Regional Director Revenue Cycle

The Regional Director is responsible for day to day client operations and the planning, development, and implementation of policies, objectives and initiatives for physician revenue cycle activities including outsourced vendors, clients and in-house functional areas of Patient Access (including but not limited to Patient Scheduling, Pre-Access/Registration, Registration Admissions, and Financial Counseling), Health Information Management (including but not limited to Site Medical Records management, Release of Information, Transcription), and Patient Financial Services (including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collections).respective Client Delivery. This position reviews and implements systematic approaches to maximize revenue and cash flow and to ensure results are consistently delivered. As the face of my client, this person is responsible for forming and nurturing relationships and meeting performance expectations through influence and direction of operations. This position is required to communicate organizational values and positive leadership to all associates within the organization.

Job Competencies

• Leadership: Has a continuous and consistent virtual and onsite presence at the client assigned facilities and virtual presence with our internal Central Business Offices (CBOs) to provide support, review processes, provide feedback and identify areas of opportunity.
• Executive Communication and Presence- Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear). Acts with utmost professionalism at all times.
• Review and resolve accounts on hold or in DNFB/CFB status and work with appropriate leadership for Missing Documentation or Claim Edits. Participates in/Leads the Denial Avoidance Committee and ensures performance improvement plans are developed and implemented.
• Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction, and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
• Represents Revenue Cycle on site-specific in person or virtual Finance and Operations meetings.
• Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary.
• Ensures that appropriate documentation and education materials are used in all departments that you are responsible for and identifies any educational needs and communicates to the appropriate leader for development.
• Promotes a culture of collaboration between the CBO and facilities and serves as a positive role model for Revenue Cycle.
• Leading Teams - Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work.
• Demonstrated ability to manage the day-to-day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community.
• Performance Monitoring/Improvement: Works collaboratively with departments to understand impact of facility operations and workflows on Revenue Cycle performance. Has a working knowledge of revenue cycle projects and performance metrics, how they relate to best practice and industry standard benchmarks and the operational changes necessary to ensure top tier performance.
• Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership.
• Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
• Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.
• Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar In-house, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges.
• Coordinates with the facility CFO to discuss both strengths and opportunities for improvement to meet performance metrics. Makes suggestions for process improvements and develops project plans with target milestone dates.
• Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met.
• Innovation: Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively.

Essential Job Functions

• Works closely with CFO and other client leadership to support analysis, reporting and service line development.
• Facilitates monthly client meeting to review the revenue cycle operations performance and opportunities for improvement, strategic initiatives, partnership opportunities and escalated client support needs
• Has strong interpersonal skills and proven ability to build relationships and organization alignment, influence decisions, engage onsite operational teams and drive results.
• Assists client leadership in understanding revenue cycle processes, metrics, tools, and reports.
• Monitors bad debt and identifies process issues/improvements in areas such as registration, upfront collections, Medicaid eligibility Identifies gaps in client support/performance and proposes solutions (e.g. technology, services, processes) to drive performance improvement
• Acts as Client Revenue Cycle expert and ensures prompt communication of emerging changes related to payer policies, contracting, regulatory updates and compliance requirements.
• Promptly escalates operational and/or concerns to leadership.
• Articulates in writing plans with client deliverables, timelines, outcomes, and actions.
• Participates and leads program level meetings with program stakeholders.