System Director Revenue Cycle
Company: Regional Recreation Corporation of Wood Buffalo
Location: Flagstaff
Posted on: April 4, 2021
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Job Description:
System Director Revenue Cycle in Flagstaff, Arizona - Careers at
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* Oversees all vendor partnerships; including management of
performance expectations.* Supports the Revenue Cycle departments
and the CRO as it relates to organizational strategies and
initiatives around: Population Health, PathfinderHealth/ACO,
Community EMR, Strategic pricing, Licensure, etc.
Financial Management
* Achieves departmental goals/objectives; namely Cash-to-goal, A/R
Agings, Credit balances, and AR Days.* Responsible for the
oversight of payor credentialing functions for Northern Arizona
Healthcare; including clinic practices.* Maintains applicable NAH
payer contracts and credentialing criteria. Also maintains
knowledge related to hospital, clinic, ASC, and specialty provider
licensure; and the corresponding impact to reimbursement and
patient out-of-pocket responsibility.
People Management
* Participates in administrative staff meetings and is prepared to
provide payer information updates, accounts receivable performance
data, and patient financial service trends.* Ensures optimum,
cost-effective staffing levels adhering to staffing guidelines and
budgeted FTE's within the areas of responsibility.* Develops and
maintains adequate and appropriately trained staff to support NAHPG
coding, charge entry, billing, and collections activities; responds
to patients and other customers in a manner that conveys
willingness to support patients in resolving account or insurance
issues.
Process Improvement
* Seeks opportunities to increase automation of work processes and
optimize use of billing system functionality as well as available
interfaces and collateral information systems through collaboration
with Physician IT, billing vendor representatives, and other
software vendors.* Utilizes data from the billing system to
identify trends in user performance that warrant attention among
practice and RCM staff to both accomplishments and improvement
opportunities.* Supports and/or coordinates plans with the Director
of Operations and Practice Managers to respond as needed to
favorable and negative trends. Owns the oversight of the Cerner BOS
partnership.* Collaborates with Practice Operations, Finance, and
outsourced and corporate service function areas to implement and
evaluate operational programs, processes and initiatives pertaining
to the capture and reimbursement of patient
revenue.Compliance/Safety
* Responsible for reporting any safety-related incident in a timely
fashion through the Midas/RDE tool; attends all safety-related
training programs; performs work in a safe manner; monitors work
environment for possible safety issues and ensures others are also
performing work in a safe manner.* Stays current and complies with
state and federal regulations/statutes and company policies that
impact the employee's area of responsibility.* If required for the
position, ensures all certifications and/or licenses are up-to-date
and valid prior to expiration dates.* Completes all company
mandatory modules and required job-specific training in the
specified time frame.* Responsible for the maintenance of
applicable policies and procedures that are consistent with
Northern Arizona Healthcare and Northern Arizona Healthcare
Physician Group, LLC, system-wide patient financial policies, and
procedures. Qualifications Education:Bachelor's degree-
RequiredCertification and Licensure:CPC-
PreferredExperience:Minimum of five years of experience in health
care revenue cycle management with particular emphasis on provider
billing and coding, claims process, insurance and self pay follow
up in a multi-specialty environment- Required
Minimum of three (3) years experience working with public and
private health care payers and reimbursement.- Required
Previous experience in business process redesign and change
management.- RequiredHealthcare is a rapidly changing environment
and technology is integrated into almost all aspects of patient
care. Computers and other electronic devices are utilized across
the organization and throughout each department. Colleagues must
have an understanding of computers, and competence in using
computers and basic software programs. Options Apply for this job
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Keywords: Regional Recreation Corporation of Wood Buffalo, Flagstaff , System Director Revenue Cycle, Executive , Flagstaff, Arizona
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