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)
Reporting to the President of the Hospital, the Director Revenue Cycle Management is responsible for all aspects of cash management for the Hospital. The role will consist of ongoing oversite of the revenue cycle management relationship with an outsourced vendor as well as management of our internal revenue cycle operation. The Director must be able to lead, change in a complex multi-layered organization, working with service line vice presidents, executive directors, physician practice leaders, physicians/APP's. finance, revenue cycle leaders, and others to ensure optimal revenue realization through collaboration and issue identification/resolution. The Director will identify opportunities, challenges and deficiencies, escalate issues timely and appropriately to stakeholders for resolution.
Education:
Bachelors Degree in Business, Healthcare , or related field required.
Masters in Business, Healthcare, or related field preferred.
Registration/Certification/Licensure:
NA
Experience:
10 years of leadership experience in hospital /acute based revenue cycle management
Experience in large, complex, multi-facility, organization
Direct Experience with all aspects of acute revenue cycle operations and processes, business office operations, to include inpatient and outpatient billing and collections, insurance verification, cash posting, per-collections, call center services, and patient relations.
Experience with Cerner and/or Meditech electronic medical record system preferred.
Other Requirements:
Well organized and disciplined, with the ability to manager multiple priorities and projects. Experience leading/participating in enterprise-wide projects and initiatives.
Knowledgeable about the healthcare industry(e.g. managed care/revenue cycle) and translates that information into strategies that add value and improve operations.
Outstanding written and oral communication skills; good listening capability; skilled at influencing a variety of people; can structure and effectively lead business meetings.
Exceptional interpersonal skills; success at cultivating strong relationship s with internal and external stakeholders and creating partnerships at all levels.
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