This position is responsible for the Continuous Improvement (CI) program management and direct supervision of the Revenue Cycle CI team and analysts. Evaluates trends within the facility-based CI activity and provide enterprise level strategy. Ensure standardization of Revenue Cycle process, technology utilization, and staff utilization and functions for the Banner Health Network. Provides innovative solutions to support Net Revenue improvement and Accounts Receivable reduction.
Directs the Revenue Cycle Continuous Improvement team as they evaluate the identification and implementation of Revenue cycle improvements to ensure a clearly defined scope, root cause, operational impact, ROI opportunities and costs. Creates business proforma and submits in a standardized proposal template for review by the Executive Oversight team. Proposals will seek to improve efficiency, effectiveness and best practice standardization of associated Revenue Integrity processes.
Reports progress, risks and requests for escalation to Executive leadership for Revenue Cycle Continuous Improvement projects and findings.
Manages system-wide Revenue Cycle Continuous Improvement initiatives and projections to ensure standardized best practice. Ensures coordination with other relevant system leaders in the research, define and design process.
Directs staff in developing materials including communication, training, policies, procedures and monitoring to ensure successful implementation of the improvement solution.
Engages key stakeholders to include clinical operations for root cause and solution validation.
Hires, manages and directs Continuous Improvement staff and support analysts in developing and implementing standardized approaches to analyze Revenue Cycle data dashboards to identify process trends, issues, root causes and opportunities for improvement.
Engages with facility C-suite and CFO's to ensure effectiveness of the CI Program and assist facility leadership in understanding their revenue cycle performance, challenges and needs for improvement by addressing root cause.
Crafts and delivers executive level communication for enterprise wide CI project progress, risks, escalations and performance reporting. Provides assistance, coordination and education on Revenue Cycle related issues to system leaders.
Requires a Bachelors degree in Business Administration, Finance or related field or equivalent experience.
Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Drivers License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association.
Requires a proficiency level typically achieved with 7+ years of leadership or consulting revenue cycle and revenue integrity experience and knowledge (patient billing/clean claims; health information management; etc.). Requires strong human relations, organizational, process improvement and project management and communication skills as well as demonstrated leadership skills. Must have advanced computer skills with strong working knowledge of IT systems, applications and functions from clinical and business perspectives. This position requires the understanding of patient billing systems and business processes in a highly complex environment. A strong working knowledge of government payer programs and reimbursement methodologies (CMS, AHCCCS, CHAMPUS) and of managed care programs is essential.
Previous leadership experience preferred; MBA preferred.
Additional related education and/or experience preferred.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.