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Revenue Cycle Director

Horn Memorial Hospital
Grove, IA Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 3/22/2025

Summary

Oversees the developments and management of the Revenue Cycle (Business Office and Health Information Management departments) policies, procedures and daily operations to enhance revenue collections, release of information, confidentiality, information security, coding, third party payer contracts and reimbursement, budgets, staff development, documentation storage and retrieval, documentation deficiencies, chart completion, data quality, scheduling, admissions/registration, billing, financial assistance, collections, discounts, prompt pay procedures, etc. This position is full time, Monday through Friday, daytime hours, exempt status. This is a fully onsite position located in Ida Grove, IA.

Key Responsibilities

  • Supervises and coordinates activities of personnel engaged in patient registration/discharge, receptionist activities/telephone communications, patient charges, insurance processing, receipts on accounts, collections efforts; and medical record processing including analyzing, compiling, coding, transcription and scanning permanent medical records of patients.
  • Responsible for supervision of the governmental reimbursement programs, denials management, commercial insurance billing and follow-up, and the financial assistance program.
  • Provides a high level of financial and operational expertise through analysis and interpretation of data to identify important trends and variances, and initiate and assist in identifying and implementing operating improvements and efficiencies.
  • Assists with negotiation, development, and management of third party payer contracts
  • Manages billing operations with special emphasis on workflows to assure all information and claims provided to insurance and payment processing companies is timely and accurate

Qualifications:

  • Education: Bachelor’s Degree in accounting, finance, business administration, healthcare administration, or related field
  • Certificate of either a Registered Health Information Technician (RHIT) or a Registered Health Information Administrator (RHIA) preferred

Experience:

  • Minimum 5 years of experience with healthcare revenue cycle functions with a progressive focus on charge-to-payment relationship, patient account functions and understanding of health care finance and reimbursement mechanisms in both facility and physician environments
  • Previous supervisory or management experience
  • Strong inpatient and outpatient medical coding and billing audit experience
  • Experience with Cerner Community Works electronic medical records preferred
  • Knowledge of federal and state laws and requirements related to critical access hospital health care management
  • Must have high level of interpersonal skills to handle sensitive and confidential situations

. Relationships:

  • Responsible to: Chief Financial Officer
  • Supervises: All personnel of the Business Office and Health Information Departments
  • Interrelationships: Works closely with the Executive Team, Department Directors, and all hospital employees; Interacts with patients, their families and the public.

Applicant must pass background check, drug screen and health assessment including applicable vaccinations prior to hire. Position open until filled.

Horn Memorial Hospital offers a comprehensive benefit package to full and part time employees. Benefits include:

- Health, Vision, and Dental Insurance
- Supplemental insurances (accident, cancer, hospital, etc.)
- Company Match 403b up to 5%
- Tax Deferred Annuity Programs
- Paid Time Off accruing from hire date
- Pre-Tax Flexible Spending Plans for healthcare and dependent care
- Employer paid short and long term disability
- Employer paid life insurance with supplemental available
- Hospital discounts for care received on self, spouse, and dependents
- Shift Differential
- Unscheduled Weekend Bonus
- Meeting pay and educational pay and benefits
- Employer paid Employee Assistance Program
- Discounts on over the counter medications, Verizon cell phone plan, local community tickets, etc.
- Fitness center discounts

Horn Memorial Hospital is an Equal Opportunity Employer

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Horn Memorial Hospital will be based on merit, qualifications, and abilities. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting Human Resources at 712-364-7254 or mwellendorf@hornmemorialhospital.org. Interpreter is provided at no cost. Horn Memorial Hospital does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability, genetic information, sexual orientation or any other classification in accordance with federal, state and local statutes, regulations and ordinances.

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