Position:Director of Revenue Cycle and Patient Access
Location: Torrington, CT
Job Id:277
# of Openings:1
Position Summary:
The Director of Patient Access and Revenue Cycle Management oversees all aspects of the organization's Patient Access Departments and Revenue Cycle, which includes patient registration to final payment collection.The Director will assist in managing co-pay collections, insurance verification and scheduling and in collaboration with the Director of Finance and the Director of Billing, provides input, analyzes data to identify trends for areas of improvement and implements strategies to maximize revenue and minimize losses.The Director of Patient Access and Revenue Cycle Management will develop and implement new procedures to streamline the revenue cycle and improve efficiency.
Essential Functions & Responsibilities:
- Team Management:Supervise and train revenue cycle and patient access staff, ensuring they are competent, motivated and understand workflows.
- Compliance:Stay current with regulatory requirements and ensure the organization's billing and collections practices are compliant with federal and state requirements.
- Financial Reporting:Prepare and review financial reports on revenue cycle key performance metrics.
- Collaboration:Work with other departments, such as billing, coding, and clinical operations, to ensure a smooth, efficient and optimal revenue cycle.
- Quality Improvement: Directs the departmental quality improvement efforts to achieve optimal productivity, operational effectiveness, efficiency and satisfaction of internal and external customers. External customers include patients, referring providers, physicians and third-party payers.
- Competency: Maintains a thorough knowledge base in third party reimbursement mechanisms and requirements. Interprets these rules/regulations/requirements for key revenue cycle staff. Review payer contracts and in collaboration with the CFO assist in periodic negotiation of payer rates.
- Patient Advocate: Listens to the patient's concerns, investigates the issue by speaking with staff or reviewing records, helps the patient file a formal complaint if needed, and works to resolve the issue by facilitating communication between the patient and healthcare providers or administration.
- Operational: Develops and manages operational initiatives with measurable outcomes. Formulates objectives, goals and strategies collaboratively with other stakeholders, as needed and as necessary to align with organizational goals.
- Accountability: Organizes functions through establishing clear accountabilities and delegation of duties.
- Budgeting: Establishes financial goals and assists in the development of FY budgets for the patient access areas, while using benchmarking to high performing systems in similar areas of expertise to set annual targets.
- Supervision of Staff: Directs selection, supervision and evaluation of staff. Ensure performance evaluations are conducted in a timely manner according to CHWC policy.
- Staff Development: Oversee orientation and continuing education for all staff. Ensure mandatory and relevant training is provided to staff in a timely manner.
- Policy: Establish and maintain departmental policies and procedures and establish controls and review mechanisms to ensure procedures are being followed correctly. Recommend policy changes to the Chief Financial Officer.
Additional General Requirements: Professional positive attitude, understanding of customer service principles, trustworthiness and excellent interpersonal skills.
Job Qualifications/Requirements:
Education: Bachelor’s degree in Finance or related field preferred; or previous relevant work experience.
Experience: Five years of progressively responsible experience in Patient Access, Financial Management and/or Revenue Cycle with demonstrated supervisory experience.
Language Skills: Must speak, write and read English proficiently. Spanish preferred but not required.
Licensure/Certification Required: n/a
Teleworking: This position requires teleworking if requested.
Standard Requirements:
- Supports an ethical standard, which complies with a code of conduct free of conflicts of interest.
- Supports the Mission and Values of Community Health & Wellness Center.
- Supports, cooperates with, and/or implements specific procedures and programs for:
- Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
- Confidentiality of all data, including patient, employee and operations data.
- Quality Assurance and compliance with all regulatory requirements.
- Compliance with current law and policy to provide a work environment free from harassment and all illegal and discriminatory behavior.
- Cooperate and work together with all co-workers;
- Plans and completes job duties with minimal supervisory direction, including appropriate judgment.
- Use tactful, appropriate communication in sensitive and emotional situations.
- Follows up as appropriate with supervisor and co-workers regarding reported complaints, problems and concerns.
- Promotes positive public relations with co-workers, patients, family members and guests.
Community Health and Wellness of Greater Torrington, Inc.