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Primary City/State: Virtual - Arizona
Category: Billing and Revenue Cycle
Shift: Day
Department: Revenue Cycle Administration
Candidates must be located in or willing to relocate to Arizona. Monday-Friday Days Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area. Responsibilities: JOB SUMMARY
Senior Director Patient Financial Services works in a fully integrated network wide leadership role to direct and oversee numerous departments involved in the Revenue Cycle, including Centralized Billing, Collection, , Self-pay Collections, Annual Cost Reporting/Other gov't reporting, Denials Management, and Cash Posting for the organization's hospitals. Responsible for managing all operational activities of assigned departments and outside contractors which provide outsourced services such as third party collection agencies, $0 balance review, etc. Plays a key role in education, development and monitoring of Corporate Compliance policies and procedures. Organizes and leads intra-departmental efforts to maximize operational efficiency, optimize reimbursement and achieve the highest levels of customer service. Develops and presents policies throughout the organization.
The position is expected to demonstrate, through plans and actions, that there is a consistent standard of excellence to which all departmental work is expected to conform. Such a standard should be based on establishing and maintaining a constancy of purpose, focusing on continuous improvement within the Director's area of influence, and delivering the highest degree of quality service possible.
ESSENTIAL FUNCTIONS
- Develops and implements departmental procedures, techniques to effectively process claims and pursue collections, maintain charge capture, cash posting for the hospital and professional environments, and report on effective denial management. Oversees the training and monitoring of departments, financial planning, billing and collections processes to measure overall performance against appropriate benchmarks, appropriately maximizing cash collections and reducing days in accounts receivable. Analyzes and presents data to the VP Revenue Cycle and VP Financial Operations and occasionally other Executive management regarding the revenue cycle. Defines and implements long term strategies that allow the organization to sustain efficient and best practice payment and collection processes. Develops policies and procedures, and operational benchmarks for system-wide standardization for best practice standards.
- Manages cost reporting and other gov't reporting annually.
- Negotiate, manage, and monitor outside contracts with vendors, as well as, internal relationship with key divisions such as IT, Financial Services, Managed Care, and Compliance.
- Manages personnel/subordinate directors, managers and supervisors assigned to these departments. Plans, establishes and revises work assignments. Interviews, selects and recommends hiring of personnel. Initiates changes in classification, salary action, promotion, demotion, transfer and termination. Settles employee problems and administers appropriate discipline action.
- Interfaces with all system revenue departments to ensure compliance with all applicable policies and procedures. Serves as a resource to all levels of management throughout the system regarding recent enactments and contract requirements necessitating changes in the registration and billing process. Coordinates closely with the Managed Care Department to preview contract language prior to signing, providing recommendations and revisions as deemed necessary, in additional to implementing new contracts. Develops, implements and monitors procedures and policies in place to ensure compliance.
- Interacts with Information Systems to develop, evaluate and maintain information systems for electronic billings, corporate compliance and collections to maximize reimbursement, provide peak performance and reporting. Interacts with Information Systems to develop and enhance information systems for health information management, transcription, and coding needs.
- Manages EPIC contractual system to ensure appropriate and timely contractuals; as well as maintain Pricing Transparency requirements as directed by local, state and federal government
- Develops key indicators reports for all depts. and provides trend data to Managed Care dept to enhance contracting effectiveness.
- Directs Cash posting initiatives, ensuring EFT effectiveness.
- Proposes, recommends and develops strategies for the System to address changes in the payer community to maximize operational efficiency and reimbursement.
- Supports the Corporate Compliance efforts through investigation, policy/procedure development and monitoring.
- Develops the budget for the assigned departments, allocating funds within budget limits to accomplish departmental and system objectives and goals. Monitors variances against budget on an on-going basis. Ensures accurate daily/monthly statistical and financial reports. Presents key monthly statistics and indicators to financial and system leadership.
- Initiates, prepares and implements process improvement and other projects to maximize system-wide effectiveness.
- Directs subordinate directors, managers and supervisors. Oversees the interview, selection and hiring process. Initiates changes in classification, salary action, promotion, demotion, transfer and termination. Resolves employee problems/issues and administers appropriate disciplinary action.
EDUCATION
- Bachelors or 10 years' related experience - Business/Finance/Other Required
- Masters or Certified Public Accountant Preferred
EXPERIENCE
- 10 years, Experience in Patient Financial Services and Revenue Integrity Required
- Other, 12 years Revenue Cycle Preferred
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