Senior Director - Revenue Cycle Financial Services

Hello,

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Thank you,

Human Resources

Important Applications Instructions:

Please complete this application in entirety by providing all of your work experience, education and certifications/

license.  You will be unable to edit/add/change your application once it is submitted.

Job Requisition ID:

R00044212

Job Category:

Professional and Technical

Organization:

Revenue Cycle

Location/s:

Central Billing Office-Clinton

Job Title:

Senior Director - Revenue Cycle Financial Services

Job Summary:

Responsible for overall management oversight, direction and planning for the effective functioning of all daily operations of professional and hospital revenue cycle comprised of, claims submission, claims follow up, payment posting, credits, and charge description master. These functions include, but are not limited to: manage workflows and processes for each area in working claim edits, properly billing claims, proper identification and follow up on payment denials, payment posting, and processing credit/refunds and updating the charge description master to stay compliant with current regulations. The Executive Director conducts ongoing EPIC system optimizations and departmental process improvement reviews to ensure efficiency of departmental operations. The Executive Director also acts as a liaison between clinical and operational leadership in order to meet the organization’s strategic goals, missions, and customer requirements. This position is accountable to the Chief Revenue Cycle Officer and must possess exceptional communication and analytical skills.

Education & Experience

Education and Experience Required:

Bachelor’s degree and seven (7) years revenue cycle experience, three (3) years of which must be in a supervisory role

Certifications, Licenses, or Registrations Required:

N/A

Preferred Qualifications:

Management level position in a complex health system or insurance environment. EPIC experience and or certifications. Certified Practice Administrator through American Association of Healthcare Administration Management (AAHAM), Certified Healthcare Financial Professional through Healthcare Financial Management Association, (HFMA), or Certified Cycle Representative (CRCR) or Certified Revenue Cycle Specialist (CRCS) through Healthcare Financial Management Association (HFMA).

Knowledge, Skills & Abilities

Knowledge, Skills, and Abilities:

Must demonstrate a thorough understanding of the full Revenue Cycle with up-to-date knowledge of the industry. Experience recruiting, retaining, & developing high-performing teams is needed.

Knowledge of medical practice and hospital financial & clinical operations is needed, including billing, reimbursement, and provider enrollment requirements for federal & state programs (Medicare, Medicaid) as well as current insurance industry standards. Must be familiar with claims submission and reimbursement requirements for numerous private and government insurance plan types, including preferred provider organizations, health maintenance organizations, third-party administrators, regional physician office plans, point of service plans, etc. Advanced written & verbal communication skills are needed as well as a