Mangrum

Executive Director of Revenue Cycle Management

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  • South Bend, IN, USA
  • 2021-11-13

Executive Director of Revenue Cycle Management

Location: South Bend, IN

 

Job Summary

Reports to the Vice President of Finance. Responsible for organizing, planning, and directing the activities of Corporate Patient Accounting, Corporate Coding, Patient Access and Corporate Scheduling departments. Develops, recommends, and administers departmental policies and procedures, and through subordinate supervisory personnel, directs the efficient operation of Patient Accounting, Corporate Coding, Acute Patient Access, and Acute Scheduling and the maintenance of established policies and procedures.

MISSION, VALUES and SERVICE GOALS

  • MISSION: We deliver outstanding care, inspire health, and connect with heart.
  • VALUES: Trust. Respect. Integrity. Compassion.
  • SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Job Responsibility

Plans, directs, supervises, and coordinates functions and activities in Patient Accounting departments by:

  • Developing long and short term goals and objectives for these assigned areas of responsibility.
  • Working with the Director in developing, securing approval of, and administering a budget which provides the resources to achieve agreed upon goals and objectives. Developing and implementing internal departmental policies and procedures in order to meet agreed upon goals and objectives.
  • Interviewing, hiring, training, scheduling, assigning work to, evaluating, counseling, and disciplining departmental personnel. Reviewing the recommendations of subordinate managers and supervisors regarding employee relation matters and providing guidance and counsel as necessary.
  • Managing the Corporations’ accounts receivables efficiently and effectively (i.e., insurance coverages are verified, credit situations are prudently evaluated, billings are accurately recorded, payments are promptly received and credited, delinquent accounts are followed up, etc.) to assist in meeting their overall financial objectives.
  • Maintaining regular contacts with various third party payors in order to assure timely payments and to resolve problems which could not be routinely handled by subordinate personnel.
  • Remaining fully aware of third party reimbursement policies in order to expedite payment processing and to ensure internal compliance with changes.
  • Maintaining regular contact with a number of departments in order to explain Patient Accounting policies and procedures and to resolve related problems.
  • Directing the preparation of recurring and special financial reports and statistical analysis which reflect the financial status of each entities’ accounts receivables. Reviewing and interpreting these reports and analyses and presenting trends, movements and status to Administration.
  • Plans, directs, supervises, and coordinates functions and activities in Coding and CDI Departments by:
  • Developing long and short term goals and objectives for this assigned area of responsibility.
  • Working with the department Director in developing, securing approval of, and administering a budget which provides the resources to achieve agreed upon goals and objectives.
  • Working with the department director to develop and implement internal departmental policies and procedures in order to meet agreed upon goals and objectives.
  • Maintaining regular contact with other hospital and corporate departments in order to communicate changes as needed for coding requirements and CDI documentation needs as it relates to governmental updates and regulations.
  • Assuring that accounts pending coding (days to billing) are maintained at an acceptable level.
  • Evaluating, counseling and disciplining departmental personnel. Reviewing the recommendations of subordinate managers and supervisors regarding employee relation matters and providing guidance and counsel as necessary. Directing the preparation of recurring and special financial reports and statistical analysis which reflect the status of each Hospital’s coding dollars in accounts receivable. Reviewing and interpreting reports and analyses and presenting trends, movements and status to Administration.

Plans, directs, supervises, and coordinates functions and activities in Patient Access and Scheduling Departments by:

  • Developing long and short term goals and objectives for Patient Access and Scheduling.
  • Developing, securing approval of, and administering a budget which provides the resources to achieve agreed upon goals and objectives.
  • Interviewing, hiring, training, assigning work to, evaluating, counseling, and disciplining departmental personnel. Reviewing the recommendations of subordinate managers and supervisors regarding employee relation matters and providing guidance and counsel as necessary.
  • Implements internal departmental policies and procedures in order to meet agreed upon goals and objectives.
  • Ensures that all work processed conforms to established standards of quality.
  • Coordinates and directs the work so that accurate information is provided to appropriate departments in a timely manner.
  • Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
  • Serving on inter-departmental committees, reviewing policies and procedures, and representing the Hospital to a variety of community and professional organizations.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license/certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

Job Qualifications

Education / Experience

  • Bachelor’s Degree in accounting, finance, business administration or related; or equivalent experience.
  • 5-7 years of progressively more responsible experience in hospital revenue cycle management
  • 3 years of experience supervising and managing a major component of a Hospital’s accounts receivables
  • Advanced level of knowledge of third party reimbursement policies and procedures as they relate to the patient accounting system.