OVERVIEW: Organizes, plans and directs the daily activities of the department under the leadership of the director. Directs all business service activities to include policies and procedures. Plans, directs, manages, coordinates and monitors assigned specific activities related to revenue cycle operations for Emory Healthcare. Responsible for maximizing reimbursements and revenue enhancement. Serve as a key leader and senior member of the PFS management team. Oversees and is responsible for Accounts Receivable balance and activity management. Manages timely and appropriate application of payments and refunds. Closely monitors third party payments for compliance with contractual agreements. Pursues additional payments as appropriate. Ensures revenue cycle processes are managed timely with proper adjudication procedures. Intervenes with third party entities when necessary. Serves as key contact for Emory International, Patient Advocacy, VIPs and Administration. Works closely with Project Managers of Artiva, Cerner, Data Warehouse, etc. to enhance work flow and ongoing best practices for Revenue Cycle. Responsible for monthly reporting of collections, appeals and payment variances to the Finance Department, Care Coordination and CFOs of each individual facility. Works closely with colleagues of Emory Clinic on the initiatives for current and future state of streamlining departmental process to improve the Patient Experience and the overall Revenue Cycle. Assists in Management of onboarding and/or integration of new hospital services, acquired business relationships, facilities, etc. Building, maintaining and encouraging a productive working relationship with all staff members. Manages staff and employee performance. Resolves human resource-related issues, determines staffing needs, interviews and hires staff. Provides ongoing performance feedback, addresses problems, orients and trains employees, verifies competencies and identifies and suggests ways to develop skills. Determines disciplinary, termination and salary actions. Monitors workflow. Develops departmental goals, objectives and performance standards. Meets with other staff members to discuss progress and to develop future courses of action. Establishes, revises, administers and communicates policies, procedures and related forms in accordance with state, federal, and organizational guidelines. Communicates and monitors compliance with regulatory, licensing and accreditation standards. Manages third party relationships including but not limited to Early Out Accounts Receivable and Bad Debt Inventory.
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Job Type
Full-time
Career Level
Director
Number of Employees
5,001-10,000 employees