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Director of Revenue Cycle

Job Title: Director of Revenue Cycle

Department: Finance

Position Type: 40 hours, Exempt

Shift: first

Weekends: no

Posted: 04/08/2016


JOB SUMMARY:


Under the general supervision of the CFO, performs a variety of Patient Accounts and Patient Access functions. The Director of Revenue Cycle is responsible for planning, organizing, implementing and monitoring the overall operations of the Patient Accounts and Patient Access Departments in order to maximize cash flow and increase operating efficiencies from scheduling through collection process.

ESSENTIAL RESPONSIBILITIES


  • Responsible for effectively managing the revenue cycle from admission through cash collection. Directs Patient Access, Switchboard, Billing, Scheduling, Credit, Collections and Pre-Certification in a multifaceted team environment.

  • Coordinates and oversees the management of Patient Financial Services for Day Kimball Hospital in order to maximize cash flow and increase Operating efficiencies from admitting through the collection process including overseeing all aspects of charge master management.

  • Participates in the development of financial objectives, strategy, design and implementation regarding all Patient Financial Services.

  • Oversees the billing system, assists with upgrades and IT enhancements as well as project management.Participates in forecasting trends, analyzing reimbursement data, prepares and maintains annual budgets, financial compliance, and patient accounts audit process.

  • Oversees cashier office. Responsible for daily and monthly reconciliations.

  • Performs special projects as needed.


SKILLS and ABILITIES

1.Thorough understanding of acute reimbursement principles including DRG, APC, per diem, fee-for service and % of charge.

2.Serves as a resource to management team by providing financial and reimbursement analyses on patient accounts data.

3.Responsible for the supervision and day to day operations in a multifaceted team environment, which includes the billing, credit, collections, scheduling and pre-cert departments. Utilizes a high level of discretion, judgement, and independent decision making about matters that could have a potential impact on the organization.

4.Able to utilize computer for word processing and spreadsheet software. Proficiency in Microsoft office. Experience with Med Series 4, Experian, Emdeon and SCI preferred.

5.Perform work that is routine with close attention to details and ability to detect errors, as well as perform work that changes frequently (typing, supervising others, analyze data).

6.Refined interpersonal communication skills illustrated both orally and written.

7.Record information accurately. Use logical thinking and independent judgement to perform a variety of office tasks that require special skills and knowledge.

8.Integrates all of the principles of C.A.R.E. into daily responsibilities and exhibits through actions the following traits: Courtesy, attitude, respect, and enthusiasm.

9.Demonstrates behaviors consistent with Day Kimball Hospitals mission, which is The mission of Day Kimball Healthcare is to meet the health needs and well-being of our diverse community through our core values of clinical quality, customer service, fiscal and environmental responsibility and local control.

10. Demonstrates competency in utilizing resources to accommodate cultural needs of patients and customers such as dietary, religious and language needs.

11. Demonstrates efforts to maintain and improve job specific competencies. Incorporates new knowledge into practice.

12. Participates in continuous quality improvement activities.

13. Remains flexible in work schedule in order to provide the most effective and efficient support for the department and hospital mission.

14. Although position has no responsibility for the assessment, treatment or care of patients, demonstrates ability to communicate and interact with patients and customers of all ages.

15. Demonstrates knowledge of all department and hospital policies relevant to the performance of their responsibilities.

16. Demonstrates knowledge and application of fire safety, hazardous communication program and general safety.

RESPONSIBILITIES

1.Coordinates and oversees the management of patient accounts for Day Kimball Hospital.

2.Develops, assists and/or delegates special financial projects on an ongoing basis.

3.Maintains a repository of information on all third party payment services.

4.Prepares financial reimbursement analyses on patient accounts data.

5.Maintains through recruitment, training and evaluation a qualified staff of employees in the areas of billing, credit, collections and pre-cert.

6.Assists with facilitating patient accounts auditing process by providing information and assistance to external auditors for audit reviews.

7.Participates in forecasting trends with consultants both on a state and national level.

8.Participates in financial planning for DAY KIMBALL HOSPITAL by collaborating with DAY KIMBALL HOSPITAL financial staff and CFO. Attends DAY KIMBALL HOSPITAL BOD meetings as requested.

9.Manages and oversees the areas of billing, credit, collections and pre-cert., providing direction and staff development incorporating DAY KIMBALL HOSPITAL strategic goals and objectives.

10.Facilitates monthly departmental meetings with emphasis on team building and quality improvement.

11.Participates and leads DAY KIMBALL HOSPITAL teams when patient accounts expertise is needed and essential to the teams goals.

12.Develops and reviews, on an ongoing, basis patient accounts billing, accounting and collection policies and procedures, to ensure compliance with state and federal regulations.

13.Monitors and maintains accurate data collection from all departments associated with patient accounts and reimbursements.

14.Resolves all payment and contract agreement conflicts.

15.Serves as a hospital representative in negotiations with collection services and applicable legal services.

16.Attends Management Team meetings and committees.

17.Provides guidance and expertise to management team by evaluating the impact of current/future programs, in addition to trending financial information. Presents recommendations to ensure positive outcomes.

18.Adheres to the C.A.R.E. philosophy, and the missions, principles, goals and objectives of Day Kimball Hospital.

19.Performs other financial management functions as needed.

QUALIFICATIONS
1.B.S. in Business Administration or related field required. MBA preferred.

2.A minimum of 7 years management experience with working knowledge of hospital billing and reimbursement principles in a profit/nonprofit environment, healthcare preferred, but not required. A thorough knowledge of third party insurance is required.

3.Strong background in financial statement preparation and systems and procedures development required.

4.Experience and proficiency with computers and in software spreadsheet applications.

5.Excellent motivational skills as well as the ability to be a change agent.



Day Kimball Healthcare is a non-profit, integrated medical services provider comprised of Day Kimball Hospital, healthcare centers in Danielson, Dayville, Plainfield and Putnam, Day Kimball HomeCare, Hospice & Palliative Care of Northeastern CT, Day Kimball HomeMakers, and Day Kimball Medical Group. Its service area includes Northeast Connecticut as well as nearby Massachusetts and Rhode Island communities. Day Kimball Healthcares comprehensive network offers more than 1,400 employees including nearly 300 associated, highly-skilled physicians, surgeons and specialists. Its website is daykimball.org.

Day Kimball Healthcare is an Affirmative Action / equal opportunity employer committed to providing equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.





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