Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Grafton City Hospital is a rural hospital with vision, diversity, stability, and a future. A strong contributor to the county’s economic status as it is one of the largest employers in Taylor County. At GCH, we have one simple mission: We are committed to the promotion of wellness and to the provision of comprehensive healthcare for our community with respect to all people.
Grafton is located in the heart of northern West Virginia. Nestled inside Taylor County, Grafton, the county seat, is centrally located less than 30 miles from Morgantown, Bridgeport and Fairmont, WV. Our 170 plus dedicated, and caring employees are encouraged to employ their talents and abilities to solve any challenge faced by our patients and the surrounding community.
While many hospitals, especially rural hospitals, are closing because of ever declining reimbursement for the services they provide, Grafton City Hospital continues to get stronger by operating more efficiently and providing excellent healthcare to our community.
JOB SUMMARY
Reporting to the Vice-President of Financial Services, the Director of Revenue Cycle Operations plays an integral role in the reimbursement and collections operations at Grafton City Hospital. This position works closely with Hospital leaders to develop reimbursement strategies and controls to ensure financial viability. The Director of Revenue Cycle Operations leads the billing function and is responsible for ensuring the Hospital maximizes its financial performance. This position oversees the medical billing operation and staff to ensure effective management of receivables and is responsible for continually improving systems and processes. As part of the Revenue Cycle Oversight, this position will oversee all revenue cycle operations staff, which will include Business Office and Health Information Management staff.
EDUCATIONAL REQUIREMENTS
EXPERIENCE
This document is intended to describe the general nature and level of work being performed. The statements in this document are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
ADA DISCLAIMER:
This description does not state or imply that the duties listed above are the only duties to be performed by the incumbent position. Employees are required to follow job-related instructions and perform other job-related activities requested by their supervisors. All requirements are subject to modification to provide reasonable accommodation for individuals with physical or mental disabilities as defined in the Americans with Disabilities Act. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves, patients, or other employees.
Grafton City Hospital is an equal-opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
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