Director Revenue Cycle Operations

Director Revenue Cycle Operations

Director Revenue Cycle Operations

Director Revenue Cycle Operations

Primary Location Riverside, California
Job Number 1115988
Date posted 12/06/2022
Description:
Patient Access establishes a strategic direction, operational vision, and implementation plan for the Revenue Cycle operations, which include Patient Registration, Emergency check-out, Admitting, Local Business Office/Billing, Revenue Cycle Quality, Financial Counseling, Central Eligibility Unit, and Government Programs, under the supervision of the Assistant Administrator Finance and the Managing Director (Medicare, Medi-cal, California Children Services and Healthy Families). Additionally accountable for identifying and charging non-dues revenue in order to meet present and future market demands.
Essential Functions:
Planned, organize, and supervise the efficient operations of the divisions in charge of all patient/third-party billing, patient registration, admitting, ED check-out, Revenue Cycle quality, financial counseling, central eligibility unit, and local cash control management/reporting through the management and supervisory staff.
– Create and offer suggestions for policies and procedures pertaining to Revenue Cycle activities to the Managing Director, Patient Access, and Assistant Administrator Finance.
– Ensure that Medicare, Medi-cal, Workers' Compensation, collective bargaining agreements, and organizational fee schedules are in conformity with administrative and legal requirements of government laws.
– Ensure there are sufficient internal controls in place. Establish, nurture, and maintain a skilled and effective team; oversee staff training and related goal- and performance-setting with Revenue Cycles managers and staff.
– Give unit managers responsible for overseeing daily operations and completing special initiatives. Establish a single, strategic, integrated operational business strategy in collaboration with the senior local medical group manager and KFH/KFHP local managers to maximize the billing and collection of uncollectible income.
Develop and solidify your relationship with senior management at the hospital or health plan in order to increase the quantity and caliber of decisions you make together that will affect your business's revenue cycle organization financially, legally, and in terms of regulations.
– Assume a leadership role in the creation of financial forecasts, budgets, and reports regarding non-dues revenue for their purview.
– Assure that all essential business requirements and needs are recognized and satisfied through automated/manual processes.
– Participate in several special projects and committees including important regional, facility, and divisional management as the Assistant Administrator for Finance and the Regional Managing Director for Patient Access.
– In charge of creating and maintaining payroll and non-payroll budgets.
– Accountable for ensuring that resources are allocated and used properly to meet deliverables.
– Assure that the agency stays within its budget.

Basic Qualifications:

Experience

– Minimum five (5) years of experience required managing a staff of professionals in the revenue cycle environment.

Education

– Bachelor's degree required in Finance, Business Administration OR four (4) years of management experience in a directly related field.

– High School Diploma or General Education Development (GED) required.

License, Certification, Registration

– N/A

 

Additional Requirements:

– Demonstrated knowledge of general business concepts including financial management, team building practices, organizational behavior, and personnel/labor laws and regulations.

– Demonstrated ability to utilize effective financial management tools, information systems methodologies, and supervisory techniques.

– Must be able to work in a Labor/Management Partnership environment.

 

Preferred Qualifications:

– Experience preferably in an acute care hospital.- Master's degree preferred.

 

Primary Location: California, Riverside, Riverside Medical Center/Medical Offices 1
Scheduled Weekly Hours: 40
Shift: DayWorkdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE-SCAL-01|NUE| Non-Union Employee
Job Level: Director/Senior Director
Department: Riverside Med Center – Rev Cyde Bus Office – 0801
Travel: No

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