Job DescriptionThe Director of System Revenue Cycle leads the organization's registration, and admitting operations, ensuring a high-quality patient experience while optimizing financial performance. Provides strategic and operational leadership for registration accuracy, insurance verification, authorization, scheduling, financial clearance, and regulatory compliance. Partners closely with Revenue Cycle, clinical, and operational leaders to improve front-end revenue cycle performance, reduce denials, and strengthen point-of-service collections.
Key responsibilities:
- Lead registration and admitting operations across the organization.
- Optimize workflows, staffing, productivity, and service standards.
- Ensure accurate demographics, insurance, eligibility, authorizations, and financial clearance.
- Drive improvements in point-of-service collections and front-end revenue capture.
- Reduce registration-related denials and downstream revenue cycle issues.
- Develop performance metrics, accountability, and continuous-improvement initiatives.
- Partner with clinical and administrative leaders to enhance the patient experience.
Responsibilities- In collaboration with the sites management, directs the operational activities of admitting, bed planning, outpatient & emergency department registration, and facility specific order entry processes.
- Maintains optimum communication acting as liaison with other departments (hospitals, business center and physician practices) in resolving complex technical problems or providing/obtaining operational information and assistance.
- Develops and implements short- and long-range plans designed to meet the continually changing needs of the hospitals as it relates to the Department. Plans and directs the evaluation and review of computer, systems, volume workflow patterns and performance improvement.
- Develops and monitors departments budget, allocates funds within budget limit to accomplish objectives. Develops staffing strategies and implements scheduling systems that are consistent with meeting the budget objectives. Ensures that the patient care quality and service goals are met with the appropriate mix and number of qualified staff.
- Establishes criteria for objective standards of performance and productivity in the hospitals departments. Develops processes to capture necessary demographic and financial data in order to coordinate fiscal requirements of the Finance Department with the revenue cycle process.
- Develops and recommends policies and procedures for area of responsibility. Regularly reviews recommendations of subordinates regarding changes policies and procedures.
- Assures adequate and appropriate staffing of the department and oversees training and continuing education needs and activities of employees.
- Ensures departmental compliance with hospital and departmental, policies procedures, JCAHO standards, local, state and federal legislation. Ensures all personnel, facilities and equipment maintain appropriate licensure.
- Performs other duties as required or directed; cooperation is demonstrated in the performance of other duties within scope of job description. Attends both department & educational in-services as required.
Qualifications- Bachelor's Degree (BA or BS) with emphasis in Business Administration and/or Healthcare required. Master's Degree preferred.
- 10+ years of experience in healthcare Revenue Cycle setting (i.e. registration, financial clearance, billing, etc) with at least 10 years of management experience
- At least 1 year director level over multiple facilities/units or equivalent business experience.
