Executive Director, Revenue Cycle

Southwest General Health Center; Cleveland (OH); On-site; USD 150,000 - 230,000; Full time

Job summary

Southwest General Health Center in Ohio seeks an Executive Director, Revenue Cycle to provide leadership for all revenue cycle functions across the hospital and affiliated medical group. The role directs patient access, registrations, authorizations, coding guidance, and vendor partnerships to optimize net revenue.

The ideal candidate will have a strong background in CMS processes, medical billing, and reimbursement, with a track record of process improvements and data-driven decision making in

Qualifications

• Bachelor’s degree in Finance, Accounting, Business or Healthcare Administration or other relevant field required.
• Masters degree in Business Administration preferred.

Responsibilities

• Lead end-to-end revenue cycle for hospital and employed medical group.
• Oversee patient access, authorizations, registration, scheduling and denials management.
• Advise on software investments and outsourcing to optimize net revenue.

Skills

Revenue Cycle

Leadership

Billing

CMS Knowledge

Denials Management

Medical Terminology

ICD-10

CPT/HCPCS

Excel

Education

Bachelor's degree

MBA / Masters preferred

Job description

Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio. One of the last standing community hospitals in Northeast Ohio, we partner with University Hospitals and other local community organizations to provide a full range of services to all who need us. We are certified as a Level III Trauma Center and a Primary Stroke Center, and have been serving our community for over 100 years!

At Southwest General, we believe in the power of teamwork, creating a family-like environment, ensuring a work-life balance, and providing meaningful work to make a real difference in people’s lives.

We value our employees as much as our patients, offering a supportive work culture that encourages growth, development and collaboration.We’re committed to building a team that works together, supports each other, and ultimately, saves lives every day.

At Southwest, you are family.

Position Summary:

Reporting to the Chief Financial Officer, the Executive Director, Revenue Cycle (EDRC) provides leadership and direction and is responsible for the revenue cycle functions for both the hospital and the employed medical group.The EDRC will have direct oversight for the management of Southwest’s end-to-end revenue cycle functions including patient access, authorizations, registration, scheduling, revenue integrity, health information management, utilization management, clinical documentation improvement, denials management and the outsourced billing and collections vendors.

EDRC is responsible for strategic and systemic approaches that contribute to the capture, management, and collection of patient service revenue. Advises and oversees investments and changes in software applications, outsourcing vendors, recovery projects and other interventions to collect the net revenue associated with patient services. The EDRC must be able to coordinate processes across the health system and to facilitate cooperation amongst diverse departments and business units reporting to other health system executives. Great opportunity for process improvement.

Education:

Bachelor’s degree in Finance, Accounting, Business or Healthcare Administration or other relevant field required.Masters degree in Business Administration preferred.

Required length and type of experience:

• Minimum of seven (7) years of experience in revenue cycle management, enrollment, billing. payment processing, or similar operations required.
• Minimum of three (3) years of recent leadership or progressive supervisory experience required.
• Strong knowledge of CMS, revenue cycle functions, healthcare billing, coding andreimbursement processes.
• Considerable knowledge of medical office operations, professional fee billing, reimbursement and third-party payer regulations and medical terminology is required.
• Knowledge of ICD-10 Codes, CPT Codes, HCPCS Codes, Revenue Codes, and Place of Service Codes.
• Intermediate level experience working in Microsoft Excel highly preferred.