Director, Faculty Practice Revenue Cycle Operations

The Director of Faculty Practice Revenue Cycle Operations plays a key role in our collective financial success. This position will support the financial operations of the faculty practice guided by best practice metrics and an understanding of the entire revenue cycle. Facilitate effective, efficient day-to-day Central Business Office (CBO) operations, identify deficiencies and implement corrective action. Provide administrative support to the Revenue Cycle Director including planning, research, communications, staff training and retention, recordkeeping and will stand-in for or support the role of the Director in their absence. With a foundation built on quality, service excellence and regulatory compliance, recommendations will be made regarding opportunities for improved operations and increased revenue. Ensures the specific area of responsibility maintains financial accountability, concurrent with process quality and service excellence. Direct and coordinate all relevant aspects of department's operation and participate in the ongoing process to identify opportunities to restructure policies and procedures as well as implement new models of service. Key Responsibilities include:

Coordinate and support the day-to-day operations for Faculty Practice CBO department.
Direct and establish goals for management reports.
Select, develop, manage and evaluate direct reports; oversee the selection, development, management and evaluation of indirect reports.
Oversee the development, communication, implementation and performance evaluation of policies and procedures.
Define relevant performance standards.
Review productivity and performance standards annually and recommend new approaches for enhancing performance.
Make recommendations for adjustments in the allocation of existing staff as well as changes in overall staff complement in response to business changes.
Supervise and coordinate the preparation and analysis of daily, monthly, and other periodic statistical and performance reports.
Identify changes/trends in CBO metrics and department KPIs (key performance metric); assess and report on root cause.
Identify potential process issues and implement corrective action.
Review and explain monthly statistical variances, relative to prior periods as well as best practices, with leadership regarding labor, key financial indicators, etc.
Areas of focus to include the performance of front-end billing operations through development and monitoring of performance criteria related to: Front-end patient data acquisition and management, appointment scheduling, patient registration, insurance verification, data entry, charge and diagnosis assignment and charge capture activities, denial trending analyses and co-pay collection.
Receivables monitoring includes the performance monitoring of aging, days in AR, bad debt etc.
Facilitate workflow and communication between CBO and other departments including managed care, enrollment, coding compliance, clinical practices, etc. Attend meetings with department heads, providers and administrators as needed.
Coordinate the timely and accurate completion of CBO operations' budgets for final approval. Prospectively monitor and respond to budget variances.
Monitor and coordinate the status of all applicable open positions, split status reports, and chargeback status reports. Coordinate new position requisitions with Human Resources and Leadership.
Performs any related duties and special revenue cycle projects as required.
Exhibit service excellence and regulatory compliance in the performance of all duties and adhere to all Health System and Departmental policies and procedures.

Qualifications and Requirements

Bachelor's Degree in Accounting or related field (Business Administration or Finance) required.
Master's degree preferred.
Minimum of seven (7) years of progressively responsible experience in Finance required.

Strongly prefer:

Healthcare Administration or Faculty Practice Central Business Office experience.
Solid understanding of Physician revenue cycle and performance metrics.
Experience with billing systems is required (GE IDX a plus) along with proficiency with MS excel.
Knowledge of Federal, State and third party payor reimbursement rules and regulations.
Familiarity with revenue cycle transaction codes such as HIPAA, ICD-9-CM and CPT-4.
Experience in presenting to groups and working with physicians, along with excellent interpersonal communication skills.