Director - Revenue Cycle

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Nova Southeastern University (NSU) was founded in 1964, and is a not-for-profit, independent university with a reputation for academic excellence and innovation. Nova Southeastern University offers competitive salaries, a comprehensive benefits package including tuition waiver, retirement plan, excellent medical and dental plans and much more. NSU cares about the health and welfare of its students, faculty, staff, and campus visitors and is a tobacco-free university.

We appreciate your support in making NSU the preeminent place to live, work, study and grow. Thank you for your interest in a career with Nova Southeastern University.

NSU considers applicants for all positions without regard to race, color, religion, creed, age, sex, sexual orientation, gender identity or expression, genetic information, disability, political affiliation or belief, national origin, marital or veteran status or any other legally protected status.

Essential Job Functions: 1. Plans, directs, supervises, and coordinates work activities of subordinates and staff, including hiring, coaching, evaluating, and terminating, all in accordance with university policies and procedures.

2. Develops and executes a comprehensive billing strategy aligned with the organization's financial goals and objectives.

3. Identifies opportunities for process improvement and automation to enhance billing efficiency and accuracy while minimizing errors, reducing manual intervention, and streamlining operations.

4. Oversees the end-to-end billing process, including invoice generation, distribution, and collection.

5. Handles complex billing issues and disputes, collaborating with internal departments and customers to find timely resolutions.

6. Evaluates, implements, and maintains billing systems and technologies to optimize processes and maintain data integrity.

7. Works closely with IT teams to integrate billing systems with other relevant platforms.

8. Generates regular reports, analyzes data trends, presents findings to senior management, and identifies areas for improvement and strategies for optimization.

9. Provides enterprise leadership for patient and customer services encompassing patient access, payer and patient payments, revenue integrity, and other aspects of access and financial responsibility relationships with payers and patients.

10. Stays current with industry regulations, tax laws, and compliance requirements related to billing.

11. Develops and implements comprehensive revenue cycle strategies to improve cash flow, reduce denials, and increase revenue capture.

12. Monitors key performance indicators (KPIs) and financial metrics related to revenue cycle performance.

13. Works closely with the Office of Compliance with coding and billing processes to ensure accuracy and compliance with coding guidelines, payer requirements, and government regulations (e.g., CMS, HIPAA).

14. Develops and maintains policies and procedures that support effective revenue cycle operations.

15. Performs other duties as assigned.

16. Completes special projects as assigned.

Marginal Job Functions: Required Knowledge, Skills, & Abilities: Knowledge:

1. Thorough knowledge and understanding of the Health Insurance Portability and Accountability Act (HIPAA).

2. Advanced knowledge of accounting principles, revenue recognition, and financial processes.

3. Advanced knowledge of EMR and billing software programs.

4. Advanced knowledge of HCPCS, ICD, CPTs, Revenue Codes, DRG, payment methodologies, and managed care operations.

5. Advanced knowledge of healthcare billing, coding, reimbursement principles, and industry regulations.

6. Administration and Management - Knowledge of business and management principles involved in strategic planning, leadership techniques, and coordination of people and resources.

7. Knowledge of principles and procedures for personnel recruitment, selection and training.

8. English Language - Knowledge of the structure and content of the English language.

9. Advanced knowledge of MS Office Suite (Outlook, Word and Excel).

Skills:

1. Speaking - Advanced skills in talking to others to convey information effectively.

2. Critical Thinking - Advanced skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

3. Coordination - Advanced skills in adjusting actions in relation to others' actions.

4. Active Listening - Advanced skills in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

5. Judgment and Decision Making - Advanced skills in considering the relative costs and benefits of potential actions to choose the appropriate one.

6. Time Management - Advanced skills in managing one's own time and the time of others.

7. Writing - Proficient skills in communicating effectively in writing as appropriate for the needs of the audience.

8. Active Learning - Proficient skills in understanding the implications of new information for both current and future problem-solving and decision-making.

9. Monitoring - Proficient skills in monitoring / assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Abilities:

1. Oral Expression - Ability to communicate information and ideas in speaking so others will understand.

2. Oral Comprehension - Ability to listen to and understand information and ideas presented through spoken words and sentences.

3. Written Comprehension - Ability to read and understand information and ideas in writing so others will understand.

4. Written Expression - Ability to communicate information and ideas in writing so others will understand.

5. Problem Sensitivity - Ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

6. Deductive Reasoning - Ability to apply general rules to specific problems to produce answers that make sense.

7. Inductive Reasoning - Ability to combine pieces of information to form general rules or conclusions (including finding a relationship among seemingly unrelated events).

Physical Requirements and Working Environment:

1. Speech Recognition - Must be able to identify and understand the speech of another person.

2. Speech Clarity - Must be able to speak clearly so others can understand you.

3. Near Vision - Must be able to see details at close range (within a few feet of the observer).

4. Travel - Must be able to travel on a daily and/or overnight basis.

5. May be required to work nights or weekends.

6. May be exposed to short, intermittent, and/or prolonged periods of sitting and/or standing in performance of job duties.

7. May be required to accomplish job duties using various types of equipment/supplies, including but not limited to pens, pencils, and computer keyboards.

Job Requirements: Required Certifications/Licensures: Required Education: Bachelor's degree Major (if required): Healthcare Administration, Finance, Business, or a related field. Required Experience: 1. Seven (7) years of experience in the revenue cycle inside of a large multi-specialty practice.

2. Experience creating and optimizing functional operations centralized business office.

Preferred Qualifications: 1. Master's degree

2. Bilingual

Is this a safety sensitive position? No Background Screening Required? Yes Pre-Employment Conditions:

Sensitivity Disclaimer: Nova Southeastern University is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodation when necessary.