System Director Revenue Cycle Billing Operations

Job Description System Director, Revenue Billing Operations Department:Revenue Cycle Summary of Position: Responsible for achieving and maintaining properly functioning patient accounting processes throughout Summa Health System, working closely with clinical operations to ensure timely charge capture and edit resolution. This role develops and implements patient accounting policies and procedures that support Summa's mission, vision, and values, while promoting efforts to improve the financial health of the organization. Critical responsibilities of this role include achievement of annual and periodic goals for key statistical indicators of financial performance, maintaining the integrity of financial data and reporting, and facilitating the efficient operation of functions and management of personnel in the patient accounting department. Dimensions of Position Expenses: Assists with department goal of achieving a favorable or break even expense budget variance Minimum Qualifications: 1. Formal Education Required: a. Bachelor's degree in Business, Finance, Healthcare or closely related field or equivalent combination of education and/or experience 2. Experience and Training Required: a. Five (5) years related experience in a hospital business office required, including three (3) years in a Management Director position over Insurance Billing and Collections b. Demonstrated experience in utilization of Epic patient billing 3. Other Skills, Competencies and Qualifications: a. Strong knowledge of the Revenue Cycle, Patient Financial Services, and Accounts Receivable processes b. Superior analytical, project management, and interpersonal skills c. Expertise in Microsoft Office products d. Ability to develop and maintain relationships with medical, operational and financial departments e. Ability to communicate and present financial and operational analysis concepts to management and staff f. Ability to manage and prioritize multiple projects and tasks g. Ability to work independently h. Directs, administers, and sets policies for all operations, programs, and activities related to patient financial services i. Oversees the timely completion of all essential business office functions related to insurance billing, including billing, collections, and accounts receivable management; investigates and addresses inefficiencies j. Coordinates with leaders of other departments, such as medical records, coding, CDI, and clinical staff to ensure timely and accurate billing and collections k. Maintains in-depth knowledge of and ensures compliance with regulations and standards issued by applicable governmental/regulatory agencies or third-party payers l. In-depth knowledge of billing and collections, cash posting, managed care, and appeals processes m. Ability to track, monitor, and analyze department performance data n. Population Specific Competency: Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity 4. Level of Physical Demands: a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently. Direct Management Reporting Relationships Indicate the title which this position reports to, as well as the various titles reporting directly to this position. Include FTE counts. Position Reports to: Vice President, Revenue Cycle Positions Reporting to this position: Note: this includes FTEs over which this position has hire, fire and performance review responsibilities. RN Denial Specialists (3 FTEs), HB Manager Billing, HB Manager Collections and Denials, HB Project Manager, HB Data Analyst Indirect (Matrix) Management Reporting Relationships Indicate any position(s) to which this position has an indirect reporting relationship, as well as the position(s) over which this position has indirect management authority. Unit Description Will need to work on site in the beginning. May have some flexibility to work remotely Five (5) years related experience in a hospital business office required, including three (3) years in a Management Director position over Insurance Billing and Collections hourly rate listed is minimum

Created: 2024-10-19