Director Revenue Cycle, Front End

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:
The Revenue Cycle Director provides operational leadership for Billing and Collections, and Insurance Verification and Authorization.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Finance or Business or an equivalent combination of education and experience
• Minimum of eight (8) years in healthcare revenue cycle and systems technical experience
• Minimum of five (5) years of management experience
• Knowledge of clinical and billing application interfacing
• Experience in System Administrator functions as related to revenue cycle
• Knowledge in claims processing and Third Party Administrator claims processing
• Demonstrated expertise and knowledge with third party payor’s to include Medicaid, Medicare and their state and federal regulations for both Acute and Professional billing and collections rules and regulations
• Ability to manage in a fast pace environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism
• Proven successful experience leading, coaching, and mentoring management and subordinates
• Excellent critical thinking and time management skills, self-starter, and ability to manage staff on-site and remotely
• Excellent communication (written and verbal) and interpersonal skills
• PC proficient (Word, Excel, Access, PowerPoint, Outlook, Project, Visio, etc.) and multi-system applications

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Leadership Success Factors:

• Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience.
• Initiative. Originate action to achieve goals.
• Management Identification. Identify with and accept the problems and responsibilities of management.
• Judgment. Make realistic decisions based on logical assumptions which reflect factual information and consideration of organizational resources.
• Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitors results.
• Leadership. Use appropriate interpersonal styles and methods in guiding others toward task accomplishment.
• Work Standards. Set high goals or standards of performance for self and others. Compel others to perform
• Tolerance for Stress. Maintain stability of performance under pressure and/or opposition.
• Innovativeness. Generates and/or recognizes imaginative, creative solutions in work related situations.
• Delegation. Allocate decision making and other responsibilities effectively and appropriately.
• Staff Development. Develop the skills & competencies of subordinates.
• Organizational Sensitivity. Perceive the impact and the implications of decisions on other components of the organization.
• Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
• Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.

Job Responsibilities:

• Identifies and implements operational and strategic goals and objectives.
• Oversees Revenue Cycle Leadership team.
• Acts as a liaison with other departments or stakeholders.
• Partners with Corporate Compliance.
• Monitors revenue cycle management’s key performance indicators; identifies and resolves negative performance trends.
• Responsible for identifying and implementing solutions that support more efficient and effective work performance.
• Responsible for monitoring, identifying and working with the vendor to resolve EHR technical issues that negatively affect Revenue Cycle performance.
• Oversees the quality assurance (QA) process assuring that performance issues are identified and rectified in a timely manner.
• Responsible for overseeing all month-end close processes and for providing end of month close reporting to appropriate departments and stakeholders.
• Performs other duties as assigned.

Compensation Pay Range:

$92,720.60 - $139,080.90

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.