Revenue Cycle Director

HORN MEMORIAL HOSPITAL FOUNDATION; Ida Grove (IA); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) with employer match

Paid Time Off

Educational Assistance

Job summary

A community healthcare provider located in Ida Grove, IA, seeks a full-time Revenue Cycle Manager. This role involves overseeing policies and operations of business and health information management. The ideal candidate should have a Bachelor's degree in relevant fields, at least 5 years of experience in healthcare revenue cycle functions, and strong coding audit skills. Competitive benefits are offered, including medical insurance and a 401(k) plan with immediate employer match.

Qualifications

• Minimum 5 years of experience with healthcare revenue cycle functions.
• Strong inpatient and outpatient medical coding and billing audit experience.
• Knowledge of federal and state laws related to healthcare management.

Responsibilities

• Supervises activities of personnel in patient registration, billing, and insurance processing.
• Responsible for governmental reimbursement programs and denials management.
• Manages billing operations to ensure accurate claims processing.

Skills

Healthcare revenue cycle management

Interpersonal skills

Medical coding and billing

Education

Bachelor’s Degree in accounting, finance, business administration, healthcare administration, or related field

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)

Tools

Cerner Community Works

Job description

Summary

Oversees the developments and management of the Revenue Cycle (Business Office and Health Information Management departments) policies, procedures and daily operations to enhance revenue collections, release of information, confidentiality, information security, coding, third party payer contracts and reimbursement, budgets, staff development, documentation storage and retrieval, documentation deficiencies, chart completion, data quality, scheduling, admissions/registration, billing, financial assistance, collections, discounts, prompt pay procedures, etc. This position is full time, Monday through Friday, daytime hours, exempt status. This is a fully onsite position located in Ida Grove, IA.

Key Responsibilities

• Supervises and coordinates activities of personnel engaged in patient registration/discharge, receptionist activities/telephone communications, patient charges, insurance processing, receipts on accounts, collections efforts; and medical record processing including analyzing, compiling, coding, transcription and scanning permanent medical records of patients.
• Responsible for supervision of the governmental reimbursement programs, denials management, commercial insurance billing and follow-up, and the financial assistance program.
• Provides a high level of financial and operational expertise through analysis and interpretation of data to identify important trends and variances, and initiate and assist in identifying and implementing operating improvements and efficiencies.
• Assists with negotiation, development, and management of third party payer contracts.
• Manages billing operations with special emphasis on workflows to assure all information and claims provided to insurance and payment processing companies is timely and accurate.

Qualifications

• Education: Bachelor’s Degree in accounting, finance, business administration, healthcare administration, or related field
• Certificate of either a Registered Health Information Technician (RHIT) or a Registered Health Information Administrator (RHIA) preferred

Experience

• Minimum 5 years of experience with healthcare revenue cycle functions with a progressive focus on charge-to-payment relationship, patient account functions and understanding of health care finance and reimbursement mechanisms in both facility and physician environments
• Previous supervisory or management experience
• Strong inpatient and outpatient medical coding and billing audit experience
• Experience with Cerner Community Works electronic medical records preferred
• Knowledge of federal and state laws and requirements related to critical access hospital health care management
• Must have high level of interpersonal skills to handle sensitive and confidential situations
• Relationships:
• Responsible to: Chief Financial Officer
• Supervises: All personnel of the Business Office and Health Information Departments
• Interrelationships: Works closely with the Executive Team, Department Directors, and all hospital employees; Interacts with patients, their families and the public.

Applicant must pass background check, drug screen and health assessment including applicable vaccinations prior to hire. Position open until filled.

Benefits

Health

• Medical, Dental, and Vision Insurance
• Supplemental Health Plans
• Health Savings Account
• Free Vaccinations
• Reduced pharmacy
• Provisions for Leave of Absence
• Discounted Wellness Labs
• Ergonomic Evaluation

Financial

• 401(k) Including Pre-Tax and Roth
  • Immediate Employer Match and Immediate Full Vesting
• Short Term Disability
• Long Term Disability
• Employee and Dependent Life Insurance
• Additional Voluntary Life Insurance AD&D
• Identity Theft Protection
• Paid Time Off Sell-Back
• Shift Differential and Unscheduled Weekend Differential
• Flexible spending accounts for medical and dependent care
• Free on-site financial advising from licensed professionals

Professional Growth

• Educational Assistance
• Scholarship Opportunities
• Meetings and Educational Pay Benefits
• Continuing Education Credits
• Internal Career Growth Opportunities
• Free courses from Hometown Health University

Work-Life Balance

• Paid Time Off
• Leave of Absences including parental, medical, and military
• On-Site Cafeteria
• Employee Assistance Program Benefits
• Legal Assistance
• Confidential Counseling up to 3 sessions per issue provided at no cost to employee
• Fitness Membership Discounts
• On-site Walking Trail
• Funeral Leave

Horn Memorial Hospital is an Equal Opportunity Employer

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Horn Memorial Hospital will be based on merit, qualifications, and abilities. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting Human Resources at 712-364-7254 or [e-mail]. Interpreter is provided at no cost. Horn Memorial Hospital does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability, genetic information, sexual orientation or any other classification in accordance with federal, state and local statutes, regulations and ordinances.