National Director of Revenue Cycle Optimization

National Director of Revenue Cycle Optimization The Pailin Group Professional Search Consultants

About Us

Job Locations : US-CA-Los Angeles

Responsibilities :

The National Director, Revenue Cycle Optimization provides vision, strategic direction and leadership for end-to-end revenue cycle capabilities that support the long-term objectives, mission and vision of the Organization.

Responsibilities include implementing the 2016 Strategic Optimization Plan and developing an excellent revenue cycle team capable of innovating and continuously improving an enterprise-wide, customer-friendly financial experience.

This National Director reports to the Vice President of the Department of Medicine Operations and is a member of the Department of Medicine leadership team.

The leader delivers the message of change across the organization and works collaboratively with other leaders within the Organization to build the required competencies and revenue cycle leadership capabilities across the company.

This leader will manage and maintain priority issues for escalation to the Vice President of Operations, as appropriate.

They will also lead in innovating to ensure the experience of members and patients is best in the industry, easy to use and understand, and brand enhancing.

Essential Duties and Responsibilities :

• Provide overall vision, direction and goals for the revenue cycle leadership team.
• Ensure that the overall revenue cycle strategy aligns with and supports the Organization’s business objectives.
• Lead through the enterprise consumer focus initiatives as a member of key initiatives to improve the enterprise wide Client Service Experience (CSE).
• Develop a high performance national and regional team.
• Develop and implements a strategic and operational plan for revenue cycle.
• Responsible for all third party vendor medical claim payment processes, relationships, interfaces and metric development.
• Lead revenue cycle integration for organizational expansion and acquisition.
• Oversee professional fee revenue cycle operations for the Organization from point of entry to accurate adjudication of patient’s account.
• Actively identify and sponsor system enhancement opportunities.
• Ensure the accuracy and integrity of the practice management system relative to regulatory requirements.
• Plan, direct, and evaluate the work of staff.
• Ensure oversight of agencies contracted to assist with any component of professional billing and collections.
• Develop budgetary plans, programs, and guidelines.
• Travel within and outside of California as necessary.

Qualifications :

• Twelve (12) years of experience in leadership, consulting, project management, and / or general management experience in provider-based revenue cycle management.
• Experience in leading successful large-scale business transformation initiatives.
• Bachelor’s degree in business, health or public administration, management or a related field preferred.
• Certification in revenue cycle from HFMA highly desired.
• Strong managerial competencies in the areas of leadership and team development.
• Demonstrated experience in current multispecialty CPT and ICD-9 / 10 coding principles.
• Proven ability to manage staff and external vendors.

Education and / or Experience :

Bachelor’s degree (B.A.) in business, health or public administration, management or related field from 4-year College or university.

Master’s degree in hospital or business administration, accounting, finance or related field required. Minimum of twelve (12) years of experience in revenue cycle management positions.

Well-qualified professionals please forward CV / Resume along with compensation requirements in complete confidence to :

Frank Sinclaire

Is this the role you are looking for If so read on for more details, and make sure to apply today.

Health Care Division Group Manager

[email protected]

469-656-9606

Pailin Group Professional Search Consultants

Retained executive search consultants, worldwide since 1989

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