Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Job Summary:
Reports directly to the Revenue Cycle Manager and will assist to the develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the companys receivables. Will assist with the day-to-day activities of the Revenue Cycle team which include but are not limited to billing, collections, accounts receivables and financial planning for patients. This position will work with the Revenue Cycle team to meet department long and short term strategic goals. Work is performed under minimal supervision and in accordance with established procedures. The Revenue Cycle Specialist position requires the use of computers and other office equipment.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
SECONDARY:
LEADERSHIP: Demonstrates willingness to try new tasks; communicate and discuss potential areas of risk to the appropriate manager; generates new ideas for change; evaluates and recognizes priorities; selects effective team members; challenges others to learn; keeps current and integrates new information; communicates and models organization values; fosters high performance; continuous improvement, recognizes need for and provides adequate resources. This position is responsible for role modeling and promoting Health West Inc. values throughout the organization.
INTERPERSONAL SKILLS: Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; creates and maintains reporting mechanisms.
LANGUAGE SKILLS: Ability to read, analyze and interpret professional journals, technical procedures or governmental regulations. Ability to communicate orally and through written reports and other documents relating to resident, staff and others. Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers and the public
MATHEMATICAL SKILLS: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs. Advanced knowledge of computers is desired.
REASONING ABILITY: Ability to define and solve problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical journals and deal with several abstract and concrete variables.
QUALITY IMPROVEMENT: Applies quality improvement methods techniques; assists in data collection; Identifies processes for improvements in daily work and educates new employees in team process.
ENVIRONMENT OF CARE: Demonstrates understanding of emergency procedures; participates in emergency drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates Health West use of equipment and assists with disaster preparation exercises and learning.
INFECTION CONTROL: Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the work place; and demonstrates understanding of cross-contamination.
INFORMATION MANAGEMENT: Enters or records data timely and accurately; promotes confidentiality of information; logs onto the system using own password; logs off the system when leaving the work station; reports suspected violation of security/confidentiality issues; reviews data and identifies trends.
CONTINUING EDUCATION: Attends in-service and education programs as determined by Health West Administration; attends continuing education required for maintenance of professional certification or licensure.
PHYSICAL DEMANDS: The physical demands described here are representative of, but not limited to, those that must be met by an employee to successfully perform the essential functions of this job.
Position requires occasional lifting and carrying items weighing up to 20 pounds unassisted; requires frequent sitting and repetitive hand movements, occasional standing, walking, squatting, bending, and reaching, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.
QUALIFICATIONS:
Education and/or Experience:
PHYSICAL REQUIREMENTS:
Certificates, Licenses, Registrations: None required
Education and/or Experience:
Certificates, Licenses, Registrations: none
PHYSICAL REQUIREMENTS: