Assoc Dir, Revenue Cycle

2 weeks ago

Atlanta, United States Emory Healthcare Full time

Overview:

Join Emory Healthcare if youre looking for an opportunity with one of the largest private employers in Atlanta where those around you are dedicated to the power of teamwork, foster an environment where you can learn, grow and innovate with similarly passionate professionals. Work with us to improve the quality of life throughout Georgia through partnerships with Grady Memorial Hospital, the U.S. Centers for Disease Control and Prevention, the Georgia Institute of Technology, and other organizations and make a bigger, greater impact than you ever thought possible.

Our Revenue Cycle team is leading the way in shaping the future of health care. We unite to improve lives through innovation, compassion, and an unwavering commitment to achieving unparalleled excellence in patient care. APPLY TODAY

PREFERRED QUALIFICATIONS:

  • Pre-certification and/or authorization leadership experience.

Hybrid role

Description:

The Associate Director, Revenue Cycle organizes, plans and directs the daily activities of the department under the leadership of the director. Directs all business service activities to include policies and procedures. Plans, directs, manages, coordinates and monitors assigned specific activities related to revenue cycle operations for Emory Healthcare. Responsible for maximizing reimbursements and revenue enhancement. Serve as a key leader and senior member of the PFS management team. Oversees and is responsible for Accounts Receivable balance and activity management.

  • Manages timely and appropriate application of payments and refunds.
  • Closely monitors third party payments for compliance with contractual agreements.
  • Pursues additional payments as appropriate.
  • Ensures revenue cycle processes are managed timely with proper adjudication procedures.
  • Intervenes with third party entities when necessary.
  • Serves as key contact for Emory International, Patient Advocacy, VIPs and Administration.
  • Works closely with Project Managers of Artiva, Cerner, Data Warehouse, etc. to enhance work flow and ongoing best practices for Revenue Cycle.
  • Responsible for monthly reporting of collections, appeals and payment variances to the Finance Department, Care Coordination and CFOs of each individual facility.
  • Works closely with colleagues of Emory Clinic on the initiatives for current and future state of streamlining departmental process to improve the Patient Experience and the overall Revenue Cycle.
  • Assists in Management of onboarding and/or integration of new hospital services, acquired business relationships, facilities, etc.
  • Building, maintaining and encouraging a productive working relationship with all staff members.
  • Manages staff and employee performance.
  • Resolves human resource-related issues, determines staffing needs, interviews and hires staff.
  • Provides ongoing performance feedback, addresses problems, orients and trains employees, verifies competencies and identifies and suggests ways to develop skills.
  • Determines disciplinary, termination and salary actions.
  • Monitors workflow.
  • Develops departmental goals, objectives and performance standards.
  • Meets with other staff members to discuss progress and to develop future courses of action.
  • Establishes, revises, administers and communicates policies, procedures and related forms in accordance with state, federal, and organizational guidelines.
  • Communicates and monitors compliance with regulatory, licensing and accreditation standards.
  • Manages third party relationships including but not limited to Early Out Accounts Receivable and Bad Debt Inventory.


MINIMUM QUALIFICATIONS:

  • Bachelor's degree in a healthcare or related field with 10 years healthcare experience or 8 years revenue cycle experience, 4 of which must be supervisory OR any combination of equivalent education and experience.



Additional Details:

PHYSICAL REQUIREMENTS: 1-10 lbs. 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs. max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

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