Director of Revenue Cycle Services - Jersey Community HealthCare

The Director of Revenue Cycle Services provides overall administration, direction, coordination and evaluation of the revenue cycle activities of Jersey Community Hospital (JCH) and specifically responsible for the following areas:

•  Patient Access
•  Patient Financial Services
•  Charge Capture
•  Coding
•  Physician Business Services
•  Cash Posting
•  Health Information Management

Under general direction from the Vice President of Finance, the Director of Revenue Cycle is responsible for the direction and management of charge capture, billing, accounts receivable and all functions necessary for the proper adjudication of claims and revenue management to ensure appropriate payment for services rendered. This role is important so that JCH can continue to support the community as well as its mission, goals, and objectives.

Additionally, in serving in conjunction with the JCH Executive Team and other departmental directors, the Director of Revenue Cycle serves in a leadership role to drive value to those we serve through enterprise alignment, continuous process improvement and enabling culture. This role is responsible for working collaboratively with all JCH leadership to integrate a properly functioning cross-department revenue cycle process in concert with the development, implementation, and ongoing monitoring of revenue management performance and patient service revenue outcome measurements and oversight of those operations that are integral to meeting organizational fiscal goals.

Jersey Community Hospital is committed to the highest standard of customer service principles for its patients, visitors and staff members, and to the highest standards for compliance. Staff will serve as role models by practicing exemplary behaviors when working with patients, visitors, and staff members.

Administrative Leader

•  Provide overall leadership, direction and coordination of the revenue cycle for registration, charge capture, billing and collections.
•  Direct, plan, or implement policies, objectives, or activities to ensure proper billing.
•  Translate strategic plans and budget targets into operational action plans which guide resource allocation and the coordination and direction of personnel; direct operations in areas of responsibility to achieve the annual operating plan.
•  Provide leadership, guidance, support, and direction to the department managers/supervisors in their fiscal care efforts to ensure optimal use of resources and provide effective service.
•  Implement corrective action plans to solve organizational or departmental problems.
•  Directs or coordinates revenue cycle management and all functions necessary for the proper adjudication of claims.
•  Develop plans which identify key issues, problems, systematic approaches, performance metrics and resources required to ensure the capture, management, and collection of patient service revenue.
•  Provides process improvement leadership and knowledge of workflow, root cause analysis, change management and core processes of care.
•  Provides leadership support to Health Information Management (HIM) ensuring proper staffing, systems and regulatory factors are all supported to ensure timely resolution of departmental functions for claims submission and clinical team support.
•  Develops performance indicators to actively manage revenue cycle issues.

Strategic Planning

•  Develops and implements policies and procedures that align to organizational standards and adhere to legal and compliance requirements.
•  Analyze operations to evaluate performance of in meeting organizational objectives to determine areas of potential cost reduction, program improvement, or policy change.
•  Establish departmental responsibilities and coordinate functions among departments and sites.
•  Prepare budgets for approval, including those for funding or implementation of applicable programs.
•  Negotiate or approve contracts or agreements with suppliers, distributors, federal or state agencies, or other organizational entities.

Advisor

•  Confer with peers and staff members to discuss issues, coordinate activities, or resolve problems.
•  Preside over, or serve on, management committees as needed.
•  Review reports submitted by staff members to recommend approval or to suggest changes.
•  Interpret and explain policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals.

External Stakeholder

•  Acts as a liaison and representative of the organization pertaining to patient registration, patient financial services, physician business services, cash management and health information management

Education Requirements

Education Level: Bachelor's Degree

Description: Bachelor's Degree in relevant field such as Healthcare Administration, Public Health, Accounting, Finance or Business Administration from an accredited college or university.

License or Certification Requirements

Experience Requirements

Required Years of Experience: 7

Description: Seven (7) years of professional work experience with knowledge in the areas of hospital Revenue Cycle with special emphasis on Patient Financial Services including billing, collections, accounts receivable management but also including knowledge of patient registration or Health Information management; including four (4) years supervisory or management experience within the healthcare environment including coordinating and assigning work, performance management, mentoring and staff training and education.

Preferred: 5 years Progressive revenue cycle management experience in a Health System

Preferred: Experience with Cerner or EMR conversions

Knowledge

•  Broad knowledge of modern health care administration, systems, practices and principles.
•  Knowledge of medical insurance billing and collections across Medicare, Medicaid and managed care
•  Knowledge in collecting, analyzing and reporting revenue cycle management data used to identify opportunities and strategies for improvement.
•  Experience in preparing operating and capital budgets.
•  Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
•  Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

Skills

•  Demonstrated exemplary presentation skills to engage and motivate organizational stakeholders.
•  Conflict management and resolution skills.
•  Skilled developer of relationships and partnerships.
•  Proven success in developing a large high performing staff, establishing performance standards, and transitioning staff through organizational change, with an emphasis on the ability to recruit and manage a culturally diverse workforce.
•  A high degree of professionalism and competency dealing with a variety of individuals including physicians, senior executives, hospital administration, and external constituents.
•  Proven success as a dynamic and empowering leader who possesses a positive attitude to instill a vision for excellence with innovation and creativity.

Abilities

•  Effective leadership skills
•  Record of initiating change and innovation
•  Strategic thinking, planning and problem solving
•  Superior communication skills, both in written and verbal presentation
•  Effective human relations abilities to effect collaborative alliances and promote teamwork and ensure a high level of internal and external customer satisfaction and engagement.
•  Ability to succeed in a complex environment where decision-making may be diffuse and ambiguous.
•  An ability to organize and present data in a concise and easily understood manner, often to professionals, physicians and board members.
•  Ability to be recognized as a positive change agent