Revenue Cycle Manager, Operations
About The Position
The JHHS Revenue Cycle Operations Manager is responsible for ensuring day to day adherence to JHM enterprise wide policies and best practices within the strategic revenue cycle vision for The Johns Hopkins Hospital (JHH) and Johns Hopkins Bayview Medical Center (JHBMC). The incumbent is also accountable to manage and harmonize onsite cash management activities across Johns Hopkins Health System, including management of patient valuables, departmental deposits, and compliant financial teller protocols. Monitors and executes standardization of enterprise-wide revenue cycle processes and procedures as well as partnering within JHHS to ensure consistency is maintained for RCM site operations across JHHS hospital sites. This manager is also accountable to daily work queue monitoring, event management updates as appropriate and ensuring key performance indicators are met. This position works closely with JHH/JHBMC Admitting/Registration, JHM Patient Access, JHM Revenue Management, JHHS Patient Financial Services, JHHS Central Business Office, JHHS Case Mix and JHHS Regulatory Compliance, the JHHS hospital affiliates, Treasury Department, Corporate Security and Billing Compliance Department as well as the JHM Epic Team. The incumbent should be of an intuitive nature, improving work methods and processes resulting in significant time and cost savings and improving the overall quality of data collection. Staying abreast of changes and new laws and regulations in order for the JHHS facilities to comply with those regulations. Work requires internal contacts with all departments with both patient and revenue responsibilities. Communication with external contacts involve providing service to resolve complaints, resolution of verification and pre-certification issues with third party payers, clarification of technical issues and bulletins with governmental programs, and contact with peers to discuss patient access and revenue cycle issues.
Requirements
- Bachelor's Degree in Accounting, Business Administration, Health Administration, Finance, or related field or 15 years of direct management experience in hospital receivables within an academic health system.
- A minimum of seven years of progressive in patient access services, registration, scheduling, financial clearance, regulatory compliance, and revenue cycle oversight, and Patient Accounting System(s) experience within a medical center or health system.
- A minimum of four years of direct management experience.
- Experienced in central business office functions.
- Experienced in using team building and quality management concepts to positively influence the work environment
- Knowledge of healthcare revenue cycle including government and nongovernment payor requirements, managed care contracting, claims, billing, and charge reconciliation is required.
- Highly effective oral and written communication skills to include formulating recommendations and presenting materials are required.
- Requires effective customer service and organization skills.
- Proven demonstrated effectiveness in managing patient access and revenue cycle operations.
- Demonstrated ability to lead initiatives, mentor team members and generate desired business outcomes.
- Ability to read, analyze, and interpret complex technical reports, and to read and analyze financial reports.
- Ability to respond to complex inquiries or complaints from customers and regulatory agencies.
- Ability to effectively present information to Management groups and interdisciplinary teams.
- Must be able to interpret technical and detailed guidelines, policies, and procedures.
- Writing is required to explain or describe moderately complex information, compose policies, procedures, and presentation materials.
- Requires use of intermediate level mathematical formulas and calculations to prepare or interpret routine mathematical/statistical information.
- Ability to define problems collects data, establish facts, and draw conclusions.
- Requires knowledge of and proficiency of Epic.
- Microsoft Office, Epic, SAP, Tableau etc.
Nice To Haves
- Master's Degree in Business Administration, Health Administration, or Information Management is preferred.
- Knowledge of scheduling and registration information technology platforms is preferred.
- EPIC Health Information System and SAP financial system experience preferred.
Benefits
- Excellent compensation package!
- Awesome benefits, including dependent tuition reimbursement!
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What This Job Offers
Job Type
Full-time
Career Level
Manager
