Description

THE ROLE

The Director of Revenue Cycle Services, Regional Business Partner (RBP), works in collaboration with PSJH leadership and Revenue Cycle Regional Executive Partner to transform revenue cycle into a world-class operation for one of the largest and most innovative health companies in the United States.

This role drives change in a large, highly matrixed organization, leveraging data, analytics and best-in-class technology to deliver revenue uplift. This leader is accountable for achieving revenue cycle performance goals and financial targets and driving enhanced revenue yield for an assigned region.

The RPB is responsible for building effective internal partnerships and promoting collaborative relationships with regional leadership and enterprise shared services, including finance, reimbursement, payer contracting, information technology, legal, and compliance. This leader continually evaluates the end-to-end revenue cycle processes to maintain best practice standards and realize service and quality commitments, ensuring that key stakeholders are kept fully informed on performance and important factors influencing it. This leader maintains current knowledge of industry trends and regulatory requirements and has considerable expertise in payer contracts.

The position requires a hands-on, self-motivated individual who thrives in a fast-moving, dynamic environment within a challenging and evolving industry. This key leader champions a mission-driven culture that embodies PSJH's core values of compassion, dignity, justice, excellence and integrity. This leader must inspire, mentor and cultivate critical relationships with to executives to drive operational outcomes in their assigned region(s).

The RBP functions as the RC representative on the local regional leadership committees and serves as the key point of contact for communication between acute ministries and RC. This position partners with Chief Financial Officers and other regional leaders at the hospital levels and/or other lines of business such as physician billing, post acute, and ambulatory care network to develop revenue cycle strategy that closely supports the aims of the ministry or market; working closely with senior leadership primarily.

This role is accountable for achieving performance metrics and responsible for sharing timely and critical revenue cycle management information, trends, and opportunities between the assigned ministries and RC leadership. This position is also responsible for providing revenue cycle support as requested by RC leadership to Community Connect, Affiliates, any managed acute facility and the physician and ambulatory enterprises. The RBP is responsible for maintaining an open relationship between RC and the reimbursement team, payer contracting, financial planning and analysis and, operational and administrative leadership of the assigned ministries and for assuring that issues raised by the ministries are addressed and resolution is fully communicated.

ESSENTIAL FUNCTIONS

• Responsible for performance reporting with accountability for performance metrics with an emphasis on revenue leakage. Telling the story and driving performance.
• Accountable for denials management and drives process improvements with Regions. Leads denials management committees.
• These are trusted advisers and field leaders who ensure issues are identified and resolved including crisis management and leading special projects, growth and expansion activity and support RC governance process.
• RBPs are the connection point between regions, rev cycle, shared services to drive system wide performance. They are also embedded in RC centers of excellence, payer contracting, reimbursement, and regional operations.
• The link between work done and revenue recognized. Drives accountability and feedback to improve collections initiatives, specifically payment variances for closed accounts from Epic expected reimbursement compared to actual reimbursement and a full month end analytical report for each region.
• Earn the Business through, responsiveness and proactive interaction with all key stakeholders supported by cross functional responsibility across regions, revenue cycle operations, and critical shared services.
• Informs and partners with data and analytics team to build robust reporting so that the CFOs have the information they need.
• Overarching responsibility to connect other modalities (Ambulator, Physician Enterprises, HCC, etc.).
• Represent Revenue Cycle on regional leadership committees to help ministries move to common standards and practices, while providing input back to RC on ministry needs for variation and best practice.
• Establish relationships with chief financial officers in assigned markets. Provide revenue cycle guidance during strategic initiative discussions.
• Point of contact for ministry issues and concerns related to RC. Work with RC leadership to resolve and assure the resolution is communicated timely to the ministry.
• Regularly update RC leadership on the issues and concerns expressed by the ministries including local ministry strategic plans that may impact RC.
• Participate in regional leadership meetings. Share current ministry issues or initiatives that are relevant to RC.
• Lead regional growth and expansion work in connection with revenue cycle centers of excellence. Support development and implementation of additional services or new ministries as requested.
• Engage with ministry or regional planning that would require approval through Growth and Expansion. Provide input related to revenue cycle topics or engage system resources for input in preparation of G&E requests. Attend weekly G&E meetings when relevant to ministry projects.
• Participate in professional activities and affiliations to maintain knowledge of trends and changes in the health care environment.
• Actively supports and incorporates the mission and core values into daily activities. Treats all others with respect and demonstrates excellence, justice and compassion in daily work and relationships with others.
• Maintain confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information.
• Demonstrate service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, vendors and community members, so that positive relations are maximized.
• Consistently demonstrate and incorporate principles of safety and infection control into daily activities as outlined in Environment of Care, Infection Control, and Exposure Control manuals and department safety policies/procedures. Maintains knowledge of work-appropriate aspects of environment of care programs complies with policies and reports unsafe conditions. Successfully completes Environment of Care HealthStream modules in the required timeframes and participates in fire drills and emergency exercises.

QUALIFICATIONS

• Bachelor's Degree in Business Administration, Health Care Administration, or equivalent; or equivalent educ/experience
• Master's Degree in Business Administration, Health Administration, or related area of study is preferred
• 8 years of overall experience
• 6 years of progressively responsible experience in healthcare administration/operations with an emphasis on management, business or account management in a leadership capacity
• A track record in leadership, influencing others and follow through on issues management
• Track record in taking initiative, working with minimal supervision and being self-directed and highly motivated in all work activities
• Ability to uphold the mission of the Sisters of Providence with exceptional professional conduct
• Demonstrated excellent verbal, written, and interpersonal communication skills
• Proven skills in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast-paced environment
• Proven strong analytical and problem-solving skills including gathering, interpreting and presenting complex data and identifying the most appropriate solutions to business problems
• Proven detailed understanding of revenue cycle concepts and issues
• Proven ability to operate and adapt in a fast-paced, complex, and dynamic environment
• Demonstrated ability to review revenue cycle reports and communicate trends and opportunities for improvement
• Demonstrated skills in facilitation, negotiation, meeting management, training, and quality analysis
• Evidence of the ability to develop, direct, motivate, and gain commitment of peers and management
• Proven ability to work collaboratively and professionally in a team environment
• Demonstrated ability to perform in alignment with company mission and values
• Proven PC proficiency in MS Windows and Office applications including MS Project
• Demonstrated knowledge of HIPAA rules and regulations
• Proven ability to work flexible hours and travel regularly for business.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

Requsition ID: 183015

Company: Providence Jobs

Job Category: Revenue Cycle Operations

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 4001 SS RC STRAT BUS PRTN

Address: TX Lubbock 3623 22nd Pl

Pay Range: $44.66 - $73.32

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.