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Director Hospital and Physician Business Services - Revenue Cycle
Denver Health
| Job Summary The Director of Hospital and Physician Business Services manages the activities of Receivable Management and Billing for Denver Health facility and professional claims. This position is responsible for overseeing the overall accounts receivable functions of the organization which include, but are not limited to billing, insurance follow-up, denial management, collections, cash posting, customer service, charge entry/corrections, supervision of vendors and legal collections. This position will work with the Associate CFO of Revenue Cycle to meet strategic goals, provide analytical analysis and keep her/him informed of pertinent issues as they arise. Develops and implements accounts receivable strategies for maximizing collections and reducing accounts receivable days as well as improving other metrics in a compliant, cost-effective manner. Analytical, verbal and written communication skills are required to create written guidelines, policies, and procedures to develop metrics based on industry standards and measure improvement against those metrics.
Responsibilities 1. Maximizes collections by implementing revenue cycle strategies and reducing accounts receivable (AR) days as well as improving other metrics in a compliant manner. 2. Develops, defines and tracks key performance indicators for measuring performance including AR days, cash collections, CFB days, denials days and other applicable metrics. 3. Develops, implements and maintains compliance to policies and procedures aimed at ensuring compliance with all applicable rules and regulations.4. Oversees development of robust quality assurance and training programs.5. Oversees management of accounts receivable days to an industry best practice benchmark and keeps up to date on developments in billing regulations and understand how changes apply to Denver Health. 6. Develops strategic plans and programs for hospital and physician business services and ensures that goals and objectives of the unit are properly defined and clearly established. 7. Implements and sustains best practices for all Revenue Cycle activities under area of responsibility. 8. Troubleshoots and resolves complex issues related to receivables management. 9. Collaborates with key leadership across the organization to insure external customer needs are met. 10. Participates in the development of new organization initiatives to insure issues related to accounts receivable management are identified and resolved.11. Participates and contributes in the LEAN and "Getting it Right" initiatives at Denver Health. 12. Participates on RIEs and other LEAN events.13. Other duties as assigned.
Knowledge, Skills & Abilities Knowledge, Skills and Abilities1. Strong knowledge of hospital and professional billing and compliance related to payer specific guidelines. 2. Strong background in financial management and knowledgeable of federal/state laws and requirements relating to healthcare financial management. 3. Strong analytical skills and adept in interpreting strategic vision into an operational model. 4. An effective communicator at all levels in the organization, with strong oral, written and persuasive skills. 5. Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills with a proven track record in building and developing high performing teams. 6. Superior judgement, negotiation and decision making skills. 7. Strong ethics and a high level of personal and professional integrity. Computers and Technology1. Working knowledge of various billing/collections systems (Epic preferred)2. Proficiency in Microsoft Office Suite3. Experience with claims submission system (Experian preferred)Certificates, Licenses and Registration1. HFMA Certified Healthcare Financial Professional (CHFP) or HFMA Certified Revenue Cycle Representative (CRCR) preferred.
Education Preferred degree concentration: Finance, Business Management, Health Administration or a related field5. HFMA Certified Healthcare Financial Professional (CHFP) or HFMA Certified Revenue Cycle Representative (CRCR) 6
Experience
Bachelor's degree and seven years related experience required OR; 2. Associate's degree, HFMA certification, and ten years related experience required OR; 3. High school diploma/GED, HFMA certification, and thirteen years related experience required. Related experience: Successful Revenue Cycle experience 7. Three years managerial experience required. Work Type All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver's 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation. As Colorado's primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year. Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE). "Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class."
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