Executive Director, Revenue Cycle

Southwest General•Middleburg Heights, OH

7d•Onsite

About The Position

Reporting to the Chief Financial Officer, the Executive Director, Revenue Cycle (EDRC) provides leadership and direction and is responsible for the revenue cycle functions for both the hospital and the employed medical group. The EDRC will have direct oversight for the management of Southwest’s end-to-end revenue cycle functions including patient access, authorizations, registration, scheduling, revenue integrity, health information management, utilization management, clinical documentation improvement, denials management and the outsourced billing and collections vendors. EDRC is responsible for strategic and systemic approaches that contribute to the capture, management, and collection of patient service revenue. Advises and oversees investments and changes in software applications, outsourcing vendors, recovery projects and other interventions to collect the net revenue associated with patient services. The EDRC must be able to coordinate processes across the health system and to facilitate cooperation amongst diverse departments and business units reporting to other health system executives. Great opportunity for process improvement.

Requirements

Bachelor’s degree in Finance, Accounting, Business or Healthcare Administration or other relevant field.
Minimum of seven (7) years of experience in revenue cycle management, enrollment, billing, payment processing, or similar operations.
Minimum of three (3) years of recent leadership or progressive supervisory experience.
Strong knowledge of CMS, revenue cycle functions, healthcare billing, coding and reimbursement processes.
Considerable knowledge of medical office operations, professional fee billing, reimbursement and third-party payer regulations and medical terminology.
Knowledge of ICD-10 Codes, CPT Codes, HCPCS Codes, Revenue Codes, and Place of Service Codes.

Nice To Haves

Master’s degree in Business Administration.
Intermediate level experience working in Microsoft Excel.

Responsibilities

Provide leadership and direction for revenue cycle functions for both the hospital and the employed medical group.
Oversee the management of end-to-end revenue cycle functions including patient access, authorizations, registration, scheduling, revenue integrity, health information management, utilization management, clinical documentation improvement, denials management, and outsourced billing and collections vendors.
Develop and implement strategic and systemic approaches for the capture, management, and collection of patient service revenue.
Advise on and oversee investments and changes in software applications, outsourcing vendors, recovery projects, and other revenue collection interventions.
Coordinate processes across the health system and facilitate cooperation among diverse departments and business units.