Director of Revenue Cycle Full-Time, Mon-Fri 8a-4:30p

Job Description

Job Description

Description : Job Summary :

Job Summary :

The Director of Revenue Cycle provides centralized management for all Revenue Cycle functions for Johnson Regional Medical Center.

This leader directs, manages and implements programs to ensure efficient operations of the organization’s Revenue Cycle functions to generate sufficient cash flow to support operations and strategic initiatives.

Responsible for identifying, analyzing, reducing and resolving all Revenue Cycle issues. Reporting directly to the Chief Financial Officer, the Director of Revenue Cycle is responsible for developing and maintaining effective relationships with administrative, clinical, and physician leadership across the organization.

The leader will also promote working relationships with key external organizations; this would include other providers, payers, government entities and applicable professional associations.

Major Responsibilities :

The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.

Other duties and responsibilities may be assigned.

1. Manages revenue cycle activities to insure cost effectiveness, organizational efficiency, and optimal collection rates.

2. Provides strategic direction to these functions and how the functions in question inter-relate to the other functions within the organization.

3. Communicate the Revenue Cycle departmental activities to Senior Management as it relates to cash flow, organizational profitability, customer service, Accounts Receivable results and revenue enhancement activities.

4. Manages, communicates and pursues enterprise accounts receivable targets.

5. Partners with Payer Relations / Contracting communicating payer performance trends, providing support and alignment with the provider adjudication of contract terms for realization negotiated reimbursement rates.

6. Remains up to date with regulatory, third-party payer and contractual changes affecting the revenue cycle to ensure compliance.

7. Implements and manages third-party vendor relationships as necessary.

8. Develops, implements and directs various quality initiatives to ensure continuous monitoring and improvements within the revenue cycle process.

This includes managing an overall departmental operating / capital budget(s) within pre-determined limits to ensure operational efficiencies and obtaining pre-determined performance targets.

9. Develops a structure for innovation and establish cross-departmental collaborations.

10. Models leadership behaviors and lead as a unified team to drive organizational alignment.

11. Directs the strategy, goals and objectives of the department to align with the organization’s business plan.

12. Partners with key stakeholders to interpret trends in Key Performance Metrics which will guide management decisions for achieving the periodic goals of the revenue cycle and the overall financial performance of the enterprise.

13. Ensures that appropriate controls exist throughout the enterprise to create accountability and effective management of the organization revenue cycle.

14. Manages and develops a results-oriented team. Continuously assesses and develops an organizational structure that ensures high performance and achievement of goals.

15. Facilitates the communication, coordination, and implementation of any enterprise business process or information system that has been impacted by regulatory, industry, third party payers, federal, or state requirement.

16. Advocates for the desired culture in high-level planning and decision making, with a focus on performance accountability and achieving greater operational efficiencies.

17. Develops, leads and manages a diverse team ensuring that succession and development plans are in place to achieve the company’s goals.

18. Acts as a key participant in the strategic and long-range planning of the organization. Integrate long range plans with operational plans and capital priorities.

19. Analyzes operations to evaluate performance of the team in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy changes.

20. Coordinates the completion and submission of required federal and state reporting requirements.

21. In partnership with the Chief Financial Officer, maintains a current revenue rycle policy manual. Provides guidance and recommendations for the establishment of internal policies regarding both economic and compliance issues, and implements new fiscal policies as required.

22. Provides effective direction, guidance, and leadership over the revenue cycle staff for effective teamwork and motivation.

23. Develops, leads, and manages a diverse team ensuring that succession and development plans are in place to achieve the company’s goals.

24. Maintains position descriptions, responsibilities and standards of performance for department employees. Provides input on performance and salary reviews on an annual basis.

25. Ensures that all departments meet service level agreements (SLA), quality standards, and performance goals based on the development and monitoring of cost and process metrics.

26. Proposes enhancements to operational processes to improve efficiency and / or effectiveness.

Requirements :

Professional Requirements :

Qualifications : Education :

Education :

Bachelor’s degree in Business, Healthcare Management, or related field preferred

Work Experience :

Five (5) years of progressive management experience responsibility in a health care business setting and at least three (3) years in a related leadership role preferred.

Two (2) year experience in healthcare accounts receivable, payor relations and contracting, and / or healthcare regulation as it relates to revenue cycle preferred.

Licenses & Certifications :

Certified Revenue Cycle Representative (CRCR) or Executive of Healthcare Revenue Cycle (EHRC) preferred.

Skills, Knowledge, and Abilities :

1. Effective analytical ability to develop and analyze operations, recommend solutions to and solve complex problems and issues, including ability to propose enhancements to operational processes to improve efficiency and / or effectiveness of all internal accounting and compliance controls.

2. Effective analytical thinking and ability to gather, understand, integrate, and synthesize complex information to develop solutions, make recommendations, or propose action plans, excellent problem-solving skills.

3. Outstanding attention to detail, strong organizational skills, and the ability to anticipate programmatic needs.

4. Comfortable with ambiguity-works to resolve open questions, can define a process to resolve ambiguity, is comfortable that the plan may change.

5. Current knowledge and understanding of regulations, industry trends, current best practices, new developments, and applicable laws to ensure operational and financial effectiveness.

6. Ability to partner to ensure regulatory compliance for all areas of responsibility.

7. Ability to successfully work collaboratively and build relationships with key stakeholders; Interacts in a highly professional manner with an ability to maintain sensitivity, confidentiality, and tactfulness.

8. Strong facilitation and presentation skills with the ability to effectively communicate, both written and verbal, with individuals from a variety of backgrounds, disciplines and levels of expertise.

Consistently demonstrates a communication style that is open and fosters trust, credibility and understanding.

9. Strong computer skills, including proficiency with Microsoft 365 applications, Meditech and Cerner preferred.