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Region Director Revenue Cycle
4 months ago
Overview:
Dignity Health one of the nations largest health care systems is a 22-state network of more than 9000 physicians 63000 employees and 400 care centers including hospitals urgent and occupational care imaging and surgery centers home health and primary care clinics. Headquartered in San Francisco Dignity Health is dedicated to providing compassionate high-quality and affordable patient-centered care with special attention to the poor and underserved. For more information please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.
Responsibilities:Manages and directs middle revenue cycle activities to ensure accurate and timely charge capture foreach facility in the Service Area. Responsible for CDM compliance, pricing, and education/training of
staff and revenue departments. Conducts regular patient charge audits to ensure accuracy and areas for improvement. Oversees the bill hold and suspended charge processes and provides continuous process improvement to reduce denials. Builds collaborative relationships with internal and external stakeholders to achieve Dignity Health Revenue Cycle Management goals and objectives.
- Manages and directs Revenue Integrity staff to include; Revenue Integrity Manager, Clinical Auditor (RN) and Revenue Integrity Analysts and Charge Capture Analysts
- Provides analysis, communicates and reports revenue cycle performance indicators/metrics including but not limited to Artiva assist requests, edits, missed/late charge capture, avoidable adjustment and denials
- Monitors departmental usage of reports to ensure issues are being identified and addressed with continuous process improvement in addition to providing education to departments on improving revenue accuracy
- Based on reports from Optum, identify areas of opportunity to avoid non-covered and medical necessity denials and process improvements that will lead to less lost revenue (IE- standing order that doesnt enhance care, and has high denial rate)
Qualifications:
Required:
- Minimum of five (5) years of progressive experience in managing healthcare business functions
- minimum of five (5) years of revenue integrity or revenue cycle experience
- Bachelor's degree in business, health or public administration, management, or a related field required
Preferred:
- Master's degree in hospital or business administration, accounting, finance or a related field preferred
Skills:
Exceptional verbal, interpersonal, and written communication skills Ability to influence key stakeholders at various organizational levels Strong leadership
skills and commitment to a team approach; both direct and indirect reports Competency in developing efficient and effective solutions to complex business challenges Familiarity with management reporting, metrics and goal setting. Excellent knowledge of revenue cycle and other healthcare financial performance metrics Deep familiarity with revenue cycle policies and procedures. Extensive knowledge of current healthcare trends, policies, and regulations Understanding of coding classifications systems such as, but not limited to, ICD-10-CM, ICD-9-CM, MS~DRG, APR~DRGs, and HCCs strongly preferred Comprehensive understanding of computer, database, and network technologies.
