Director of Revenue Cycle, Relocation Assistance Available

SUMMARY

The Director of Revenue Cycle is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner. Compliance with rules and regulations of all applicable federal, state and local laws as well as PMHC policies as a condition of employment.

ESSENTIAL FUNCTIONS

Incumbent must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation:

1. Analyzes and organizes office operations and procedures such as patient registration, patient accounting, preparation of patient and/or third party bills, collection of patient accounts, flow of correspondence, filing, requisition of supplies, and other functions of the department.
2. Evaluates office production, revises procedures, or devises new forms to improve efficiency of work flow.
3. Develops, reviews and revises departmental policies and procedures.
4. Works with CFO and Revenue Cycle Analyst to review, oversee and monitor all billing activities and third party payer agreements
5. Evaluates the effectiveness of outside collection agencies, reviews system reports, and approves charge-offs to agencies per policy.
6. Ensures orientation and continued education and training are provided to the Patient Financial Services and HIM staff.
7. Reviews records to insure completeness, accuracy, and timeliness.
8. Establishes realistic, innovative departmental objectives and participates as a management team member in meeting such objectives for the facility.
9. Stays abreast of latest regulatory/compliance requirements, developments and trends in the field of Patient Accounting by attending seminars/workshops and actively participating in interdisciplinary committees.
10. Preparation of annual departmental and capital budgets to ensure that necessary funds to carry out the goals and objectives are established and that the department functions within the budgetary guidelines.
11. Oversee the daily operational activities of the Health Information Management and staff.
12. Project management responsibilities including design, supervision, and budgets for HIM department.
13. Responsible for compiling and reporting all mandatory (state and federal) statistics including delinquency reports for medical staff reporting.

SUPERVISORY RESPONSIBILITIES

1. Directly supervises Manager of Admissions
2. Directly supervises all Health Information Management and Patient Financial Services team members. 

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use fingers to type, and use technical equipment such as a computer, etc. The employee is occasionally required to stoop, kneel or reach.  The employee must occasionally lift and/or move up to 20 pounds.  Specific vision abilities required by this job include close vision and the ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, employees occasionally works near moving mechanical parts and is occasionally exposed to the risk of electrical shock.

The level of risk of exposure to blood borne pathogens is Classification III, as outlined in the Hepatitis B Vaccine Program Policy.

The noise level in the work environment is usually moderate

REQUIRED EDUCATION

1. Bachelors/Associates Degree in Healthcare Administration, Business, Accounting, Finance or related field and 3 years of management-level experience in hospital revenue cycle.

COMPETENCIES/CERTIFICATIONS

1. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). (Preferred)