Executive Director - Hospital Revenue Cycle - Onsite

Guidehouse • Mobile, AL

1d • Onsite

About The Position

Working under the general direction of the Account Leadership Partner, the Vice President of Revenue Cycle/Executive Director serves as the primary liaison between the Revenue Cycle Operations teams and assigned Client(s) for all aspects of the Revenue Cycle. This position will be responsible for the proactive oversight of the Revenue Cycle process and maintain a successful client relationship and client strategies. In addition, this position will develop a deep understanding of the Client’s Revenue Cycle to ensure KPI’s and quality measures are met at both their assigned location and at EBO. This position will also supervise on site Project Supervisors and project staff. The Vice President of Revenue Cycle/Account Executive will monitor compliance with State and Federal laws and guidelines. This position will proactively identify opportunities for revenue cycle improvement initiatives and partner with the Client and EBO leadership to develop and execute these plans. The Vice President of Revenue Cycle/Account Executive will possess both technical and business skills to recommend, engage and manage their client’s strategic initiatives. The Vice President of Revenue Cycle/Account Executive will perform any and all job-related duties as assigned.

Requirements

• Requires a bachelor's degree and a minimum 15 years of prior relevant experience in revenue cycle.
• Relevant experience may be substituted for formal education or advanced degree.
• Relevant experience coming from a healthcare provider, central business office environment or revenue cycle outsourcing company.
• Comprehensive knowledge of healthcare access management, HIM, billing, finance and accounting principles for both Hospital and Physician revenue cycle management
• Excellent verbal and written communication skills
• Comprehensive knowledge of HFMA MAP metrics, as well as MGMA or other similar standards for Physician Revenue Cycle
• Strong attention to details and accuracy, using problem-solving skills and analytical thinking
• Ability to successfully prioritize and manage numerous tasks simultaneously
• Excellent strategic planning, management and implementation skills
• Meet and anticipate Client needs
• Well versed in developing and sustaining effective relationships with senior management & identifying opportunities within the client’s network

Nice To Haves

• Has held a leadership role (Director or Manager Level) in at least two of the three departments of Patient Access, HIM & PFS within an Acute Care Hospital
• Knowledge and utilization of desktop applications to include Word and Excel is essential.
• Innovative, motivated & able to lead by example.
• Ability to initiate and follow through on projects and work independently with minimal supervision required.

Responsibilities

• Leading multi-disciplined teams to integrate their solutions & services
• Direct implementation projects & liaise with Client Project Directors
• Development and execution of annual Project P&L to drive Client Value and Guidehouse Financial success
• Build & maintain relationships with key clients covering a range of business sectors
• Provide insights to enhance delivery models & outcomes that meet their client's needs
• Collaborate with implementation & development teams to enhance service delivery.
• Responsible for the maintenance of the governance model and meeting structure
• Understand, meet and exceed set department goals
• Gatekeeper of client site access
• Responsible for special client projects
• Apply legal compliance and compliance with client policies & procedures
• Provide reports and statistical/analytical information for management and clients
• Process month-end reports for Guidehouse and Client
• Promote Guidehouse values, overall teamwork and a positive work environment
• Ensure appropriate contractual discounts are applied
• Review adjustments and refund requests
• Maintain continual communication with EBO to identify areas for improvement from client to improve productivity and results
• Attend meetings with both the client and the EBO
• A/R Analysis, including but not limited to: Bad Debt, Charity, Aging, Cash Collections, Payer Realization Rates, Credit Balances, Charge Capture, and CDM
• Monitor unbilled inventory and work with client and EBO to ensure compliance with targets
• Place and manage on-site employees as contract requires
• Establishes and manages effective, consistent communication with assigned Client
• Identifies and address business needs; provides guidance and timely responses to questions and requests
• Provides analysis and context for monthly performance data
• Maintains ongoing issues and priority list for Client and EBO
• Completes analysis of issues for action, presents this information and assists the Entity implement action plans
• Provides and implements plans to improve billing performance
• Establishes and develops collaborative relationships with internal staff and EBO
• Works with Managed Care Department for Underpayment Analysis
• Works with EBO and Client to research and resolve denials
• Upon identification of issues, research issues to determine whether it is an isolated instance or a trend and follows up the appropriate Revenue Cycle Director or Systems Analyst team to facilitate communication and resolution of the issues
• Attends and participates in committees and task forces as assigned
• Hire, review, discipline and separate employment
• Monitor and report daily/monthly productivity
• Ensure Team Member compliance with Guidehouse and Client policies and procedures
• Compile and forward Team Member timesheets to Guidehouse payroll for processing
• Verify and monitor time off requests
• Able to fill in for Project Supervisors

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

What This Job Offers

• Job Type: Full-time
• Career Level: Executive