Director, Net Patient Revenue

2 weeks ago


Atlanta, United States Emory Healthcare Full time

Description

The Director, Net Patient Revenue will take on a significant leadership role within Emory Healthcare to drive operational and financial effectiveness within the net revenue function of a complex health system.

* Prepare support and perform the calculations for valuation of the accounts receivable across Emory Healthcare for all hospital and physician billing operations.
* Collaborate closely with financial planning and analysis, contract management, revenue cycle, and operations to resolve net revenue issues.
* Support and recommend annual system-wide net revenue budget with operational leaders.
* Calculate actual, budgeted, and projected net patient service revenue using data sourced from the general ledger and Epic.
* Work collaboratively with other departments and divisions related to net revenue management activities.
* Assist in the preparation of annual Medicare and Medicaid hospital cost reports and provide support upon audit.
* Collaborate with internal and external auditors to support the valuation of the accounts receivable.
* Align work efforts with revenue cycle activities and manage through changes to process and ensure the valuation of accounts receivable is accurate.
* Ensure compliance with Medicare and Medicaid regulations and reimbursement policies.
* Develop and maintain relationships with clients.
* Provide detailed research and analysis of client reimbursement issues.
* Monitor industry trends and changes in reimbursement policies.
* Prepare and analyze reports on healthcare reimbursement trends.
* Work with decision support team on the development and review of operational statistics.
* Works with the Director Government Reimbursement to ensure cost reports are filed timely and financial reporting aligns across programs for accurate financial reporting.
* Supports the Director Government Reimbursement to review and provide analysis to ensure accuracy of reimbursement rates and modeling financial impact.
* Knowledge of Medicare and Medicaid regulations and reimbursement policies is a must.
* Knowledge and understanding of government payor reimbursement.
* Experience in Cost Report preparation and review, strongly preferred.
*

Education:

* Bachelor's degree in accounting, business, economics, math, or a related field.
* Seven or more years of directly-related experience.
* Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
* 3 years of leadership or management experience preferred.

Additional Preferences:

* Bachelor's Degree in Accounting, Finance, or related field preferred.
* Healthcare experience highly preferred.
* Crowe RCA experience highly preferred.
* Certified Net Revenue Analyst (CNRA) a plus.
* Certified Public Accountant (CPA) a plus.



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