Director of Revenue Cycle

Cozad Community Hospital•Cozad, NE

3d•Onsite

About The Position

The Director of Revenue Cycle manages, directs, and coordinates activities of employees engaged in the revenue cycle and Patient Financial Services (PFS) area. This includes switchboard, cashiering, billing, collecting, and admissions. Works with all departments to enhance the efficiency of the revenue cycle process, the charge master, denials management, and reimbursement issues, in accordance with the philosophy, goals and objectives of Cozad Community Health System (CCHS).

Requirements

Bachelor’s Degree in Business Administration or Accounting is required
seven year’s experience in health-care
equivalent combination of education and experience
Certified Revenue Cycle Representative
Basic Life Support (CPR)
Valid Driver’s License

Nice To Haves

Master’s Degree in Business Administration, Finance, or a related field preferred.

Responsibilities

In conjunction with the CFO, interacts with the CEO, Senior Leaders, Providers, regulatory agencies, and the public on patient financial matters affecting CCHS.
Monitors and evaluates the procedures in patient accounting, pre-registrations, credit and collections and the changes to the functions and procedures of the departments.
In conjunction with the CFO, monitors and projects short and long-term goals and objectives for Patient Financial Services. Provides technical support for patient billing and system changes.
Maintains contracts and documents to ensure proper accountability and process for programs and related activities.
Coordinates the preparation of reports and monitors performance of revenue producing departments.
Works with Leaders of all CCHS Departments and considers policy changes that have a financial impact.
Initiates systems that contribute to enhancing cash flow where needed and reduce accounts receivable days.
Assists in the preparation of departmental budgets for Patient Financial Services including bad debts and charity care.
Encourages and promotes interdisciplinary planning and collaboration to achieve revenue enhancement.
Recommends additions/deletions to third party contracts during contract negotiations based on the evaluation of functions.
Verifies accounts to be turned over to an outside collection agency.
Consults with Senior Leaders and initiates changes in procedure with approval. Acts as a resource in the development of accurate charge capture tools.
Manages admission process to ensure accuracy of admission, timeliness of admission, medical necessity compliance, and financial policy compliance.
Supports and participates in CCHS’s commitment to continuous improvement. Through the development and use of objective data, plans, implements and evaluates processes that result in the delivery of integrated services.
Prepares Patient Financial Services budgets.
Reviews Accounts Receivable month-end reports prior to the close.
Develops and maintains the annual operating budget for the Revenue Cycle and Business Office Departments, including productivity and FTE management based on business needs.
Follows all HIPAA guidelines and promotes and ensures patient safety.
Fulfills mission statement by performing job duties with a high level of customer service while contributing to a positive and professional environment.
Special projects and other duties as assigned.
Manages the Health System’s Revenue Cycle functions and Patient Financial Services.
Responsible for the overall direction, coordination, safety, and evaluation of these teams.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.