LifePoint Health- Health Support Center
The Senior Director,Revenue Cycle Operations is responsible for providing high quality performance,oversight, and management of the Parallon relationship regarding IntegratedRevenue Management while reaching the Corporate, Group, and facilities goals,objectives and performance measures.
ESSENTIALFUNCTIONS: To perform this job, anindividual must perform each essential function satisfactorily with or withouta reasonable accommodation.
Assist the facility PatientFinancial Services Director in their role as a leader in planning, directingand managing the department and staff to facilitate quality services.
Provide oversight andbuilding solid relationships with revenue cycle management for assigned group facilities.
Promote a teamworkapproach while holding the vendor responsible for achieving performanceexpectations.
Monitor and managefacility patient access management on key performance indicators for assignfacilities on a weekly basis such as registration quality assurance, lobby waittimes, upfront collections, opportunity to collect percentage, self-pay volume,Medicaid eligibility indicators such as placements, conversions and returned,health insurance marketplace statistics, unbilled statistics, and anyadditional that present as appropriate to manage.
Monitor and managerevenue cycle (Parallon, Conifer, BSC) on key performance indicators forassigned facilities on a weekly basis to include but not limited to cash,accounts receivable (A/R) days, A/R aging, denials, underpayments, and creditbalances.
Responsible forcommunication of Health Support Center (HSC) expectations and protocols withinthe assigned group.
Coordinate withassigned group service centers to achieve facility goals and expectations.
Responsible formanagement of a specific group of hospitals revenue cycle performance.
Ensure data integrityrelated to group monthly operating reports, dashboards, and any reportingrelated to shared services performance.
Serve as the HSCliaison for group and facility leadership, responding to their needsappropriately and timely.
Support facility andgroup leadership in monitoring and ensuring applicable service center ishonoring the service contract terms and consistently exceeding SLArequirements.
Assist group leadershipwith coordination of activities and performance across service centers toensure standardization, best practices and achievement of optimal performancemeasures.
Conduct and/or participatein assigned group and facility monthly operating reports (MOR).
Explain and/or interpretdata and results in key performance areas as appropriate and when necessary.
Support facilityPatient Financial Services Director in ensuring that the facility meets TheJoint Commission (TJC) standards, The Emergency Medical Treatment and Labor Act(EMTALA), Sarbanes-Oxley (SOX) requirements, and complies with corporatepolicies and procedures and adjusts staffing levels to meet stated goals.
Regular and reliableattendance.
Perform other duties asassigned.
Position serves both internal co-workers and external customers, clients,patients, contractors, and vendors.
Access to and/or works with sensitive and/or confidential information.
Exhibit a comprehensive understanding of healthcare regulatory andcompliance (e.g., HIPAA). Skilled in theapplication of policies and procedures. Knowledge of Business Office Standardsand Recommended Practices.
Knowledge of Generally AcceptedAccounting Principles (GAAP), Securities and Exchange Commission (SEC)regulations, and state regulatory environments as needed.
KNOWLEDGE, SKILLS &ABILITIES: Therequirements listed below are representative of the knowledge, skills and/orabilities required.
Education: Bachelor’s Degree inAccounting, Finance, Business Administration or any equivalent combination of education, experience, andtraining that provides the required knowledge, skills, and abilities.
Experience: Minimum of 7 yearsrelated experience, preferably with experience in a Central Business Office(CBO) or Regional Director role.
Skills and Abilities:
Business Mathematical Skills — Ability to add, subtract,multiply, and divide in all units of measure, using whole numbers, commonfractions, and decimals. Ability to compute rates, ratios, and percentages andto draw and interpret graphs.
AdvancedComputer Skills — Routine use of electronic mail and computer systems. Abilityto incorporate complex and complicated functions into documents, spreadsheets,databases, and presentations to support business objectives.
Complex Communication — Frequently communicates complexinformation and interacts with management. Can present, resolve, and addressdelicate situations. Can motive and persuade others.
Varied Business Problems –Problems are varied and complex,requiring analysis or interpretation of the situation. Problems are solved usingknowledge and skills, general precedent, and practices.
Department Specific — Decisions impact the management andoperations within a department. May contribute to business, and operationaldecisions that affect the department.
Functional Independent Judgement — Provides and sets goalsand priorities for functional area. May make recommendations for departmentpolicies, practices, and programs. Makes decisions for and/or resolves problemsfor others.
Project Planning/Organization — Handle multiple projectssimultaneously including task delegation, project oversight, and resourceallocation.
PHYSICAL AND MENTALDEMANDS:
The physical demandsdescribed here are representative of those that must be met by an employee tosuccessfully perform the essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential jobresponsibilities.
While performing theduties of this job, the employee is occasionally required to stand; walk; sit forextended periods of time; use hands to finger, handle, or feel objects, toolsor controls; reach with hands and arms; climb stairs; balance; stoop, kneel,bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or moveup to 20 pounds. Repetitive motion ofupper body required for extended use of computer. Required specific visionabilities include close vision, distance vision, color vision, peripheralvision, depth perception, and the ability to adjust focus.
WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:
Work environment characteristics described here are representative of thosethat an employee may encounter while performing the essential functions of thisjob. Reasonable accommodations may bemade to enable individuals with disabilities to perform the essential jobresponsibilities.
Works in well-lit, ventilated and climate controlled office environmentwith routine office equipment; some equipment has moving mechanical parts.
In hospital environment, may be exposed to hazards and unusual elements,which may include but are not limited to bloodborne pathogens and/or contagiousillnesses, toxic chemicals, and biohazardous materials which may requireextensive safety precautions and the use of protective equipment.
Noise level in the work environment is typical for an office and/orhospital environment.
Minimum overnight travel (up to 10%) by land and/or air.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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