What are the responsibilities and job description for the Assistant Revenue Cycle Director position at Sullivan County Community Hospital?
QUALIFICATIONS
Education
- High school diploma or GED required. Two years of business school or related college courses are preferred.
Experience/Skills
- A minimum of 5-7 years of experience working in a hospital's Revenue Cycle with a broad base of experience in all positions associated with Revenue Cycle, and a minimum of 2 years previous management experience.
- Knowledge of Third-party regulations (Medicare and Medicaid).
- Working knowledge of computerized billing systems.
Required Licenses/Certifications
- N/A
Working Conditions
- Works in a well-lit room.
- Devises own working pattern and methods to achieve goals and results dictated by the job.
- Must have the ability to communicate with staff, co-workers, and the public.
ROUTINE RESPONSIBILITIES
Behavioral Standards
- Consistently complies with the established Behavioral Standards.
Essential Functions
- Interview applicants, supervise training, and conduct performance evaluations.
- Establish and implement departmental goals, policies, and procedures.
- Hold in-services to inform/review all policies and procedures.
- Make recommendations and proposals for purchasing new equipment and keeping existing equipment in prime operating condition.
- Perform backup as needed.
- Provide monthly departmental staff meetings, maintain meeting minutes, and document attendance.
- Implements all other assignments and projects directed by Administration.
- Completes staff evaluations promptly as outlined in policy.
- Responsible for Patient Financial Services: Patient Access, Scheduling, Insurance Verification, Pre-Registration, Prior Authorizations, Financial Counseling, Billing, Collections, Cash Posting, and Adjustments necessary to finalize medical accounts.
- Focusing the team’s efforts and ensuring diligent team follow-up.
- Leadership capabilities include answering relevant questions, setting goals, allocating resources, monitoring trends of AR, and staff accountability.
- Staff training is a critical element of this role.
- Develop and ensure that all activities of the Professional Revenue Cycle are performed by state and federal regulations, mandated collection practices, and all regulatory agencies and are HIPAA compliant.
- Exercise creative approaches to problem-solving.
- Deals with conflict and problematic situations openly and tactfully.
Patient Access
- Evaluate, improve, and streamline the admissions process.
- Work closely with the Patient Access Manager to supervise and implement procedures for accurate information retrieval.
Business Office/Collections
- Report and make recommendations regarding the management of Accounts Receivable.
- Review and approve all adjustments according to policy.
- Counsel patients regarding complaints, questions, and other correspondence.
- Review and implement all legal requirements for processing patient accounts.
- Reduce days in A/R to meet established goals.
- Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self-pay, etc.)
- Proper interpretation and follow-up on contracts with insurance companies about rates, discounts, and filing instructions. Responsible for payer relations.
- Develop and execute a detailed plan to improve the revenue cycle for billing and to continually improve financial clearance accuracy, reduce days in AR, increase cash collections, reduce bad debt, eliminate write-offs due to revenue process issues, and improve patient satisfaction.
- Responsible for maintenance of charge master and price transparency data on the facility website.
- Manages and processes provider and facility credentialing applications.
- Develops and ensures implementation of policies, guidelines, and procedures to ensure that goals and objectives are adequately defined and established.
- Analyzes historical, current, and future net revenue data to make recommendations highlighting opportunities for improvement to operations.
- Reviews financial statements and calculates net revenue.
Cashier
- Supervise and approve write-offs and adjustments.
- Coordinate end-of-month statistics for billers.
- Supervise the accuracy of receipting, balancing, and reconciliation.
Fiscal Responsibilities
- Develop, present, and demonstrate an understanding of the ongoing budget process.
- Prepare annual department budgets.
- Keep FTEs, salary expenses, including overtime, and operating expenses within department limits.
- Submit all financial reports accurately and on a timely basis.
- Responsible for meeting goals and objectives established during an annual review.
Day Shift
80 hrs/Bi-Weekly
