20 days old

Dir Revenue Cycle 1

Mercy Health
Tyler, TX 75702
  • Job Code
    R024564

Thank you for considering a career at Ensemble Health Partners!

The Revenue Cycle Director directs the performance, in conjunction and counsel of the Revenue Cycle leadership, of the acute revenue cycle activities of outsourced vendors and in-house functional areas of Patient Access (including but not limited to Patient Scheduling, Pre-Access/Registration, Registration Admissions, and Financial Counseling), Health Information Management (including but not limited to Site Medical Records management, Release of Information, Transcription), and Patient Financial Services (including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collections).

Leadership: Has a continuous and consistent presence in both the assigned facilities and Revenue Cycle Services Center (RCSC) to provide support, review processes, provide feedback and identify areas of opportunity. Travel requirements will be: 10 business days per month in assigned facilities, 5 business days per month in the RCSC and the remaining business days to be determined by business needs. Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met. Promotes a culture of collaboration between the RCSC and facilities and serves as a positive role model for Revenue Cycle. Demonstrated ability to manage the day to day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community. Ensures that appropriate documentation and education materials are used in all local Patient Access areas and identifies any educational needs and communicates to the appropriate leader for development. Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership. Represents Revenue Cycle on site-specific Finance and Operations meetings.

Performance Monitoring/Improvement: Works collaboratively with the RCSC to understand impact of facility operations and workflows on Revenue Cycle performance. Has a working knowledge of RCSC projects and performance metrics, how they relate to best practice and industry standard benchmarks and the operational changes necessary to ensure top tier performance. Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar InHouse, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges. Review and resolve accounts on hold or in DNFB/CFB status and work with appropriate leadership for Missing Documentation or Claim Edits. Serves as Chair of Denial Avoidance Committee and ensures performance improvement plans are developed and implemented.

Communication: Hosts routine calls with facility and RCSC leadership and ensures open communication to discuss KPIs, denial trending, front end issues, missing documentation issues. Provides a monthly CFO KPI packet to include, but not limited to: Cash collections and variance to goal with detail explanation, A/R greater than 150 days with root causes, Denials trending by payor and root cause, Recoupments by payor and root cause, DNFB/CFB with any root causes. Provides updates to facility leadership on ongoing RCSC projects and their impact on performance metrics. Provides timely information to RCSC on operational changes, new business development, and service line expansion that will impact Revenue Cycle. Communicates in a way that promotes trust and credibility between the RCSC and facility leadership and strives to strengthen local and corporate relationships for positive outcomes. Completes weekly/monthly market narrative of activities, projects in flight, and issues. Escalates issues to direct leader as necessary to ensure timely resolution.

Qualifications:

- Excellent working knowledge of the hospital revenue cycle

- 5-7 years of experience in healthcare and hospital revenue cycle

- Must pass the Certified Revenue Cycle Representative Examination offered through Healthcare Financial Management Association within 90 days of hire, unless already certified. Must complete all system-specific education and certifications (Epic) as determined by leadership.

- Ability to travel 50% of the time to regions

Ensemble Health Partners is an equal opportunity employer.

Well also reward your hard work with:

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Paid time off
  • Tuition reimbursement
  • And a lot more

Scheduled Weekly Hours:40

Ensemble Health Partners is an equal opportunity employer.

Well also reward your hard work with:

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Paid time off
  • Tuition reimbursement
  • And a lot more
Scheduled Weekly Hours:40

Work Shift:

All (United States of America)

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 or EnsembleHRTeam@ensemblehp.com. This department will make sure you get connected to a Human Resources representative that can assist you.

Compensation & Benefits
EEO is the Law
FMLA Rights - English

La FMLA Espaol







Posted: 2019-11-24 Expires: 2019-12-23
Sponsored by:
Farm Credit Services of America Logo
Sponsored by:
Bank of America Logo

Featured Jobs[ View All ]

Featured Employers

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Dir Revenue Cycle 1

Mercy Health
Tyler, TX 75702

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast