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System Director of Revenue Cycle

Nexus Health Systems Ltd
Houston, TX Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 3/18/2025

Job Description

Job Description

POSITION SUMMARY :

The System Director of Revenue Cycle is responsible for ensuring optimal revenue capture by driving revenue cycle opportunity identification, project management, vendor accountability, performance tracking, and partnership between clinical, operational, and financial stakeholders and departments.

JOB SPECIFIC RESPONSIBILITIES :

Oversees and provides direction to Admissions, Utilization Review (UR), Health Information Management (HIM), Coding, Clinical Documentation Integrity (CDI), and Centralized Billing Office (CBO), including presenting a vision for future direction of revenue cycle activities throughout the system.

Guides front-office and back-office leadership as they relate to the revenue cycle, ensuring a consistent patient experience throughout patient access management, billing, collections, and accounts receivable processes.

Encourages a continuous focus on customer service through patient-centered processes, patient friendly billing, and effective verbal and written communications to patients and bill payers.

Reviews departmental performance, policies, and procedures to improve quality, efficiency, and effectiveness of revenue cycle activities and collection of earned revenues.

Ensures that key revenue cycle benchmarks including up-front collections, net collection ratio, unbilled receivables, percentage of re-bills, net AR days, and AR over 90 days exceed peer organizations.

Responsible for maintaining the coding, compliance, and reimbursement accuracy of the chargemasters.

Maximizes use of technology to improve data quality, timely collections, consistency of service, competitive advantage and customer service.

Responsible to ensure that patient accounting and reimbursement management computer software is accurately maintained.

Shares in building and maintaining payor relationships with the Director of Network Management.

Collaborates with Corporate Controller to ensure accuracy of revenue and accounts receivable.

Promotes and encourages all revenue cycle functions are aligned and promote strong interdepartmental communication, cooperation, and collaboration.

Performs all duties associated with staff management under the guidance of the Chief Financial Officer to include but not limited to : staffing ratios, recruitment, performance behavioral counseling as necessary, timekeeping, and timely / periodic performance reviews in accordance with company policies, rules and regulations, due process, and government regulations.

Ensure all revenue cycle functions are compliant with local, State, and Federal guidelines and regulations.

Meet regularly, at least monthly, with each facility CEO to discuss accounts receivable status, accounts at risk of bad debt, and ensure timely progress to resolution.

Liaise with all revenue cycle vendors to ensure all parties are fulfilling their commitments and they are vetted as per internal and external requirements.

Provide analysis and detail for annual Cost Report and / or financial audits.

Perform other duties as assigned.

POSITION QUALIFICATIONS :

EDUCATION :

Minimum Bachelor's Degree in Health Care Administration, Business, or other related fields, or comparable work experience required.

EXPERIENCE :

Minimum of five (5) years of healthcare revenue cycle, compliance, and medical insurance billing gained from multi-facility system required.

Minimum of five (3) years of related supervisory / staff coordination or leadership role.

Excellent interpersonal, communication, facilitation, and professional diplomacy skills.

Strong attention to detail with the ability to manage multiple priorities while meeting deadlines.

Highly organized and developed time management skills.

LICENSURE / CERTIFICATION :

None Required

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