Revenue Cycle Director - Physician Services at Sodexo at Erlanger Health System

Chattanooga, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jan, 26

Salary

0.0

Posted On

24 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Project Management, Communication Skills, Data Analysis, Leadership, Billing Processes, Healthcare Regulations, Team Collaboration, Financial Performance, Patient Care, Process Improvement, Microsoft Office, Presentation Skills, Practice Management, Operational Oversight, Customer Satisfaction

Industry

Hospitals and Health Care

Description

Job Summary: Under the direction of the VP Revenue Cycle, the Director of Physician Services Revenue Cycle plans, organizes, directs, monitors and reports on the operations of the Outsourced Physician Billing Vendor Partner (OPBVP). Responsibilities include monitoring and directing all facets of the physician revenue cycle to include managing and oversight of the OPBVP. S/he will work closely with both the Directorial personnel of the OVP and practice leadership to develop a seamless revenue cycle. S/he will develop reports monthly that identify performance outcomes of the outsourced physician billing vendor partner to the VP Revenue Cycle. Responsible for establishing the Executive Physician Revenue Cycle Committee. Facilitating and presenting the OPBVP's key indicators and outcomes to the Executive Physician Revenue Cycle Committee on a monthly basis. Education: Required: Bachelor's Degree, but will consider Associate's Degree with additional medical billing and or practice management certification with at least 5 years prior experience in healthcare with physician practice experience. Preferred: Bachelor's Degree in Business, Finance or Accounting Experience: Required: Minimum of five years business management preferably in a healthcare setting/clinical practice Revenue Cycle management. Experience managing multiple projects and staff in fast paced, complex environment. Demonstrable working knowledge of office applications (i.e.: word, excel, e-mail) required. Excellent communication, presentation and process workflow skills. Ability to work within EChart (Epic) system relating to all Revenue Cycle responsibilities/tasks, including work queues. Ability to collect, analyze, and apply data and other pertinent information to develop short and long term practice goals to maximize the revenue cycle. Preferred: Practice management and Revenue Cycle experience in a healthcare network with responsibility and oversight for multiple practice locations. Position Requirement(s): License/Certification/Registration Required: Preferred: Department Position Summary: Over site and Managing the Outsourced Physician Billing Vendor Partner (OPBVP): Daily monitoring the OPBVP and practice work queues. Identifying trends regarding the reasoning accounts are hitting work queues, acting accordingly by communicating back to the department/staff creating errors and delays in billing of the accounts receivable. Reporting trends by department/staff creating HAR errors to include number and dollar value. Tracking and monitoring mail correspondence received by OPBVP. This tracking includes verifying the correspondence is correctly identified and placed in OPBVP's work queues and processed accordingly. Monitor and report OPBVP's monthly patient complaints. Daily monitor OPBVPs billing submissions to insure daily billings are current with daily revenue produced by clinics. Daily monitor cash collections to ensure month to date and monthly cash goals are met or exceeded. Constantly monitor accounts receivable greater than 90 days to ensure best practice standards are met: > 90 day AR does not exceed 18%25 of the total AR. Established monthly accounts receivable revenue cycle reporting and provide to the VP Revenue Cycle. Establish revenue cycle Executive Physician Revenue Cycle Committee and conduct monthly meeting presenting all revenue cycle performance outcomes. Regularly meet with SBO Director to obtain any billing concerns by the OPBVP and take the necessary actions in communicating and resolving issues reported. Work on continuous collaborative bases with senior Director patient access, Director of patient access, CBO, VP revenue cycle, practice Directors and Directors. Acts as liaison between physician practices, PAS Director and OPBVP Supports Clinical and Office staff in creating an environment conducive to excellence in the revenue cycle. Provide oversight and implement action plans to address identified trends in denials and other unfavorable findings identified through statistical and financial data analysis. Develop and monitor key financial and operational performance ratios against which the performance of each practice can be measured; analyze practice performance to community and national benchmarking standards (i.e.: MGMA and others) to ensure long term success. Provides leadership and has oversight responsibilities for the Physician Services Billing Vendor. Monthly review Billing Vendors key statistics and performance indicators to assure Billing Vendor is meeting and exceeding assigned goals. Takes appropriate action when necessary with Billing Vendor. Department Position Summary: The Director is responsible for overseeing the daily operations of Physicians Billing Services throughout Erlanger Health System. The Director is responsible for the supervision and management of the out-sourced billing company. The Director must possess a thorough knowledge of physician registration processes/procedures, a broad working knowledge of managed care and insurance requirements as it relates to admissions/Registration, and a vision to constantly challenge and improve the Physicians Billing Services while ensuring that both the patient and clinical needs are not only being met, but exceeded. The Director must demonstrate leadership skills consistent with the hospital CQI standards and have an understanding of the billing and collections process and required information to ensure timely reimbursement. Must be proficient in Microsoft Office; Word, Excel, PowerPoint and Visio. Strong verbal and written communication skills are required as well as the ability to work well with the medical staff and other hospital departments in an effort to promote good will and expedite patient care and continually improve community satisfaction. An ability to promote teamwork is essential along with a commitment to promote the professional growth of the team members through mentoring and in-services. This position is responsible for continuous improvement working with the VP Revenue Cycle with a goal of delivering the highest degree of quality service possible. The director is also responsible for representing the Revenue Cycle on various committees and teams and in meetings. Maintains and uses a current knowledge of regulations in guiding policy for the Physicians Billing Services. Formulates and ensures implementation of Patient Financial Services policies and procedures that are consistent with Federal, State, and Joint Commission on the Accreditation of Hospitals Organization (JCAHO) guidelines/DNV, and that preserve compliance while minimizing risk of sanction by regulatory bodies. Acts as a knowledge resource on patient privacy regulations and provides Health Insurance Portability and Accountability Act (HIPAA) education. Safeguards the company's assets and interests. The Director works closely with all operational areas such as the Physician Services (managers and directors), Clinical Services, Care Management, Corporate Compliance, HIM and all revenue cycle functions to apply new and emerging approaches for Erlanger Health System. Actively looking for partnering opportunities with leadership throughout the system to transform the patient experience with a focus on improving both net revenue and satisfaction levels; focuses on opportunities to maximize net revenue by reducing avoidable denials by strategically re-engineering the revenue cycle operations processes. The Director, will provide senior leadership with monthly reports on key performance indicators and action plans as applicable to ensure Physician Billing Services are meeting all required benchmarks. Action plans should include working with Physician Services leadership, Out-Sourced Physician Billing Vendor, Service Line Administrators, and other management teams within Erlanger Health System.

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Responsibilities

The Director of Physician Services Revenue Cycle oversees the operations of the Outsourced Physician Billing Vendor Partner and ensures effective management of the physician revenue cycle. This includes monitoring billing submissions, cash collections, and accounts receivable while reporting performance outcomes to the VP Revenue Cycle.