Revenue Cycle Director

Location
New Haven, New Haven County
Posted
Apr 16, 2014
Jobs Outside Higher Education
Businesses & Consultants
STARS Requisition number 24996BR

Department Patient Financial Svcs

University Job Title Director 5, Revenue Cycle

Posting Position Title Revenue Cycle Director

Bargaining Unit None

Job Category Managerial & Professional

Type of Employment Full Time

Duration Type Regular

Salary Grade 30

Work Location Medical School Campus

Worksite Address 300 George Street

Work Week Standard (M-F equal number of hours per day)

Position Focus: The Revenue Cycle Director is responsible for enhancing and maintaining a properly functioning revenue cycle process through a cross-department organizational structure. Critical responsibilities include achievement of annual and periodic goals for significant statistical indicators of revenue cycle performance and for the organization's overall financial performance.
The Revenue Cycle Director is expected to demonstrate, through plans and actions, that there is a consistent standard of excellence to which all departmental work is expected to conform. Such a standard should be based on establishing and maintaining a constancy of purpose, focusing on continuous improvement within the Director's area of influence, and delivering the highest degree of quality service possible.
The Revenue Cycle Director will be expected to participate in YMG, YSM and YNHH system initiatives and take a leadership role in revenue cycle initiatives that impact YMG.

Principal Responsibilities
1. Complete (or contribute to the completion of) various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables levels (days in A/R and aging), cost center productivity, and any long-range strategic plans for the department.
2. Plan, coordinate, and prepare year-end audits with public accounting firms and third-party auditors as they relate to A/R operations. Mediate and resolve conflicts regarding public accounting firms, third-party auditors, and investigative parties.
3. Directly manage all service programs, including external vendor programs and systems to ensure accurate and timely billing and collections.
4. Monitor and support daily staff functions in all areas related to the scope of the manager's responsibility. Participate in revenue cycle, denial management, charge master, and access management work teams.
5. Manage all audit activities within the organization and ensure operational improvements are made to protect YMG revenue.
6. Lead cross functional teams that impact the revenue cycle.
7. Maintain appropriate internal control safeguards over A/R records and collection of cash. Maintain compliance standards for providing accurate information on all YMG billings.
8. Assess and respond to organizational and customer's needs with innovative programs to ensure customer satisfaction. Implement patient-friendly billing guidelines.
9. Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
10. Oversee the financial interface between, and performance analysis of, the patient financial services functions and fiscal services functions.
11. Oversee the integrity of financial and clinical interfaces, while facilitating the development of strategic system planning.
12. Direct ongoing programs for staff development to include hiring and training for leadership positions and directing the hiring and training of all staff in the department.
13. Establish, maintain and modify work standards for all activities performed under the Revenue Cycle Director's direct control.
14. Complete (or direct the completion of) all necessary human resource documentation and adhere to all human resources expectations for subordinates.
15. Communicate regularly and effectively with subordinates and superiors regarding the status and condition of the business operations under control of the director.
16. Develop multi-disciplinary patient financial services teams to enhance quality and efficiency.
17. Incorporate YMG's values into all business staff development practices and all departmentally directed activities.
18. Strives to achieve excellence of service as described in the CARE Commitments.
19. Responsible for honest behavior in all matters. To the best of the employee's knowledge and understanding, complies with all Federal and State laws and regulations.
20. Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job.
21. Performs related duties as assigned.Required Education and Experience
1. Bachelor's degree required, preferably in business, health or public administration, management or a related field, Masters Degree preferred.
2. Minimum of 5 years of management experience in the receivables field required, with a work record that demonstrates in-depth knowledge of hospital and physician billing and reimbursement, skills in using mainframe and PC computers, experience with total quality management concepts and tools and knowledge of healthcare industry financial statistical indicators.
3. Must have a mature approach to problem-solving for all types of issues, good attention to detail and knowledge of medical terminology.

Required Skill/Ability 1: Working knowledge of patient registration, billing, A/R, and cash management, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, financial reporting technology and industry standards for health revenue resolution management practices.

Required Skill/Ability 2: Leadership skills to motivate cross-departmental teams' performance towards excellence and develop team concepts and consensus-building management styles.

Required Skill/Ability 3: The ability to make a significant contribution to the organization's overall effectiveness.

Required Skill/Ability 4: Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control.

Required Skill/Ability 5: Financial management skills, including the ability to financially analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis; staffing and financial reporting skills.

Weekend Hours Required? Occasional

Evening Hours Required? Occasional

Drug Screen No

Health Screening No

Background Check Requirements All external candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle and credit checks based on the position description and job requirements. All offers are contingent on successful completion of a background check. Please visit www.yale.edu/hronline/careers/screening/faqs.html for additional information on the background check requirements and process.

Posting Disclaimer The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments.


Yale University is an affirmative action/equal opportunity employer. Yale values diversity in its faculty, staff, and students and strongly encourages applications from women and members of underrepresented minority groups.
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