Director Pe Revenue Cycle Remote

Description

AdventHealth Corporate

All the benefits and perks you need for you and your family:

• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support
• Benefits from Day One

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time

Shift: Monday-Friday

Job Location: Remote

The role you’ll contribute:

The Physician Enterprise (PE) Local Director of Revenue Cycle (LDRC) serves as the primary contact between assigned Practices, Revenue Integrity, Coding, the Software Vendor and the Central Billing Office (CBO) for all aspects of the billing and collection of professional services. Working closely with the Corporate Revenue Cycle Director (CRCD), the LDRC is responsible for the proactive management of the client as well as creating organizational transparency regarding revenue cycle performance. Management of the relationship requires full assessment and understanding of the revenue cycle, including a thorough understanding of systems, processes and service specific coding and billing requirements, proactive identification of opportunities for revenue cycle improvement initiatives, and development of plans to implement process improvements.

The LDRC will report directly to the AdventHealth Physician Enterprise CRCD but will maintain an indirect reporting relationship to the local Operations leadership. The purpose of this local reporting relationship is to ensure revenue cycle activities are viewed as an accountability of the local operations team.

The value that you bring to the team:

• Develops standardized approaches for revenue cycle related operational issues, report and quality management.
• Implement and enforce the application of AdventHealth developed revenue cycle policies and procedures.
• Develop and maintain knowledge of payer billing requirements and ensure the operating teams are complying in a manner to ensure proper and timely reimbursement.
• Utilize and maintain monitoring and reporting systems to ensure revenue cycle activities are meeting stated goals. Communicate issues as necessary.
• Drives for changes in work processes that will improve functional area efficiencies and effectiveness.
• Effectively analyzes revenue cycle processes and communicates findings/analysis to various audiences, including but not limited to Corporate/local PE management and regional finance and executive committee(s).
• Develop plans and initiate actions to ensure compliance with organizational targets and standards for revenue cycle activities to enable accounts receivable management to rank within the top quartile performers in the physician practice industry.
• Maintains revenue cycle KPIs within established industry standards and instills accountability and ownership at the appropriate level.
• Establishes and manages effective ongoing communication with various stakeholders including Physicians to identify and address business needs
• Develop and maintain an understanding of Federal, State, local and industry regulations to ensure compliance.
• Provides assessment, analysis and proposes solutions for revenue cycle questions.

Qualifications

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

• Bachelor’s Degree in Business or Healthcare Management
• 5 years of experience in healthcare receivables, patient access management, or related field

Preferred qualifications:

• Master’s Degree in Business, Accounting, finance or Healthcare Management
• At least 8 years of experience in healthcare receivables, patient access management or related field

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

• CPC (Certified Professional Coder), CAA (Certified Coding Associate), CCS (Certified Coding Specialist), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CHFP (Certified Healthcare Financial Professional) or FHFMA (Fellow of the Healthcare Financial Management Association), CHE (ACHE Certified Healthcare Executive), FACHE (Fellow in the American College of Healthcare Executives (ACHE))
• At least one of the following certifications:

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.