Director of Revenue Cycle

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Full-Time Benefit Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

8530 Patient Financial Services

To effectively lead and direct activities that impact the revenue cycle and effect patient satisfaction in the areas of Patient Access and Patient Accounting.

QUALIFICATIONS

License /Certification
Required: Kaweah Health approved crisis intervention training within 60 days of hire/transfer.

Education
Required: Bachelor's degree in business related field
Preferred: Master’s degree

Experience
Required: A minimum of five years experience as a Patient Accounting or Patient Access Department Manager at a progressive healthcare institution similar in size and complexity as the Kaweah Health.

Knowledge/Skills/Abilities
Strong organizational, managerial, communication and customer relation skills.
Proficiency with financial software applications.
 

JOB RESPONSIBILITIES

Essential

Organizes and directs the activities of the Patient Access and Patient Accounting Departments, ensuring that all efforts provide value to and meet the needs of their customers.

Ensures that all policies and procedures relating to functions within the Patient Access and Patient Accounting Departments are consistent with applicable laws, regulations and sound business practices. Confidentiality of patient information shall be maintained without exception.

Creates an interdisciplinary focus of performance improvement and quality management. Responsible for leading assigned operational planning to identify and reach short and long term goals.

Provides a highly-collaborative working environment for Patient Access and Patient Accounting to maintain an efficient and effective registration and billing function for the organization.

Ensures adherence to internal controls and audit functions developed by the Kaweah Health’s independent accounting firm and the Finance Division.

Serves as the liaison to Clinical Department Heads to provide feedback on revenue integrity, charging processes, reimbursement, denials, services performed without medical necessity as defined by payer regulations, missing documentation needed to code appropriately, coding compliance and timeliness, missing and late charges, and other business aspects associated with care provided.

Integrates departmental services with the Kaweah Health's operational initiatives.

Develops and implements policies and procedures consistent with the Kaweah Health’s Mission that guide and support the Provision of Services Plan.

Continuously assesses and improves department performance utilizing past performance and industry standard KPI’s.

Provides orientation, in-services and continuing education for staff and management.

Responsible for maintaining ongoing knowledge of regulations, practice standards, trends and opportunities in all aspects of admitting, registration, scheduling and billing/patient accounting and understands the compliance of such regulations and standards.

Enhances professional growth and maintains awareness of current industry trends, legislation or research which could impact assigned departments and functions and the Kaweah Health.

Assists in the recruitment of highly-competent staff and management. Evaluates individuals functioning below expectations to create improvement plans to realign performance within acceptable norms.

Maintains job descriptions to accurately reflect the responsibilities and standards for all staff and management positions.

Documents policies and procedures reflect current practice.

Maintains good relationships, communication and cooperation with other departments, patients, families, and physicians and their staff. Understands and articulates Kaweah Health strategic and financial directions to staff and others. Communicates clearly and c