Director Revenue Cycle

Job Details

Job Description

The Director of Revenue Cycle HB Receivables is responsible for providing strategic leadership operational oversight and performance management of the organizations hospital-based accounts receivable operations ensuring alignment with financial goals and regulatory requirements. This role drives enterprise-wide initiatives to optimize and accelerate cash flow improve net revenue realization and minimize avoidable write-offs through effective denial prevention cash collections and A/R management strategies.
The Director monitors KPIs benchmarks and dashboards to ensure billing accuracy and receivables performance while overseeing all follow-up functions including claim submission payment posting denial management and collections. This position partners closely with Revenue Integrity Managed Care Health Information Management Utilization Management Finance Compliance and operational leaders to resolve systemic issues and advocate for timely accurate reimbursement.
In addition the Director is accountable for managing vendor relationships that support A/R operations ensuring contractual compliance service quality and cost-effectiveness. This includes negotiating agreements monitoring vendor performance and driving accountability for results. By leading root-cause analysis of controllable write-offs rejections and denials and implementing sustainable process improvements this leader ensures operational excellence while maintaining compliance with federal state and payer requirements.
Through strategic vision operational rigor and strong vendor partnerships the Director plays a critical role in achieving optimal financial performance and fostering a culture of continuous improvement.

Responsibilities:

1. Interacts coworkers visitors and other staff consistent with the values of Jefferson.

2. Manages all aspects of change management as it relates to operational processes driving process metrics staffing and employee relations.

3. Maintain full knowledge of departmental operations and act as a resident expert on issues to enhance proficiency within the Revenue Cycle operations.

4. Conducts revenue cycle analysis trending support executive level reporting and analysis of department performance including key performance indicators annual goals and other operational metrics making continual assessments of operations performance and progress.

5. Prepares operating budgets to meet organizational goals and objectives; Approving and monitoring department expenses and monthly budget reports

6. Is responsible to assume a leadership role in committees task forces and projects as appropriate.

7. Mentors guides and provides professional development opportunities to key team members

8. Participate in Revenue Cycle leadership activities including facilitating the implementation of systems processes and procedures to insure regulatory compliance and maintaining an awareness of changes in healthcare matters that directly or indirectly affect the revenue of the hospitals/physician practices.

Required Knowledge Skills and Abilities (Proficiencies):

Proficient in Hospital and Physician Revenue Cycle. Demonstrated effective critical thinking problem-solving and decision making skills. Exceptional writing and verbal communication skills. Proficient in Microsoft Office Suite. Experience and knowledge of Epic.

Required Experience Education Certification(s) License(s):

Bachelors Degree in Accounting Business Administration Finance Health Administration or a related field. Minimum of 5 years revenue cycle leadership.

Masters Degree in Business Administration Health Administration or Information Management is preferred.

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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