Director Revenue Cycle Ops Job in Panorama City, California US
Director Revenue Cycle Ops
Under the direction of the Assistant Administrator Finance and the Managing Director, Patient Access establishes a strategic direction, operational vision, and implementation plan for the Revenue Cycle operations which includes Patient Registration, Emergency check-out, Admitting, Local Business Office/Billing, Revenue Cycle Quality, Financial Counseling, Central Eligibility Unit and Government Programs (Medicare, Medi-cal, California Children Services and Healthy Families). Also responsible for meeting current and future market demands in the identification and a billing of non-dues revenue. Essential Functions: - Plan, organize and direct through management and supervisory personnel the cost effective operations of the departments responsible for all patient/third party billing, patient registration, admitting, ED check-out, Revenue Cycle quality, financial counseling, central eligibility unit and local cash control management/reporting. - Formulate and make recommendations to Assistant Administrator Finance and the Managing Director, Patient Access on policies and practices relating to Revenue Cycle operations. - Ensure compliance with administrative/legal requirements of government regulations concerning Medicare, Medi-cal, Workers Compensation, bargaining unit contracts and organizational fee schedules - Ensure adequate internal controls are in place - Recruit, develop and maintain a competent and productive team; responsible for staff development and related goal setting/performance standard with the Revenue Cycles managers and staff. - Delegate authority to unit managers for management of day-to-day operations and the completion of special projects - Partners with KFH/KFHP Local Managers and Senior Local Medical Group Manager to establish a single, strategic, integrated operational business plan to optimize the billing and collection of non-dues revenue. - Develop and strengthen the Revenue Cycles relationship with senior management in health plan/hospital, in order to improve the level and quality of joint decisions being made that have financial, legal and regulatory implications to the Revenue Cycle organization. - Provide leadership in the development of non-dues revenue financial forecasts, budgets, and reports for their areas of responsibility. - Ensure all critical business needs and requirements are identified and met with automated/manual processes. - Represent and act on behalf of the Assistant Administrator for Finance and the Regional Managing Director for Patient Access in numerous special projects and committees involving key regional, facility, and divisional managers. - Responsible for the development and adherence to payroll and non-payroll budgets. - Accountable for resources being distributed and applied appropriately to meet deliverables. Ensure department operates within budget. Qualifications: Basic Qualifications: - Minimum five (5) years of experience required managing a staff of professionals in the revenue cycle environment, preferably in an acute care hospital - Bachelor's degree required in Finance, Business Administration OR four (4) years of equivalent management experience - Master's degree preferred - Demonstrated knowledge of general business concepts including financial management, team building practices, organizational behavior and personnel/labor laws and regulations - Demonstrated ability to utilize effective financial management tools, information systems methodologies and supervisory techniques - Must be able to work in a Labor/Management Partnership environment Preferred Qualifications: - Experience with electronic medical records in a hospital setting Notes: - Will have oversight over the Local Business Office, Admitting, Billing, Medical Records and Transcription departments