110585 - Assistant Director, Revenue Cycle
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#110585 Assistant Director, Revenue CycleInitial Review Date: Wed 9/8/2021
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Special Selection Applicants: Apply by 08/31/2021. Eligible Special Selection clients should contact their Disability Counselor for assistance.
The Assistant Director, Revenue Cycle reports directly to the Director of Revenue and Operations, providing leadership and direction for billing and insurance collection operations. The Assistant Director must have a thorough understanding of the entire revenue cycle process, including front-end registration and point-of-care processes. The Assistant Director will provide leadership and set priorities for multiple teams responsible for billing of claims, creation and management of pre-adjudication edits, follow-up/account resolution activities, cash management/credit resolution and provider enrollment. The Assistant Director will also be tasked with developing denial mitigation and resolution strategies in order to reduce aging, increase recoveries and mitigate controllable loss.
CT: Contributes to short and long range planning for billing and/or collections operations, approaches and policies. Collaborates with other leaders on coordination of related activities across business services, IT billing systems, revenue cycle management, and decision support. Establishes department-wide goals, budgets and staffing plans.
* Works on substantial projects with inter and intra departmental staff and participates in the strategic planning of the full range of functions for billing and collections programs across the location to optimize revenue-related processes. Oversees the implementation of new initiatives or processes through subordinate management.
* Analyzes functionality, quality, and efficiency of billing and collections management systems from a best practices standpoint. Creates and utilizes analytics to track and assess department performance. Manages, develops, and implements innovations that are cost-effective, scalable, and meet current and future needs of the medical center.
* Develops and modifies objectives, large budgets, work plans, operational systems, and quality assurance programs. Plans and oversees implementation of new programs, processes, and technology upgrades to achieve maximum reimbursements and cash payments.
* Oversees and/or leads project teams and collaborates with clinical, technical, administrative, and financial leaders to develop and analyze plans and workflows. Ensures plans are in alignment with organizational objectives and that work is standardized and integrated across the institution to reduce delays and losses and to optimize revenue-generating processes.
* Advises, informs and guides senior management on the development of strategic plans, objectives, quality improvement programs, state-of-the-art advances in workflows, technology and processes and the latest industry trends and developments.
* Maintains responsibility for employee performance reviews, recruitment, retention, terminations, staff development programs, and implementation of quality improvement practices. Instills strong management practices among subordinate management to create a culture of teamwork and strong customer service, effective collaboration, and timely achievement of objectives.
* Monitors productivity and efficiency of billing and collections. Evaluate metrics on levels of reimbursement and payment. Approves plans and strategies for remediation and improvement.
* Other duties as assigned.
A Bachelor's Degree with emphasis in finance, accounting, business management or healthcare administration, or equivalent combination of experience and training.
Eight (8+) or more years of relevant experience.
Experience and proven success in billing, accounts receivable and/or collections systems, practices, policies, and regulations. Knowledge of revenue cycle management and billing systems. Strong knowledge of medical and insurance terminology, medical billing, coding, health insurance coverage and reimbursement principles.
Prior experience with revenue cycle practice management systems interfacing with multiple clinical systems.
ICD10, Medical Group financial management experience.
Metrics driven with strong analytical and project management skills.
Extensive knowledge of revenue cycle metrics and drivers, particularly in billing and collections (AR days, cash goals, aging, and compliance metrics) and the technology tools utilized to deliver and improve performance (claims clearinghouses, advanced AR management workflow tools, disputed claims management).
Strong interpersonal skills with the ability to present information in a clear and concise manner.
- MBA or similar advanced degree in a relevant field.
- Five (5+) or more years progressive management or higher level leadership experience including oversight of billing and collections operations in a large, multi-specialty physician group practice of 200+ providers with revenues >$100M.
- Six Sigma or other Lean Management Training.
- Experience managing a union-represented workforce.
- Epic Certified.
- Experience within a large physician group practice in an academic health setting.
- Must be able to work various hours and locations based on business needs.
- Employment is subject to a criminal background check and pre-employment physical and drug screen.
Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).
UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!
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