Quality and Education Associate Director - Emory Healthcare/Emory University : Job Details

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Description

Organizes, plans and directs the daily activities of the department under the leadership of the director.

Directs all business service activities to include policies and procedures.

Plans, directs, manages, coordinates and monitors assigned specific activities related to revenue cycle operations for Emory Healthcare.

Responsible for maximizing reimbursements and revenue enhancement.

Serve as a key leader and senior member of the PFS management team.

Oversees and is responsible for Accounts Receivable balance and activity management.

Manages timely and appropriate application of payments and refunds.

Closely monitors third party payments for compliance with contractual agreements.

Pursues additional payments as appropriate.

Ensures revenue cycle processes are managed timely with proper adjudication procedures.

Intervenes with third party entities when necessary.

Serves as key contact for Emory International, Patient Advocacy, VIPs and Administration.

Works closely with Project Managers of Artiva, Cerner, Data Warehouse, etc. to enhance work flow and ongoing best practices for Revenue Cycle.

Responsible for monthly reporting of collections, appeals and payment variances to the Finance Department, Care Coordination and CFOs of each individual facility.

Works closely with colleagues of Emory Clinic on the initiatives for current and future state of streamlining departmental process to improve the Patient Experience and the overall Revenue Cycle.

Assists in Management of onboarding and/or integration of new hospital services, acquired business relationships, facilities, etc.

Building, maintaining and encouraging a productive working relationship with all staff members.

Manages staff and employee performance.

Resolves human resource-related issues, determines staffing needs, interviews and hires staff.

Provides ongoing performance feedback, addresses problems, orients and trains employees, verifies competencies and identifies and suggests ways to develop skills.

Determines disciplinary, termination and salary actions.

Monitors workflow.

Develops departmental goals, objectives and performance standards.

Meets with other staff members to discuss progress and to develop future courses of action.

Establishes, revises, administers and communicates policies, procedures and related forms in accordance with state, federal, and organizational guidelines.

Communicates and monitors compliance with regulatory, licensing and accreditation standards.

Manages third party relationships including but not limited to Early Out Accounts Receivable and Bad Debt Inventory.

MINIMUM QUALIFICATIONS:

Bachelor's Degree in a healthcare or related field with 10 years healthcare experience or 8 years revenue cycle experience, 4 of which must be supervisory OR any combination of equivalent education and experience.

Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members.

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste; Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

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Division: Emory Healthcare Inc.

Campus Location: Atlanta, GA, 30345

Department: EHI Clinical Doc Integrity

Job Type: Regular Full-Time

Job Number: 140628

Job Category: Revenue Cycle & Managed Care

Schedule: 8a-5p

Standard Hours: 40 Hours

Hourly Minimum: USD $49.05/Hr.

Hourly Midpoint: USD $66.21/Hr.

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.