Job Summary
This position provides a leadership role in Revenue Cycle Continuous Improvement (CI) analysis, improvement, implementation and measurement under the guidance of the Director of Revenue Cycle Continuous Improvement. This position will also work directly with facility CFOs, C-suite and directors for facilities with an average monthly gross revenue of $50,000,000-$99,999,999 as the Revenue Cycle department key contact representative to the facility. This position collaborates and works closely with corporate, facility and discipline team leaders to enhance understanding of associated net revenue functions and outcomes. Also provide solutions that will lead to system-wide, standardized best practices in Revenue cycle to the benefit of Banner and operational units while assisting in the implementation of the improvement solutions.
Essential Functions
Utilizes Revenue Cycle data to identify leading trends and root cause opportunities to engage key stakeholders in the Revenue Cycle and Clinical operational areas to validate root cause, craft solution, implement improvement and monitor outcome.
Reports progress, risks and requests for escalation to facility Executive leadership for Revenue Cycle CI projects and findings.
Provides support for facilities with monthly gross revenue of $50,000,000 to $99,999,999 and/or intermediate level complexity of projects.
Manages facility specific Revenue Cycle CI initiatives, projections while aligning with enterprise-wide initiatives to ensure standardized best practice and strategic integrity. Ensures coordination with other relevant system leaders in the research, define and design process.
Develops materials including communication, training, policies/procedures and monitoring to ensure successful implementation of the improvement solution.
Lead facility recurring Continuous Improvement committees to communicate progress, risks, escalations and large project proforma to ensure effectiveness of the CI Program and assist facility leadership in understanding their facility performance, challenges and needs for improvement by addressing root cause process gaps.
Provides support, coordination, and education on Revenue Cycle related issues to facility leaders.
Minimum Qualifications
Requires a Bachelors degree in Business, Finance, Health Management or related field or equivalent experience.
Requires a proficiency level typically achieved with 5 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. A strong working knowledge of government payer programs and reimbursement methodologies (CMS, AHCCCS, CHAMPUS) and of managed care programs is essential.
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.
Preferred Qualifications
Additional related education and/or experience preferred.
