Associate Director, Revenue Cycle - HIM Ops at Emory Healthcare

Tucker, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Apr, 26

Salary

0.0

Posted On

27 Jan, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Operations, Health Information Management, Epic, Policy Development, Reimbursement Maximization, Accounts Receivable Management, Third Party Payments Compliance, Adjudication Procedures, Workflow Enhancement, Reporting, Staff Management, HR Issue Resolution, Goal Setting, Regulatory Compliance, Third Party Relationship Management, Bad Debt Inventory

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more Work Location: Atlanta, GA Description The Associate Director position will directly oversee and be accountable for all Emory clinic physicians with incomplete records in Epic; this position is within Health Information Management department. OVERVIEW: Organizes, plans and directs the daily activities of the department under the leadership of the director. Directs all business service activities to include policies and procedures. Plans, directs, manages, coordinates and monitors assigned specific activities related to revenue cycle operations for Emory Healthcare. Responsible for maximizing reimbursements and revenue enhancement. Serve as a key leader and senior member of the PFS management team. Oversees and is responsible for Accounts Receivable balance and activity management. Manages timely and appropriate application of payments and refunds. Closely monitors third party payments for compliance with contractual agreements. Pursues additional payments as appropriate. Ensures revenue cycle processes are managed timely with proper adjudication procedures. Intervenes with third party entities when necessary. Serves as key contact for Emory International, Patient Advocacy, VIPs and Administration. Works closely with Project Managers of Artiva, Cerner, Data Warehouse, etc. to enhance work flow and ongoing best practices for Revenue Cycle. Responsible for monthly reporting of collections, appeals and payment variances to the Finance Department, Care Coordination and CFOs of each individual facility. Works closely with colleagues of Emory Clinic on the initiatives for current and future state of streamlining departmental process to improve the Patient Experience and the overall Revenue Cycle. Assists in Management of onboarding and/or integration of new hospital services, acquired business relationships, facilities, etc. Building, maintaining and encouraging a productive working relationship with all staff members. Manages staff and employee performance. Resolves human resource-related issues, determines staffing needs, interviews and hires staff. Provides ongoing performance feedback, addresses problems, orients and trains employees, verifies competencies and identifies and suggests ways to develop skills. Determines disciplinary, termination and salary actions. Monitors workflow. Develops departmental goals, objectives and performance standards. Meets with other staff members to discuss progress and to develop future courses of action. Establishes, revises, administers and communicates policies, procedures and related forms in accordance with state, federal, and organizational guidelines. Communicates and monitors compliance with regulatory, licensing and accreditation standards. Manages third party relationships including but not limited to Early Out Accounts Receivable and Bad Debt Inventory. MINIMUM QUALIFICATIONS: Bachelor's Degree in a healthcare or related field with 10 years healthcare experience or 8 years revenue cycle experience, 4 of which must be supervisory OR any combination of equivalent education and experience. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

This role directly oversees all Emory clinic physicians with incomplete records in Epic and directs daily departmental activities, including business service policies and procedures under the director's leadership. The position is responsible for planning, managing, and monitoring specific activities related to revenue cycle operations to maximize reimbursements and manage Accounts Receivable.