Responsible for the strategic, operational, and financial direction and oversight of multiple departmental units within the revenue cycle. This leader will coordinate with other senior leaders to ensure that all operational revenue functions are aligned and optimized to meet or exceed customer requirements, maximize cash collections, and minimize cost to collect. ROLES AND
Responsibilities to include admissions, prior authorizations, billing, coding, collections, denials, payment review, cash posting, refunds, and customer service. Direct department reports will include Patient Access and Patient Financial Services with total of 85-90 staff members. Additional reports may include Revenue Cycle Analyst and Health Information Management.
Provide oversight of Physician Practice billing with the assistance of the director to provide additional efficiencies in the overall revenue cycle process. Perform ongoing auditing and monitoring of Key Performance Metrics (KPIs) to ensure a consistent high level of performance is achieved for both hospital and physician practice billing & collection. Lead revenue cycle process improvement activities, identifying areas in the process that are not working efficiently and/or effectively and creating action plans for improvement.
Serve as a subject matter expert for departmental managers, staff, physicians, and administration for obtaining information or clarification on documentation standards, state and federal law, and regulatory requirements relating to coding and billing Ability to adapt to a constantly changing revenue cycle environment. Willingness to be an instrument and proponent for change if a thorough evaluation indicates that change will result in improved revenue cycle performance for the Hospital.
Lead several key projects initially, which could include contract management, internal/outsourced staffing, pricing transparency, third-party software, centralized billing, work-from-home practices, and improved training/onboarding of patient-access personnel. Mentorship to other revenue cycle management personnel. Lead various initiatives as directed by Corporate Officers, to include research, ROI analysis, education, implementation, and follow-up reporting.
Minimum Job Requirements Bachelor’s Degree in healthcare administration, business administration, or related field from an accredited university. Minimum of ten (10) years of experience in an acute care hospital setting with extensive exposure to revenue cycle functions. Demonstrated supervisory experience .
Preferred Job Requirements Master’s Degree in healthcare administration, business administration, or related field from an accredited university. Experience managing other managers and reviewing staffing requirements. Skills / Knowledge / Abilities Knowledge of policies, governmental regulations, and business practices pertinent to the department.
Working knowledge of Hospital and Professional billing, and an in-depth knowledge of Medicare and managed care billing and payment practices. Emergency department billing experience is a plus. Advanced understanding of all revenue cycle functions and interrelationships.
Experience and expert knowledge of Accounts Receivable and cash collections management. Highly developed computer skills to include proficiency with Microsoft Office and the ability to learn and proficiently perform computer applications related to department operations and job function. Excellent communication skills to effectively and tactfully communicate with patients and their families and guests, co-workers, managers, Hospital Administrators, providers, consultants, business associates, and regulatory agencies, presenting a professional image as a representative of Marion General Hospital.
Ability to problem solve, multi-task in a fast-paced setting, and work well in a team environment. Ability to negotiate effective working relationships and develop positive resolutions to conflict Excellent customer service skills. Excellent management skills.
Strong organizational, financial, leadership and administrative skills to manage multiple issues simultaneously combined with ability to effectively prioritize. Ability to effectively perform job functions in a professional manner under periods of extreme stress, meeting deadlines and producing positive outcomes. Self-motivated, with a high degree of accuracy with concentration and close attention to detail Commitment of 24-hour accountability.
Ability to be discreet and protect the integrity of any confidential matter or information encountered during the performance of job duties. Working Conditions Typical office environment with prolonged sitting and occasional standing and walking. Work subject to interruptions and occasional high stress levels.
Works with highly confidential information which may be proprietary or protected health information. Ability to work hours significantly beyond the normal work week. Attends special functions and meetings at various locations within the hospital and community.
Occasional overnight stays. Physical and Mental Activities, Tools and Equipment Uses computer and standard office equipment. Lifting, pushing, pulling, walking sitting, reaching, bending, kneeling or stooping to perform duties in a safe manner.
Equal Opportunity Employer Marion Health is a smoke-free environment.
Days shift