Director, Healthcare Revenue Cycle & Operations

University of Maryland Medical System Corporation; Linthicum (MD); Sur place; USD 120 000 - 190 000; Plein temps

Résumé du poste

University of Maryland Medical System Corporation is seeking a Director to lead Hospital and Professional revenue cycle performance optimization, maximizing collections and minimizing uncompensated care. You will oversee the entire process from billing to adjudication, directing a high-functioning collections team and collaborating with leadership to set goals.

The role requires extensive AR/billing knowledge, EPIC system experience, and strong leadership to drive improvements while ensuring

Qualifications

• Bachelor's degree in healthcare, Business Administration, Finance or related field or equivalent industry experience.
• Seven to ten years of progressively responsible supervisory experience in health care administration, quality management, finance, or information systems.
• Experience with billing, accounts receivable processes, and revenue cycle performance improvements.

Responsabilités

• Plan and direct a high functioning collections team that includes Sr. Managers, Managers, and Supervisor levels that support delegation and oversight for multiple service areas and staffing.
• Direct and manage accounts receivable (A/R) to ensure accounts are collected compliantly/appropriately from members, non-members, insurance carriers to include all payer classes to secure appropriate reimbursement.
• Respond to Revenue Cycle issues to promote maximized reimbursement and collections while reducing uncompensated care.
• Collaborate with Revenue Cycle Executive Team to develop department goals and procedures to achieve them.
• Identify and implement methods to automate and streamline the Revenue Cycle Team to meet/exceed goals.
• Review reports to reflect the effectiveness of collection policies and procedures.
• Inform Leadership of changes in third-party reimbursement environment.
• Interview, hire, train, evaluate and, when necessary, discipline subordinate team members.
• Coordinate with Patient Access and Inpatient/Outpatient Offices for smooth billing information flow.
• Oversee daily operating activities and adjust work assignments to maintain optimal AR.
• Maintain knowledge of policies on patient confidentiality and third-party payer regulations.
• Present performance metrics to Executive Leadership with commentary on impact factors.
• Oversee Medicaid Billing and 3808 Process to ensure timely review and turnaround for reimbursement.
• Develop and maintain relationships with Medical System team members, physicians, patients, volunteers and visitors.
• Promote a positive work environment and support staff through coaching and mentoring.

Connaissances

EPIC system knowledge

Billing and AR expertise

Regulatory/compliance knowledge

Leadership and team management

Verbal and written communication

Formation

Bachelor's degree in healthcare, business, finance or related field

Description du poste

University of Maryland Medical System Corporation is seeking a Director to lead Hospital and Professional revenue cycle performance optimization, maximizing collections and minimizing uncompensated care. You will oversee the entire process from billing to adjudication, directing a high-functioning collections team and collaborating with leadership to set goals.

The role requires extensive AR/billing knowledge, EPIC system experience, and strong leadership to drive improvements while ensuring