Revenue Cycle Management: Oversee all aspects of the revenue cycle, including patient registration, insurance verification, charge capture, coding, billing, and collections.
Compliance: Ensure compliance with federal, state, and local regulations, as well as internal policies and procedures.
Process Improvement: Identify and implement process improvements to enhance efficiency and accuracy in revenue cycle operations.
Data Analysis: Analyze revenue cycle data to identify trends, issues, and opportunities for improvement. Provide regular reports to senior management.
Collaboration: Work closely with clinical departments, finance, IT, and other stakeholders to ensure seamless integration of revenue cycle processes.
Training and Development: Provide training and support to staff on revenue cycle processes, policies, and best practices.
Technology Utilization: Leverage technology and software solutions to optimize revenue cycle operations and improve patient experience.
Problem Resolution: Address and resolve any issues or discrepancies in the revenue cycle process promptly and effectively.
Qualifications:
Education: Master's degree in Healthcare Administration, Business Administration, or a related field.
Experience:
Minimum of 10 years of experience in revenue cycle management, preferably in an academic medical center or large healthcare organization. Must have experience with Director-level direct reports, or higher, and leading Revenue Cycle Departments. Expert in Revenue Cycle (with deep experience in Mid-revenue cycle).
An extensive knowledge of professional services revenue cycle operations best practices and well versed in regulatory requirements.
Experience in a vital leadership position in a large academic medicine multi-specialty group practice, a large complex medical group, or other various clinical revenue cycle settings is required.
Experience and knowledge of clinical operations is essential to understand how to best manage revenue cycle processes often initiated by clinical operations across the organization.