Position SummaryProvides strategic and operational leadership for the District's Patient Access and Patient Accounting functions, with responsibility for the revenue cycle from patient registration through final account resolution. Oversees admissions/registration, scheduling and access workflows, insurance verification and authorization, financial clearance, point-of-service collections, billing, accounts receivable, payer follow-up, denial prevention and management, cash posting, collections, and related financial operations. Establishes performance standards and key metrics to promote accurate billing, timely reimbursement, regulatory compliance, operational efficiency, and a positive patient experience. Partners with Finance, clinical departments, Case Management, Health Information Management, Information Services, and other leaders to improve revenue cycle performance.
Key Responsibilities- Provide strategic and operational leadership for Patient Access and Patient Accounting, including registration/admissions, scheduling, insurance verification and authorization, financial clearance, billing, accounts receivable, payer follow-up, denial management, cash posting, collections, and PBX operations as assigned.
- Lead, develop, and evaluate department leaders and staff; oversee staffing, training, performance management, productivity, employee relations, and succession planning.
- Establish department goals, policies, procedures, service standards, internal controls, and performance expectations aligned with District and revenue cycle objectives.
- Develop and monitor key performance indicators, including registration accuracy, authorization performance, point-of-service collections, clean claims, denial trends, accounts receivable days, aging, cash collections, productivity, and patient experience.
- Analyze revenue cycle data to identify errors, bottlenecks, payer issues, denials, revenue leakage, and operational inefficiencies and implement corrective actions.
- Ensure timely and accurate billing, follow-up, payment posting, account resolution, write-offs, collections, and financial reporting consistent with District policies and applicable requirements.
- Oversee front-end revenue cycle controls to support accurate demographic and insurance capture, medical necessity, payer requirements, authorizations, financial clearance, and collection of patient financial responsibility.
- Partner with Finance, clinical leadership, Case Management, Health Information Management, Information Services, and other departments to improve patient flow, account accuracy, reimbursement, and overall revenue cycle performance.
- Provide leadership for Patient Access and Patient Accounting systems, workflows, testing, implementation, issue resolution, and end-user training, including Meditech/Expanse and other revenue cycle applications.
- Develop and maintain training, competency, quality-audit, and continuous improvement processes across assigned departments.
- Oversee departmental budgets, staffing resources, vendor relationships, contracts, and operational needs.
- Ensure compliance with HIPAA, applicable CMS and payer requirements, government program requirements, District policies, and other federal and state regulations.
- Resolve escalated patient, physician, payer, and departmental concerns and promote professional, patient-centered service.
- Prepare and present reports to executive leadership regarding financial and operational performance, risks, trends, improvement initiatives, and resource needs; perform other duties as assigned.
- Other duties as assigned.
Minimum Qualifications- Bachelor's degree in healthcare administration, business administration, finance, health information management, or a related field required.
- Minimum five (5) years of progressively responsible experience in hospital revenue cycle operations, including Patient Access, Patient Accounting, or related front- and back-end revenue cycle functions.
- Minimum three (3) years of leadership experience with responsibility for staff, operations, performance management, and process improvement; director-level or multi-functional leadership experience preferred.
- Demonstrated experience with patient registration, insurance verification and eligibility, authorizations, billing, accounts receivable, payer follow-up, denial prevention/management, collections, and patient financial processes.
- Experience analyzing revenue cycle performance, including accounts receivable, denial trends, reimbursement, productivity, and other operational and financial performance measures.
- Experience leading system implementations, workflow redesign, or major revenue cycle improvement initiatives preferred.
- CHAM, CHAA, CRCR, or other relevant healthcare revenue cycle certification preferred.
Job Type: Full-time, Day Shift
Pay: $176K-$205K
All job offers are contingent upon the successful completion of a background check, physical exam, drug test, and verification of education qualifications and credentials.
