Revenue Cycle Director

Revenue Cycle Director Reports to: Chief Financial Officer Location: Meeker, CO Relocation Expense Reimbursement will be Provided.
Corporate Apartment will be Provided with first 6 Month’s Rent Paid by Client Essential Functions Coordinate and supervise the entire patient registration, billing, collection, and posting operations, ensuring the accounts receivable records meet the standards established by the CFO and conform with those of outside regulatory agencies.
Coordinate and supervise the Health Information System, including release of information, coding, and transcription functions.
Ensure confidentiality of medical records information to protect individual rights to privacy.
Oversee the coordination and supervision of the procedures and practices of the admitting area operation, including obtaining pre-authorizations and inpatient notifications, ensuring that they meet established standards.
Supervise and monitor all activities within the individual areas of the departments.
Participate and assist the CFO in the development of financial policies and procedures and ensure the implementation of such within departments.
Review and approve policies, procedures, and budgets developed within PFS and HIM departments.
Review and recommend appropriate changes to the patient charge structure, as well as health records administration.
Work closely with the Finance Department, Utilization Management, Quality Assessment and Improvement clinical departments, and the medical staff to ensure maximum benefit to the facility.
Collaborate with the Information Technology Department in the selection and implementation of new systems and in maximizing efficiency of existing systems.
Stay current on all regulations and standards to ensure compliance with orders and directives issued by duly constituted governmental/regulatory agencies and communicate appropriate information to staff.
Responsible for the cash flow of the hospital as it relates to billing and collection for services provided by the hospital.
Recommend appropriate policies and procedures to enhance the management and collection of account receivables.
Recruit, hire, train, and provide organizational support for key areas of health information and business services, including admissions, billing, collections, and PBX services.
Responsible for conducting employee performance reviews and corrective actions.
Maintain the Chargemaster and fee schedules for all hospital and clinic departments.
Initiate physician insurance company enrollment by coordinating credentialing activities with the medical staff coordinator and/or third party vendors.
Maintain an ongoing conversation with upper management regarding issues and concerns affecting efficiency, productivity, or morale as it relates to assigned areas.
Prepare monthly, quarterly, and year-end financial statements and the financial statement summary narrative including all graphics and statistics, for the Board of Directors.
Back up to the CFO in his/her absence.
Continually review collection activities and the performance of A-1 Collection Agency, WHA, and any other third party vendors.
Conduct regular review of Accounts Receivable for Credit Balances.
Approve refunds to patients and insurance companies.
Complete quarterly Medicare Credit Balance Report.
Maintain grand for Colorado Application Assistance Site program and submit quarterly reports as required.
Assist in the Annual Budget process.
Assist accountant with journal entries on a monthly basis; assist with the review of monthly contractual reimbursement methodologies.
Coordinate all external reporting related to health records and billing for Quorum Health resources (QHR), Colorado Health Association, Colorado Department of Public Health and Environment, governmental surveys and others as required.
Coordinate and prepare Management Action Plan Reponses to QHR.
Assist in the preparation of task procedures related to all Finance, Business Office, Patient Financial Services, Health Information, and AP/PR functions as requested.
Complete special projects and financial analysis as requested.
Other duties as assigned.
Education and Experience High School Diploma or equivalent required.
Bachelor’s Degree in Accounting, Finance, Business, or Healthcare Administration required.
Master’s Degree preferred.
Meditech EHR Experience is required.
Advanced knowledge of computer processing applications, such as Microsoft Word, and Microsoft Excel preferred.
Certified Manager of Patient Accounts (CMPA) of the HFMA; and/or, Certified Revenue Cycle Executive of the AAHAM; and/or, Registered Health Information Technician (RHIT) through the AHIMA; and/or, ten to twelve years’ experience in patient account areas and account/finance with five to seven years in supervisory or managerial positions preferred.
Skills and Expectations Kind and professional demeanor.
Professional and well-groomed appearance, including during on call hours.
Communicate positively and effectively, both written and verbally, with patients, family, and staff.
Demonstrate effective organizational skills in an evolving environment.
Work with honesty, compassion and integrity at all times.
Adherence to ALL confidentiality procedures and policies.
Demonstrate a commitment to building and sustaining a diverse, inclusive, and equitable working environment.
Detail-oriented, with a strong ability to spot errors with accuracy and efficiency.
Self-directed and the ability to work independently.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing this job, the employee: Must be able to remain in a stationary position 50% of the time.
Must be able to move and traverse about the facility 50% of the time.
Frequently transport objects weighing up to 50lbs Occasionally position objects weighing up to 100lbs.
Must be able to communicate and exchange information in a way others will understand.
Must be able to recognize details such as color and depth within a few feet of the observer.
Frequently operates computers, machinery, and other healthcare equipment.
Constantly positions self to complete essential functions.
May be required to wear N95s or PAPRs throughout the shift.