EXECUTIVE DIRECTOR, REVENUE CYCLE

Southwest General; Middleburg Heights (OH); On-site; USD 150,000 - 210,000; Full time

Job summary

Southwest General Health Center in Middleburg Heights, OH, seeks an Executive Director, Revenue Cycle to lead the end-to-end revenue cycle for the hospital and its employed medical group. The role reports to the CFO and directs patient access, authorizations, registration, scheduling, revenue integrity, HIM, utilization, and denial management with external vendors.

Ideal candidate has 7+ years in revenue cycle management, 3+ years in leadership, and strong CMS knowledge plus coding and payer

Qualifications

• Minimum seven years of revenue cycle management, enrollment, billing or similar operations.
• Three years of recent leadership or supervisory experience.
• Strong knowledge of CMS and healthcare billing processes.
• Familiarity with medical office operations, professional fee billing and payer regulations.
• Knowledge of ICD-10, CPT, HCPCS, Revenue Codes and Place of Service Codes.
• Intermediate Excel skills preferred.

Responsibilities

• Lead end-to-end revenue cycle for the hospital and the employed medical group.
• Oversee revenue cycle processes across the health system with multiple departments.
• Advise on investments in software, outsourcing vendors and recovery projects to improve net revenue.
• Coordinate cross-functional workflows and improve processes for better financial outcomes.

Education

Bachelor's in Finance/Accounting/Healthcare

MBA 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!

Why work at SWGHC? In addition to the outstanding culture, we offer great benefits, no rotating shifts, free parking and are close to the turnpike and I71. Come join our team! #loveajobthatlovesyouback

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 and reimbursement 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.