Director of Revenue Cycle

MILLCREEK COMMUNITY HOSPITAL, an Equal Opportunity Employer, is seeking a Full Time Director of Revenue Cycle to join our team!

Job Requirements:

• Requires a bachelors’ degree in business related field or healthcare administration or has commensurate experience.
• Minimum of 5 years leadership experience within the healthcare sector.
• Thorough knowledge of hospital/physician admission, registration, billing and collection procedures.
• Successful management experience of a patient accounting department is required.

Job Duties:

• Directs activities of patient accounting, coding and utilization review personnel to ensure efficient and effective generation of revenue and billing to maintain a stable cash flow.
• Ensures all patient services are authorized, coded billed and reimbursed in an efficient and effect manner. Implements and administers processes to identify investigate and resolve outstanding patient account balances and credits.
• Monitors and evaluates staff performance to ensure compliance with job function requirements, interpersonal customer relation standards, and productivity standards. Develops and implements quality and productivity standards for each department.
• Develops short and long-range goals and objectives for the patient accounting, coding and utilization review departments. Develops plans to accomplish agreed upon goals.
• Develops, implements and administers policies and procedures for areas of responsibility.
• Interviews, hires, assigns work to, trains and evaluates the performance of direct reports. Addresses employee matters in coordination with human resources processes.
• Develops and maintains comprehensive training programs and reference material to ensure adequate training of new staff as well as maintain/enhance the skills of existing staff. Develops and implements procedures, protocols, and standards to ensure timely and accurate performance of job duties.
• Maintains strong working relationship with major third party payors to remove barriers to patient care and resolve billing and reimbursement issues. Responsible for organizing, maintaining, and verifying all aspects of the hospital payor credentialing process.
• Remains current on third party billing and reimbursement policies in order to expedite payment of claims and ensure compliance.
• Develop, maintain and report on monthly Key Performance Indicators.
• Facilitates and/or participates in meetings with Administrative, Management, Medical Office and Departmental Staff as needed.
• Takes advantage of professional development opportunities to meet educational and professional growth objectives.
• Works collaboratively with leaders and colleagues to complete projects as assigned within established timeframes.
• Completes data submission requests and ensures compliance with external regulatory agencies.
• Position reports to Hospital Chief Financial Officer.