Executive Director - Revenue Cycle

Read the overview of this opportunity to understand what skills, including and relevant soft skills and software package proficiencies, are required.

Ranked #1 for Safety, Quality and Patient Satisfaction , Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs.

Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education

• Bachelor’s Degree in Finance or related field
• Master’s Degree strongly preferred

Experience / Qualifications

• Experience in Leading Change.
• Minimum 10 years of Revenue Cycle Management experience; preferably patient access, billing / coding, collections, claims, and integrity audit review experience.
• Prefer extensive experience in EPIC Revenue Cycle Applications
• Advanced certifications preferred (e.g., CCS, CCA, RHIT, RHIA).
• Possesses CPT and ICD-10 coding experience and revenue cycle management experience.
• Knowledge of regulatory compliance, ICD-10 and CPT-4 medical record coding and UB04 billing.
• Working knowledge of a CDM.
• Understanding of payer reimbursement procedures and methodologies.
• Excellent communication skills, both written and verbal, and interpersonal skills.
• Ability to effectively present information to leadership, and / or board of trustees.
• Strong leadership skills with an ability to motivate direct reports.
• Guides team members toward desired outcomes.
• Sets high performance standards and delivers quality services.
• Ability to perform strategic planning and prioritizing work.
• Establishes and maintains long-term customer relationships, building trust and respect by consistently exceeding expectations.
• Articulates knowledge and understanding of organizational policies, procedures, and systems. Ability to create new procedures.
• Proficiency in computer system applications.
• Applies tools and processes to successfully manage to budget and ability to develop a budget.
• Assesses work activities and allocates resources appropriately.
• Ability to work independently while effectively managing different priorities and projects.
• Ability to read, analyze, and interpret common and technical journals, statistical reports, and other related documents.
• Ability to identify and define problems, collect data, establish facts, and draw valid conclusions that drives process improvement, quality, and productivity.
• Ability to analyze business situations, controls and risks, and recommend practical solutions.

Position Summary

The Executive Director of Revenue Cycle directs and oversees the overall policies, objectives, and initiatives of the organization's revenue cycle activities to achieve operational goals and cash flow targets.

Responsibilities include but are not limited to the daily operations of Revenue Cycle including leading and planning the revenue cycle operations for all aspects.

This position is responsible for establishing, designing, implementing, and enforcing charging and reconciliation policies and procedures, as well as streamlining and creating effective revenue cycle processes across multiple departments and service lines.

The goal of this Department is to ensure that revenue leakage is minimized. This position is highly visible and requires a strong leader with the ability to influence, prioritize, plan, multi-task, and direct the Revenue Cycle Team Members.

Responsibilities

• Leads by example and adheres to JMC mission, vision and values. Instills the same in Team Members.
• Responsible for hiring, performance evaluations and all team member human resource activities.
• Develop specific objectives, budgets, and performance standards for all team members.
• Maintain and promote excellent customer service relations with all key stakeholders.
• Maintains knowledge of all compliance regulations, federal and third-party payers.
• Stay abreast of regulatory requirements and company compliance policies, ensuring timely staff education.
• Inform staff of relevant changes and developments in payer requirements.
• Develop standard work and hold all team members accountable.
• Ensure quality review measurements are in place.
• Identify and implement process improvement activities.
• Actively seeks ways to control costs without compromising patient safety, quality of care of the services delivered.
• Understands and enforces all hospital and personnel policies and procedures.
• Lead and / or serve on hospital and Patient Care Services committees, teams, and work groups as required.
• Performs other duties as assigned.

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