EXECUTIVE DIRECTOR, REVENUE CYCLE

Compensation

: $118,925.00 - $129,030.00 /year *

Employment Type

: Full-Time

Industry

: Executive Management



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Job Description

Scope of responsibility:

  • The incumbent is responsible, through subordinate management and supervisory staff, for managing and reviewing hospital-wide revenue cycle activities, including patient access, admissions and registrations, eligibility, financial screening and counseling, patient charges capture, billing, revenue recovery and collections, claims management, and revenue cycle performance improvement functions. In addition, the incumbent is responsible for directing the activities of assigned departments and the organization's management teams. The incumbent is further required to maintain in-depth knowledge of federal, state, and other payment programs and payment reform.
  • Revenue Cycle staff of 100+

    Department required experience: Acute care hospital experience a must

    Strongly desired experience: Experience supporting a public hospital and federally qualified health centers (FQHCs). Governmental payor experience. Familiarity with EPIC



    EXAMPLES OF ESSENTIAL DUTIES:
    (Depending on the area of assignment, duties may include, but are not limited to, the following)
    Review and evaluate the effectiveness of all revenue cycle systems within the medical center, including the medical center's clinical documentation and medical records improvement initiatives; establish procedures to ensure reporting compliance with local, state, and federal laws, rules, and regulations.
    Direct the development and implementation of revenue cycle systems, policies, and procedures, for patient admissions and registrations, health insurance eligibility, financial screening and counseling, charge capture, clinical documentation, billing fiscal intermediaries, revenue recovery and collections, and claims processing; advise the RUHS-MC CFO on the financial consequence of both proposed and implemented policy decisions.
    As a member of the Executive Management team, participate in the development and implementation of the operating and administrative policies, potential new programs to facilitate long and short-term strategies, and revenue cycle plan objectives.
    Coordinate with senior management team in setting revenue cycle performance goals and initiatives consistent with best practice standards; collaborate with RUHS-MC executives and managers on improving the quality of revenue cycle decisions that may have financial, legal, and regulatory impact to the organization
    Ensure compliance with federal and state laws, regulations and standards pertaining to revenue cycle operations; review, interpret, and apply laws, policies, regulations, and procedures related to patient admission and registration, billing, credit and collections functions, and clinical documentation to assure compliance; may assist the County Counsel in preparation and resolution of revenue recovery litigation.
    Monitor and report deviations from approved budgets and recommend corrective measures; maintain cost controls to assure compliance with budget provisions; investigate and recommend methods of productive revenue generation.
    Review, monitor and direct the productivity and performance of assigned departments and provide direction as necessary; design and evaluate the performance improvement processes related to revenue cycle programs and implements appropriate changes; establish internal controls to monitor and safeguard the financial assets.
    Coordinate with the Medical Center Chief Information Officer to ensure the development and implementation of data information systems and business technology solutions, which accurately and efficiently compile, record, and report revenue cycle and financial data in conjunction with the County Business System.
    Prepare or supervise the preparation of a variety of complex revenue cycle and management reports and correspondence; perform special studies as assigned by the RUHS-MC CFO including monthly reports, which reflect the overall revenue and financial positions.
    Participate as a member of the Executive Management team overseeing consistency in revenue cycle activities of departments at RUHS-MC.
    Supervise several medical center departments.
    RECRUITING GUIDELINES:

    Education: Graduation from an accredited college or university with a Bachelor's degree with a major in finance, accounting, business administration, or a closely related field to the assignment. (Additional qualifying experience may be substituted for up to two years of the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience.)
    Experience: Four years of fiscal or revenue cycle experience in an administrative or managerial capacity in hospital or ambulatory care systems, which included responsibility for, and participation in, financial or revenue cycle management including patient access, financial services and budget maintenance. A minimum of two years of this experience must have included responsibility for supervising accounting or revenue cycle professionals. (Possession of a Master's degree from an accredited college or university in accounting, business administration, or a closely related field to the assignment may substitute for one year of the required non-supervisory experience.) Six years of revenue cycle management experience in a public hospital or ambulatory care system is preferred.
    Knowledge of: Principles and practices of hospital and ambulatory healthcare budgeting and financial management; hospital and/or ambulatory care revenue cycle performance metrics and operations, including billing, collections, patient access, cash management, case management, reimbursements, claims denial management; general and governmental accounting principles and standards; federal, state, and local laws, rules, and regulations influencing hospital and other healthcare fiscal and revenue cycle operations; modern office practices, forms, and equipment, including the application of health information systems to the accounting, budget, revenue cycle and other financial functions; principles of supervision and staff utilization; understanding of Medicaid, Medi-Cal System payments; familiar with cost reporting in a hospital or ambulatory care setting and with reimbursement methods of payment.
    Ability to: Analyze, plan, and direct financial or revenue cycle operations; develop and monitor a revenue cycle system which is highly productive and complies with various local, state, and federal laws, rules, and regulations; analyze organizational, administrative, and budgetary matters and recommend effective courses of action; establish and maintain effective working relationships; prepare comprehensive, clear, and concise reports and correspondence; speak effectively; develop financial strategies for revenue growth opportunities; develop strategies to optimize the Medical Center's financial position.


    OTHER REQUIREMENTS:

    License: Possession of a valid California Driver's License may be required.


    PRE-EMPLOYMENT:

    All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment.)

    PROBATIONARY PERIOD:

    As an Approved Local Merit System, all County of Riverside employees, except those serving 'At Will, ' are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head. * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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