Director of Revenue Cycle

Company: AppleOne Employment Services
Location: Titusville
Posted on: May 14, 2022

Job Description:

We have a client in Titusville within the Healthcare industry that is currently looking to add a Director of Revenue Cycle to their growing organization.

• MUST live in Brevard county. Zip codes: 32754, 32775, 32796, 32780, 32927, 32926
• Person can start while commuting in from outside of these zip codes but would have to move into the zip code within 6 months of start.
  
  Responsibilities:
  
  • Leads and directs strategic planning within assigned functional area(s) to anticipate current and future service solutions; influences the innovation, development and growth of service strategies; assures the achievement of departmental dashboard metrics within each strategic pillar (People, Service, Quality, Growth, Finance); takes immediate and effective steps to assure national benchmarks are achieved or sustained.
  • Leads and directs development and maintenance of systems, processes, policies and procedures that result in assigned care partners always providing excellent customer service as measured by HCAHPS and/or other national customer service best-practice benchmarks.
  • Develops and maintains systems, processes, policies and procedures that result in a continuous improvement environment within which assigned care partners always achieve national best/leading-practice standards for quality and excellence as measured by CMS, Joint Commission, and other regulatory agencies pertinent to areas of responsibility; holding self and others accountable for actions and outcomes.
  • Leads and directs policy formulation, implementation and adherence. Responsible for the adherence to all of our policies and procedures as well as regulations and codes established by federal, state, and local governments affecting professional practice and industry regulations. Leads necessary certification, accreditation, and audit procedures; and ensures that reports required by regulatory agencies are prepared and submitted within established timeframes.
  • Implements procedures as necessary to maintain optimal cash flow & accounts receivable management (Net A/R days); effectively manages third-party contracts to ensure compliance with contractual payment terms and resolves any discrepancies. Provides routine reports and analysis on payer compliance, denials and under/over payments.
  • Assumes the role of the billing compliance officer.
  • Develops and/or maintains systems, processes, policies and procedures that result in an inclusive, collaborative, healing work environment within which national best/leading-practice standards for employee engagement are achieved as measured by effective performance management, problem-solving and conflict resolution, mentoring aspiring care partners; leading effective orientation, onboarding, recognition, training and professional development initiatives; and inspiring care partner commitment to our mission, vision, values and safe care pledge.
  • Develops and/or maintains systems, processes, policies and procedures that result in effective planning and administration of annual budget(s); productive, cost efficient and effective operations; and corrective actions for any operating expenses that deviate from budget.
    Requirements:
    
    • Bachelor's Degree required. Major(s) required: Business Administration or related field.
    • Master of Business Administration or Master of Health Administration preferred.
    • Greater than 7 years of progressive healthcare and/or financial management experience in a hospital and/or physician practice business operation.
    • One to Three Years: Formal plans that exceed one year, but not three years beyond normal operational planning.
    • Advanced Professional Skills: The professional theory and practice, which allows for the development of new methods and procedures, which is applied at the advanced level of a "fully seasoned" professional. Requires extensive knowledge of the professional discipline, a working knowledge of and the ability to integrate information from related fields, and/or skill found in thorough knowledge of business management.
    • Current Sigma Six Green Belt certification, or required within one (1) year of employment.
    • Proven knowledge in Medicare, Medicaid, and other third-party payor requirements and regulations. Knowledge in a variety of EMR systems and software. Meditech and Athena experience preferred. Proven leadership skills.

Keywords: AppleOne Employment Services, Titusville , Director of Revenue Cycle, Accounting, Auditing , Titusville, Florida