Director of Revenue Cycle Operations

  • Jefferson Healthcare
  • Port Townsend, WA 98368
  • Jan 22, 2021

Job Description

Oversees all revenue cycle activities including registration, charge master, patient accounting, patient financial counseling, revenue cycle integrity, payment compliance, and collections. Collaborates with all levels of the organization to drive results in the above areas. Makes strategic recommendations to improve workflow. Directs and leads staff within the scope of PFS. Ensures department activities and outcomes are aligned with the strategic plan and the organization's mission, vision and values. This is a full time, exempt position Education and Experience Bachelor's degree in Business Administration or the equivalent years' experience relating to hospital and clinic billing and collection required Accreditation/certification in patient account management preferred 6+ years of previous hospital/clinic experience in all aspects of business functions required 3+ years experience as a supervisor Knowledge of state and federal regulations for acute facilities (critical access hospital) and clinics (rural health, provider based, and free-standing clinics) Essential Functions Supervises registration, financial counseling, patient accounts, health information management, and revenue cycle integrity departments Oversees submission of electronic and paper claims, posting of payments and adjustments to accounts Oversees critical access Hospital and clinic billing (rural health, provider based, and free-standing clinics) Oversees clinic and hospital coding Determines work procedures, prepares work schedules and expedites work flow in a manner that supports exactness, neatness, and conformance to policies and procedures Optimizes reimbursement and maintaining cash flow at acceptable levels Facilitates resolving billing and insurance issues, collections follow-up, and financial reporting Develops and maintains fee schedules, chargemaster, and procedure/diagnosis code master files Responsible for the development and timely review of policies and procedures for patient billing, chargemaster review, charity care, collections, and third-party payments Responsible for the development and timely review of policies and procedures for registration practice and regulatory compliance, such as Medicare admission requirements, advance directives, credit policy and patient bill of rights Responsible for ongoing revenue cycle management, including proper charge mapping and assistance with error resolution. Facilitates collaboration with directors and employees involved in the charge cycle process. Participates in regular payor, financial, and facility audits Demonstrates understanding and proficiency in the use of relevant software programs Facilitates monthly staff meetings and attends other meetings and seminars as requested Establishes and maintains excellent customer service relations; monitors the registration, financial counseling, patient accounts, and revenue cycle integrity department personnel in regards to public relations with patients and general public Manages refunds and bad debt write offs Develops and ensures policies and procedures are in place and up to date Participates in preparing and adheres to annual budget Responsible for managing staff, conducting performance evaluations, staff development and coaching Participates in and drives results through strategic Performance Improvement initiatives Fosters a high-performing culture and drives employee engagement Who We Are Jefferson Healthcare is one of the Top Employers on the beautiful Olympic Peninsula and in close proximity to Seattle, Victoria, BC and Vancouver. We are a DNV accredited, 5 Star rated 25-bed Critical Access Hospital with six rural health clinics and a wide scope of specialty services; we provide exceptional care for more than 25,000 residents of East Jefferson County. We have numerous accreditations and awards and are recognized as Achieving Best Care by the Washington State Hospital Association. If you are looking to work with an exceptional team of professionals, we encourage you to consider Jefferson Healthcare. Work where your talent is truly appreciated. Our Home Port Townsend has been named as one of the coolest small towns in America ... with good reason. There are festivals almost every weekend, endless recreational/hiking/skiing/sailing activities, great places to eat, and a strong and vibrant community feel. National Geographic calls Port Townsend "one of the most sophisticated places west of Seattle" and we continue to receive awards year after year. Come check us out!

Employment Type