Senior Director, Revenue Cycle Management in Brentwood, TN at Health Support Center

Date Posted: 4/7/2018

Job Snapshot

Job Description

Health Support Center

POSITION SUMMARY:

The Senior Director, Revenue Cycle Consolidated Billing, provides leadership for physician billing activities across multiple locations and drives process improvement in our central billing offices; assists the Vice President, Revenue Cycle, in executing revenue cycle strategic priorities that ensure optimal billing and collecting strategies.     

ESSENTIAL FUNCTIONS:  To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. 

Lead, direct and manage billing aspects of revenue cycle functions for Physician Services, including those functions at central billing locations and/or single practice locations.  This includes adherence to Revenue Cycle Guidelines, internal controls, and operational initiatives that align with the Company’s strategic priorities.

Through direct CBO leadership and oversight, ensure excellent levels of service to compliment operations support, accounting, and provider enrollment. 

Oversee billing system implementations and system upgrades including developing a strategic plan to ensure optimal workflows, appropriate staffing models, and leadership/staff education.  

Assist Vice President, Revenue Cycle, in developing and presenting the strategic plan for billing site consolidation.  Lead prioritization efforts to determine the appropriate timeline and resource allocations to ensure desired results are achieved.

Partner with the Managed Care Team to collect, interpret and analyze third-party payer contracts to ensure that all parties are adhering to executed agreements.  Coordinate communication with Group and hospital leadership as well as local CBO and billing teams and confirm that the Company is being paid in accordance with these agreements. 

Partner with cross-functional Health Support Center (HSC) departments to lead the development of standardized, consistent billing practices that align with LifePoint’s priorities.

Review billing and collection patterns, make corrective recommendations based on data provided by revenue cycle operations team, and hold CBO leadership accountable for desired results.

Assist with the continued development of key performance indicators implemented in central billing locations to ensure accountability and high performance. Work with the Revenue Cycle operations team to ensure KPI benchmarks are monitored and achieved.

Conduct testing, technical preparation, and provide support of all CBO functions.

Lead and coordinate cross-functional teams to build and implement Revenue Cycle applications through planning, scheduling, assigning, coordinating, and reviewing tasks performed by staff, including provider and clinic builds in Athena and eCW.

Ensure effective compliance is in place and that CBOs maintain compliance with relevant federal, state and local regulations governing all aspects of the revenue cycle.

Clearly define, establish and communicate revenue cycle performance expectations to CBO leadership in order to achieve desired goals.

Position will travel 50-70% in first year


Job Requirements

KNOWLEDGE, SKILLS &ABILITIES: Therequirements listed below are representative of the knowledge, skills and/orabilities required.

Education: Bachelor's Degree in Business,Finance, Information Technology, or Health Care Administration.  Master’s Degree preferred.

 

Experience: Minimum7 years of relevant accounting or revenue cycle experience. Practice Managementexperience preferred. Experience consolidating CBO’s within a healthsystem or management of multi-locations CBO’s during acquisition/consolidationactivities is a plus.

 

Certifications: Certified ProfessionalBiller (CPB), Certified Professional Coder-Apprentice (CPC-A), or CertifiedPublic Accounting (CPA) preferred.


Statistical Mathematical Skills -- Ability to work with mathematical and algebraic concepts such as probability, statistical inference, and forecasting. Ability to apply and analyze concepts such as fractions, percentages, ratios, and proportions to practical situations.

Moderate Computer Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives. 

Complex Communication -- Frequently communicates complex information and interacts with management. Can present, resolve, and address delicate situations. Can motive and persuade others. 

Varied Business Problems --Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedent, and practices. 

Department Specific -- Decisions impact the management and operations within a department. May contribute to business, and operational decisions that affect the department.

Functional Independent Judgement -- Provides and sets goals and priorities for functional area. May make recom-mendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others. 

Project Planning/Organization -- Handle multiple projects simultaneously including task delegation, project over-sight, and resource allocation.

PHYSICAL AND MENTAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successful-ly perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities. 

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended pe-riods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell.  The employee must occasionally lift and/or move up to 20 pounds.  Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. 

WORK ENVIRONMENT AND TRAVEL REQUIREMENTS: 

Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
In hospital environment, may be exposed to hazards and unusual elements, which may include but are not limited to bloodborne pathogens and / or contagious illnesses, toxic chemicals, and biohazardous materials which may require extensive safety precautions and the use of protective equipment.

 Noise level in the work environment is typical for an office and/or hospital environment.



Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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