The Director Physician Revenue Cycle, will oversee and provide both the daily and long-term direction of the Physician Practice Revenue Cycle function to ensure the division meets the goals and objectives for operational, strategic, quality, financial and other performance measures. The Director will ensure successful registration, coding, patient and third-party billing and collections, payment posting, customer service and provider credentialing for the division, while supporting the VP of Operational Finance and Division SVP- Chief Medical Officer.
Leadership: Administers written and verbal guidance in order to engage staff in the Revenue Cycle functions for Physician Practice Management operations. Establishes, implements, and manages effective pre-registration, authorization, registration, coding, charge capture, billing, collection, payment posting, A/R and credit balance management, customer service, and provider credentialing processes that enable stakeholders to access, interpret, and adjudicate billings for services provided by and related entities. Ensures processes associated with these policies, procedures, and functions are based on best practices, and are easy-to-use, timely, effective, and efficient. Ensures that these processes are designed to achieve the organizational goals of CHI. Maintains ongoing compliance with organizational, regulatory, contractual, and/or accreditation requirements (i.e. Organizational policies, CMS regulations, state regulations, payor contractual obligations, etc.).
Financial Performance: Conduct and facilitate leadership and management activities which drive performance and optimize the physician practice revenue cycle. Demonstrate positive impact on the management of accounts receivable, cash flow, bad debt and charity expense. Develop and implement effective policies, procedures and processes to meet financial goals defined through the strategic planning process (Ex: Cash collections, denials management, Days in A/R, etc.) Ensure the appropriate Revenue Cycle processes are implemented and maintained in order to meet these objectives. Ensure effective interdepartmental relationships necessary to achieve these objectives.
Regulatory & Payor Compliance: Implement appropriate procedures and educate physicians, clinic staff and other personnel on state and federal laws, rules, regulations and compliance requirements, as well as private payor requirements related to the administration of Revenue Cycle functions to efficiently and effectively maintain the integrity the Physician Revenue Cycle department.
Education Bachelor's degree in Business Administration, Healthcare Administration or Finance/Accounting required.
Seven plus years with progressive leadership overseeing physician practice revenue cycle functions required.
About Catholic Health Initiatives - Fargo Division
Catholic Health Initiatives, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care. One of the nation’s largest nonprofit health systems, CHI operates in 17 states and comprises 100 hospitals, includ...ing three academic health centers and major teaching hospitals as well as 30 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2016, CHI provided more than $1.1 billion in financial assistance and community benefit – a 13% increase over the previous year -- for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled more than $2 billion with the inclusion of the unpaid costs of Medicare. The Englewood, Colo.-based health system, which generated operating revenues of $15.9 billion in fiscal year 2016, has total assets of approximately $22.7 billion. Learn more at www.catholichealthinitiatives.org