Mercy Health
Senior Director - Revenue Cycle (Finance)
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Senior Director Revenue Cycle
Directs the performance, in conjunction and counsel of the Revenue Cycle leadership, of the acute revenue cycle activities of outsourced vendors and in-house functional areas of Patient Access (including but not limited to Patient Scheduling, Pre-Access/Registration, Registration Admissions, and Financial Counseling), Health Information Management (including but not limited to Site Medical Records management, Release of Information, Transcription), and Patient Financial Services (including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collections).
Leadership: Has a continuous and consistent presence in both the assigned facilities and Revenue Cycle Services Center (RCSC) to provide support, review processes, provide feedback and identify areas of opportunity. Travel requirements will be determined by business needs and will consistently be around 50%. Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met. Promotes a culture of collaboration between the RCSC and facilities and serves as a positive role model for Revenue Cycle. Demonstrated ability to manage the day to day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community. Ensures that appropriate documentation and education materials are used in all local Patient Access areas and identifies any educational needs and communicates to the appropriate leader for development. Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership.
Performance Monitoring/Improvement: Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar In House, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges. Monitors any client playbooks and keeps projects on time. Measures client performance, lift calculations and assists Site Executives with implementation.
Communication: Creates and implements standard reporting packages for executive leadership to include, but not limited to: Cash collections and variance to goal with detail explanation, A/R greater than 150 days with root causes, Denials trending by payor and root cause, Recoupments by payor and root cause, DNFB/CFB with any root causes. Provides updates to facility leadership on ongoing RCSC projects and their impact on performance metrics.
Provides timely information to RCSC on operational changes, new business development, and service line expansion that will impact Revenue Cycle. Communicates in a way that promotes trust and credibility between the RCSC and facility leadership and strives to strengthen local and corporate relationships for positive outcomes. Completes weekly/monthly market narrative of activities, projects in flight, and issues. Escalates issues to direct leader as necessary to ensure timely resolution.
Innovation: Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively. Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary. Coordinates with the facility CFO to discuss both strengths and opportunities for improvement to meet performance metrics. Makes suggestions for process improvements and develops project plans with target milestone dates.
Performs other duties as assigned
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All (United States of America)Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 or EnsembleHRTeam@ensemblehp.com. This department will make sure you get connected to a Human Resources representative that can assist you.