Sr Director of Surgical Hospital CBO Operations

The Head of Surgical Hospital CBO Operations provides direct oversight of the central business office (CBO) for USPI’s surgical hospitals who use shared service billing and collections functions. This leader will own day to day management of billing and collections for approximately 17 facilities at present, collecting approximately $1 billion in cash for these client locations annually. Oversees approx. 80 US based revenue cycle team members (primarily in Dallas and a virtual work force) along with management of offshore teams.

The number of facilities using the CBO is expected to continue to expand over time. Candidates will be expected to possess deep leadership experience in RCM, executive-level communication and relationship management skills and a proven track record of independently developing and executing successful performance of a billing organization. This role will report to the overall USPI VP/Chief Revenue Cycle Officer.

Daily to day CBO management: Owns RCM performance and outcomes for client facilities who use USPI’s CBO for billing and collections:

• Ensure billing is sent timely and maintain high clean claim rates
• Collaborate with coding experts including in-house and vendor contacts to minimize unbilled levels and maintain the highest quality of clean claims
• Post cash receipts against patient accounts from individual patients and insurance/government payers
• Manage collections and accounts receivable follow-up
• Partners with Managed Care leadership team to identify and quantify payor issues impacting market performance and assess and communicate payor contract issues
• Annually achieve key revenue cycle outcome targets, including: 100% or more of cash goal collected across clients, maintain low AR days, reduce AR aging and minimize bad debt

Communication, growth and performance improvement: Serves as accountable RCM leader to own communication for monthly, quarterly and ad hoc performance review meetings with clients, including local facility clients, market and corporate leadership

• Provides market and RCM leadership with recurring performance dashboards, reports, action plan updates, and forecasting
• Prevent denials and identify opportunities to improve collections across the revenue cycle
• Collaborates with other RCM departments including Performance and Service Delivery teams to achieve overall goals
• Works with IT and other departments to enhance systems, introduce new automation into processes and oversee system migrations along with centralization
• Ability to scale up operations, adding new client facilities on a recurring basis into the shared service model to support USPI growth
• Provide training and feedback to facilities to improve onsite-operations while also enhancing centralized RCM functions

Budgeting and margin management: Manage a blend of US and offshore resources/teams to deliver target outcomes within annual expense budgets

• Monitor and manage expenses using a blend of US, offshore and vendor resources
• Identify opportunities to improve margins while maintaining expenses within budget
• Manage capacity models and forecast resource needs during periods of growth/expansion

Qualifications

• Must possess a comprehensive understanding of RCM principles, processes and performance drivers spanning front, middle and back-end functions and a minimum of seven (7) years of RCM leadership experience, preferably in the ASC and/or Hospital space or large RCM shared services environment
• Bachelors or Masters degree in business, finance, healthcare administration or other relevant field of study preferred
• Experience developing and implementing successful data-driven action plans spanning multiple facilities resulting in measurable RCM and financial performance improvement
• Demonstrated interpersonal and relationship management skills used to develop lasting partnerships with clients, USPI/Tenet executive leaders, key stakeholders and decision makers
• This position will require periodic travel to designated market offices, client facilities and corporate headquarters in Dallas, TX, depending on specific initiatives and need

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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