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Revenue Cycle Director


- Fulltime  

Revenue Cycle Director

JOB SUMMARY

General Description

Works under the supervision of the Chief Financial officer.  Coordination of succeeding revenue cycle activities to ensure accurate and timely reimbursement to facility and providers in accordance with state and federal requirements. Manages the workflow and performance outcomes of Insurance Verification, Account Auditing, Certified Coding, Patient Financial Counseling, Accounts Receivable Billing and Collections, Patient Accounting Customer Service, and Charge Entry functions for facility.

Responsibility

Provides oversight of quality and productivity standards for these departments.  Ensure effective interdepartmental communication, workflow, and procedures are in place to meet the goals of the departments and the facility.  Provides effective personnel management for the departments, including performance reviews, staff development, and discipline.  Determines and manages appropriate staffing levels based on the types and volume of work.  Provides policy recommendation and development related to quality outcomes and workflows pertaining to areas of responsibility, departmental operations, and other areas as required. Must demonstrate the ability to continuously improve the delivery and outcomes of quality patient/customer care from both financial and customer service perspectives, in accordance with patient safety standards, and Prowers Medical Center standards of excellence and Code of Conduct.  Performs other duties as required.

Accountability

Reports directly to the Chief Financial Officer.

Special Demands

Mental: Astute communication skills with administration, employees, physicians, patients/visitors and public. Ability to adjust to job situations, which involve many different people and projects, requiring independent action and judgment.

Qualifications

Education/Experience:  Minimum of 5-7 years’ experience in Healthcare Revenue Cycle required.

Prior Management/Leadership experience required. Demonstrated project discipline and business and industry

acumen. Knowledge of state and federal regulations. Experience leading healthcare based projects/programs strongly preferred