Responsible for planning, organizing and executing the day to day operations of the Revenue Cycle Operations for special program services. Establishes effective claims processing controls to ensure the accuracy and timeliness of claim submissions and collection efforts in compliance with contractual, state and federal regulations.

Major Responsibilities:

Utilizes key performance indicators to analyze processes in order to streamline workflow design operations, improve quality, service and revenue cycle performance.Directs and monitors pre-service processes, billing procedures, payer follow-up, cash posting, patient statements and payer relations to ensure accurate and timely reimbursement.Defines strategic objectives and implements process redesign, policies and measurement tools to ensure success.Coordinates activity with other departments in the Revenue Cycle, patient care operations, and system support functions.Stays current with all regulations and standards to ensure compliance with governmental. Regulatory agencies and third- party payers.Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:

None Required.

Education Required:

Bachelor's Degree in Business Management or related field, orBachelor's Degree in Health Care Administration or related field.

Experience Required:

Typically requires 7 years of experience in revenue cycle management, preferably within a multi-facility hospital system with affiliated physician practices. Includes 3 years of management experience in revenue cycle management.

Knowledge, Skills & Abilities Required:

Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service and conflict resolution.Strong interpersonal, communication and organizational skills.Ability to interact and positively influence at all levels of the organization to impact change.Strong financial analysis and management, long range planning and forecasting, and negotiation skills.

Physical Requirements and Working Conditions:

Position requires travel. May be exposed to road and weather hazards.Must be on call to support the needs of the department.Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.