-up, denials prevention, clinical appeals, payor contract, and reimbursement, managed care functions, revenue cycle integrity, and charge description master.


* Establish goals and matrices to measure the effectiveness of workflows and cash collections of patient accounts receivable.


* Works with other departments to enhance the efficiency of the revenue cycle process, the charge master, denials management, and reimbursement issues. 

EXPERIENCE/QUALIFICATIONS:


* Five (5) to ten (10) years of progressive experience in leadership in a health care environment or hospital, specifically in Revenue Cycle Operations


* Ability to analyze and resolve complex issues, both logical and interpersonal.


* Effective verbal and written communication skills and effective presentation skills.


* Leading and supporting Process Improvement and Change Management projects.


* Strong analytical skills and adeptness in interpreting strategic vision into an operational model.


* Proven leadership skills and experience managing a large department through well-established performance management skills.


* Business expertise, financial acumen and interpersonal skills to effectively work through a matriced, complex organization to influence and facilitate sustainable change.


* Technology and system savvy: excellent understanding of processes, systems, and databases.


* Well organized and disciplined, with the ability to manage multiple priorities and projects.

Experience leading/participating in enterprise-wide projects and initiatives.


* Knowledge...