Director Revenue Cycle Shared Cash Application and Accounting

Job Description

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children's Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

Director Revenue Cycle Shared Cash Application and Accounting oversees hospital and physician functional areas of cash posting, designated Journal and General ledger entries and reconciliation, credit balance resolution, employee productivity and ongoing improvement to key revenue cycle indicators. These key indicators include but are not limited to; cash collections goals and posting, overpayments/credits volumes, productivity related to credit resolution on patient accounts. This position is responsible for personnel development, implementing and maintaining policies. Works collaboratively with leadership to drive transformation and the associated change efforts necessary to manage the central business office services. Responsible for leading strategic revenue management initiatives to achieve the requisite outcomes associated with improved patient, physician, payer, and associate experiences.

The Director Revenue Cycle Shared Cash Application and Accounting defines and provides the necessary support and leadership to achieve departmental goals and objectives. This position will work closely with all Revenue Cycle staff, system wide departmental leader, practice management, patients and physicians.

Responsibilities

Cash Application

1. Ensures that 835 files are processed accurate through daily quality audits of remittance processing and file maintenance.

2. Maintains 835 files to ensure various fields, segments and remarks are kept up-to-date and are being posted appropriately.

3. Oversees the ERA set-up, ensuring that system actions, patient balances and contractual adjustments are accurate.

4. Oversees manual cash posting to ensure that payments are posted appropriately by staff and that correct adjustment codes are used.

5. Responsible for reconciliation of cash received from hospitals and practices to their respective journals, resolving discrepancies, posting to insurance and patient payments.

6. Maintains unapplied cash account to ensure appropriate use and that account is being worked on a regular basis.

7. Coordinates resolution on missing checks, recoupments and missing remits to ensure all payments and adjustments are posted timely and accurately.

8. Schedules and performs timely system updates according to department guidelines.

9. Oversees the registration of all payers to ensure files are posted electronically and reduces manual posting.

10. Supervise cash applications team effectively with emphasis on career growth and coaching.

11. Monitor and maintain cash logs for entire organization.

12. Ensure that all cash is posted within 24 to 48 hours receipt and completely closed by month end.

13. Balance cash receipts with Finance on a weekly basis.

14. Work with other departments to ensure that posting errors are not just corrected, but the root cause is identified and resolved.

15. Supervise daily operations of certain posting error logs and files for purposes of correcting those files, quality assurance and identification of issues.

16. Develop, populate, distribute and monitor periodic performance metrics for all cash application functions.

17. Works as the primary liaison with Finance Department with respect to cash collection, cash posting, unposted cash and any other relevant finance function.

18. Develops and recommends short and long range productivity cash collection goals, and account closure guidelines.

19. Identify, research, mitigate and work to resolve revenue cycle system related issues.

20. Works closely with managers/supervisors to minimize overtime expenses and maintain budget levels.

21. Interviews, hires, trains, evaluates and develops staff in accordance with defined policies and objectives.

22. Provide feedback to management team regarding potential changes or enhancements to improve staff performance and ensure work quality has a positive impact on the revenue cycle.

23. Ensures that staff receives information by developing and implementing a communication plan with staff input.

24. Maintains knowledge of technical and business developments

25. Other activities and special projects as assigned.

Credit Resolution

1. Responsible for the effective management of overpaid/unallocated credit accounts receivable

2. Maintains credit balance accounts in accordance with established goals.

3. Processes government refunds in accordance with Federal guidelines.

4. Audits refunds for accuracy and authorizes refunds and recoupments

5. Analyzes outstanding checks for disposition and escheating according to department guidelines.

6. Supports company position with insurance audits, provides resources and effectively manages refund requests.

7. Processes government quarterly credit balance reports (Medicare and Medicaid) in a timely manner to ensure all deadlines are met.

Mail Processing

1. Oversee the timely and accurate processing and distribution of incoming mail correspondences.

2. Ensures mail correspondences is dated, scanned and correctly distributed.

3. Maintains the electronic scanning folders to ensure mail is correctly distributed.

Minimum Requirements

Bachelor's Degree and/or 10 years related management experience in a multi-hospital and physician practice centralized revenue cycle environment is required.

Master's Degree a plus

Must have progressive managerial experience in a large centralized revenue cycle environment An in-depth understanding of receivables management, specifically ERA, EFT, and payer clearinghouses in a multi-facility/practice environment with proven leadership skills. Computer skills including word processing, spreadsheets, Internet and Intranet software, e-mail.

Demonstrated expertise in process improvement, productivity and problem solving in payment posting, internal financial controls and balancing is required.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Contact Information

For additional information, please contact:

Angie Nichols, Talent Acquisition Consultant

ECU Health Talent Acquisition

Email: [email protected]

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