Director of Revenue Cycle Operations

4 days ago

Clarksville, Arkansas, United States Johnson Regional Medical Center Full time
Job Summary

The Director of Revenue Cycle Operations provides strategic leadership for all Revenue Cycle functions at Johnson Regional Medical Center. This role is responsible for managing and implementing programs to ensure efficient operations of the organization's Revenue Cycle functions, generating sufficient cash flow to support operations and strategic initiatives.

Key Responsibilities
  • Manage revenue cycle activities to ensure cost effectiveness, organizational efficiency, and optimal collection rates.
  • Provide strategic direction to Revenue Cycle functions and their interrelation with other organizational functions.
  • Communicate Revenue Cycle departmental activities to Senior Management regarding cash flow, organizational profitability, customer service, Accounts Receivable results, and revenue enhancement activities.
  • Manage, communicate, and pursue enterprise accounts receivable targets.
  • Partner with Payer Relations/Contracting to communicate payer performance trends, provide support, and align with provider adjudication of contract terms for negotiated reimbursement rates.
  • Remain up-to-date with regulatory, third-party payer, and contractual changes affecting the Revenue Cycle to ensure compliance.
  • Implement and manage third-party vendor relationships as necessary.
  • Develop, implement, and direct various quality initiatives to ensure continuous monitoring and improvements within the Revenue Cycle process.
  • Develop a structure for innovation and establish cross-departmental collaborations.
  • Model leadership behaviors and lead as a unified team to drive organizational alignment.
  • Direct the strategy, goals, and objectives of the department to align with the organization's business plan.
  • Partner with key stakeholders to interpret trends in Key Performance Metrics, guiding management decisions for achieving periodic goals of the Revenue Cycle and the overall financial performance of the enterprise.
  • Ensure that appropriate controls exist throughout the enterprise to create accountability and effective management of the organization's Revenue Cycle.
  • Manage and develop a results-oriented team, continuously assessing and developing an organizational structure that ensures high performance and achievement of goals.
  • Facilitate the communication, coordination, and implementation of any enterprise business process or information system impacted by regulatory, industry, third-party payers, federal, or state requirements.
  • Advocate for the desired culture in high-level planning and decision-making, focusing on performance accountability and achieving greater operational efficiencies.
  • Develop, lead, and manage a diverse team, ensuring succession and development plans are in place to achieve the company's goals.
  • Act as a key participant in the strategic and long-range planning of the organization, integrating long-range plans with operational plans and capital priorities.
  • Analyze operations to evaluate performance of the team in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy changes.
  • Coordinate the completion and submission of required federal and state reporting requirements.
  • In partnership with the Chief Financial Officer, maintain a current Revenue Cycle policy manual, providing guidance and recommendations for the establishment of internal policies regarding economic and compliance issues, and implementing new fiscal policies as required.
  • Provide effective direction, guidance, and leadership over the Revenue Cycle staff for effective teamwork and motivation.
  • Develop, lead, and manage a diverse team, ensuring succession and development plans are in place to achieve the company's goals.
  • Maintain position descriptions, responsibilities, and standards of performance for department employees, providing input on performance and salary reviews on an annual basis.
  • Ensure that all departments meet service level agreements (SLA), quality standards, and performance goals based on the development and monitoring of cost and process metrics.
  • Propose enhancements to operational processes to improve efficiency and/or effectiveness.
Requirements
  • Professional Requirements:
  • Qualifications:
  • Education:
  • Bachelor's degree in Business, Healthcare Management, or related field preferred
  • Work Experience:
  • Five (5) years of progressive management experience responsibility in a healthcare business setting and at least three (3) years in a related leadership role preferred
  • Two (2) years of experience in healthcare accounts receivable, payor relations, and contracting, and/or healthcare regulation as it relates to Revenue Cycle preferred
  • Licenses & Certifications:
  • Certified Revenue Cycle Representative (CRCR) or Executive of Healthcare Revenue Cycle (EHRC) preferred
  • Skills, Knowledge, and Abilities:
  • Effective analytical ability to develop and analyze operations, recommend solutions to and solve complex problems and issues, including ability to propose enhancements to operational processes to improve efficiency and/or effectiveness of all internal accounting and compliance controls.
  • Effective analytical thinking and ability to gather, understand, integrate, and synthesize complex information to develop solutions, make recommendations, or propose action plans, excellent problem-solving skills.
  • Outstanding attention to detail, strong organizational skills, and the ability to anticipate programmatic needs.
  • Comfortable with ambiguity-works to resolve open questions, can define a process to resolve ambiguity, is comfortable that the plan may change.
  • Current knowledge and understanding of regulations, industry trends, current best practices, new developments, and applicable laws to ensure operational and financial effectiveness.
  • Ability to partner to ensure regulatory compliance for all areas of responsibility.
  • Ability to successfully work collaboratively and build relationships with key stakeholders; Interacts in a highly professional manner with an ability to maintain sensitivity, confidentiality, and tactfulness.
  • Strong facilitation and presentation skills with the ability to effectively communicate, both written and verbal, with individuals from a variety of backgrounds, disciplines, and levels of expertise. Consistently demonstrates a communication style that is open and fosters trust, credibility, and understanding.
  • Strong computer skills, including proficiency with Microsoft 365 applications, Meditech, and Cerner preferred.

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