System Dir, Revenue Cycle Billing Operations - Summa Western Reserve Hospital : Job Details

System Director, Revenue Cycle Billing Operations

Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary:

Responsible for achieving and maintaining properly functioning patient accounting processes throughout Summa Health System, working closely with clinical operations to ensure timely charge capture and edit resolution. This role develops and implements patient accounting policies and procedures that support Summa's mission, vision, and values, while promoting efforts to improve the financial health of the organization. Critical responsibilities of this role include achievement of annual and periodic goals for key statistical indicators of financial performance, maintaining the integrity of financial data and reporting, and facilitating the efficient operation of functions and management of personnel in the patient accounting department.

Formal Education Required:

* Bachelor's degree in Business, Finance, Healthcare or closely related field or equivalent combination of education and/or experience.

Experience and Training Required:

* Five (5) years related experience in a hospital business office required, including three (3) years in a Management Director position over Insurance Billing and Collections

* Demonstrated experience in utilization of Epic patient billing

Other Skills, Competencies and Qualifications:

* Strong knowledge of the Revenue Cycle, Patient Financial Services, and Accounts Receivable processes

* Superior analytical, project management, and interpersonal skills

* Expertise in Microsoft Office products

* Ability to develop and maintain relationships with medical, operational and financial departments

* Ability to communicate and present financial and operational analysis concepts to management and staff

* Ability to manage and prioritize multiple projects and tasks

* Ability to work independently

* Directs, administers, and sets policies for all operations, programs, and activities related to patient financial services

* Oversees the timely completion of all essential business office functions related to insurance billing, including billing, collections, and accounts receivable management; investigates and addresses inefficiencies

* Coordinates with leaders of other departments, such as medical records, coding, CDI, and clinical staff to ensure timely and accurate billing and collections

* Maintains in-depth knowledge of and ensures compliance with regulations and standards issued by applicable governmental/regulatory agencies or third-party payers

* In-depth knowledge of billing and collections, cash posting, managed care, and appeals processes

* Ability to track, monitor, and analyze department performance data

* Population Specific Competency: Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity

Level of Physical Demands:

* Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently.

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Equal Opportunity Employer/Veterans/Disabled

$54.22/hr - $81.33/hr

The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.