Full-Time Position (80 Hours Per Pay Period)
Shift: Varied hours Days: Varied
Wages Based Upon Experience
CLOSING DATE: Open Until Filled
EXPECTATION FOR ALL EMPLOYEES
Support the organization’s mission, vision and values by adhering to the behavioral standards of Bay Area Hospital. Comply with all laws and regulations affecting Bay Area Hospital. Be familiar with and adhere to the Code of Conduct and support the Bay Area Hospital Compliance Program. Effective communication skills and the ability work effectively with people from various backgrounds are critical.
POSITION SUMMARYProvides leadership, direction, administrative oversight and change management towards continuous quality and efficiency improvement for revenue cycle functions of patient access, financial counseling, revenue integrity/CDM, health information management, payer contracting, reimbursement, accounts receivable and self-pay collections including optimal use of technology and vendor services.
PRINCIPLE DUTIES AND RESPONSIBILITIES
(Essential job requirements listed in bold)Responsible and accountable to direct, manage, lead, evaluate and develop the systems and personnel for revenue cycle functionsDevelop, evaluate, monitor, improve and communicate key performance indicators for revenue cycle functions and prepares reports for CFO review and to support the annual financial auditDevelop, execute and maintain a detailed plan to improve revenue cycle performance and continually reduce days in accounts receivable, increase cash collections, reduce denials, reduce uncollectable write offs, improve patient and physician satisfactionDevelop plans to ensure that claims submitted comply with industry-wide leading practice and the rules and regulations of CMS, Medicaid and other payersDirects and manages coding according to all HIPAA transaction set requirements and AHIMA ethical coding standardsConducts analyses of variances, rejections, denials and write-offs to identify problems, trends and root cause solutionsDirects the development and implementation of goals and objectives for revenue integrity programs and processes (such as charge capture, compliance, Charge Description Master). Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services.Builds and maintains quality management and staff through thorough communication with leadership, other managers, staff and external sources, as neededDevelops and recommends operational and capital budgets for functionsEvaluates, negotiates and manages vendor/outsource services to support revenue cycle functions and optimal performance and customer serviceLeads analyses and negotiation related to payer contractingResearches and responds to physician requests for new products or procedure implementation at BAH; ensures that a requested product or procedure is not experimental, has federal approval, is within the scope of the Hospital’s Mission, Vision and Values and is projected to produce revenueEnsures daily operations support and complies with all regulations and reporting needs set forth by the state of Oregon, CMS, the Joint Commission, Medicaid and other related agencies
SKILLS AND ABILITIES
(Essential job requirements listed in bold)
Exhibits the ability to maintain confidentiality, think and act independently with minimal supervisionExhibits the ability to deal effectively interdepartmentally & with the publicDemonstrates effective staff management including accountability and performance improvementDemonstrates the ability to use a personal computer and various software programs applicable to the positionDemonstrates the ability to operate applicable office equipmentMaintains regular, consistent and punctual attendance at the assigned job location
(Essential job requirements listed in bold)Bachelor of Science or Bachelor of Arts or Equivalent in related experiencePreferred Certified in Healthcare Compliance (HCCA)
(Essential job requirements listed in bold)Five years’ supervisor or managerial experience in a health care setting, preferably with revenue cycle functionsFive years’ experience working with registration, billing and financial data, accounts receivable, credit and collections, government and managed care reimbursement, and charge master/revenue integrityBudgetary, documentation and reporting expertise
Union Affiliation: None
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and job skills required.
The future looks bright at Bay Area Hospital, and we are always searching for quality people to join our team. We offer a great atmosphere, competitive pay, a wide array of benefits, and many growth opportunities for our employees. Anti-Retaliation Notice