Associate Director Revenue Cycle Management

Description

Penn Medicine is dedicated to its tripartite mission of providing the highest quality of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaborating with top clinical, technical, and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Hours

Fulltime, M-F, Hybrid (per department needs, after training period)

Location

Perelman Center for Advanced Medicine-3400 Civic Center Blvd

Department

Oral Max Surgery

Summary

The Associate Director Revenue Cycle Management is responsible for overseeing all revenue activities and organizing strategies to increase profitability and meet all financial objectives. They will review practice billing activities and generate ideas for innovative revenue programs. Areas of oversight include but are not limited to practice revenue cycle operations including pre registration, financial clearance, documentation, coding, charging, and billing and collections practices. This position will analyze and review all departmental work queues for accuracy and timely completion. Promote and evaluate key performance indicators including but not limited to, self-pay collection rates, bad debt, charge lag, claim edits, and enrollment edits. The Associate Director Revenue Cycle Management will report to the department COO with a dotted line to the Director of Professional Fee Revenue Cycle Ops.

Accountabilities

• Define strategic objectives, work closely with internal stakeholders and revenue cycle business partners to evaluate and analyze existing systems and processes, and implement improvements that support revenue cycle goals.
• Ensures compliance with federal and state legal requirements by researching existing and accessing new legislation and by consulting with outside advisors.
• Completes all regulatory and company documentation and reporting in accordance with established and/or required schedules.
• Advises management of actions and potential risks.
• Works proactively and closely with the compliance team on regulatory and credentialing matters impacting revenue cycle processes and develop strong relationships with payers and health plans to ensure streamlined problem resolution and maximize opportunities.
• Respond to inquiries related to insurance billing concerns, collection law, and insurance protocol escalated by billing team staff.
• Prepare staffing and operations budget projections annually. Ensure department operations expenses are maintained within budgeted projections.
• Participates in the hiring, onboarding, and ongoing training processes of revenue cycle personnel.
• Keeps clinic leadership apprised of physician practice and staff performance through periodic reports and scheduled meetings.
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.

Education and Experience

• Bachelor's Degree Healthcare Administration or related field (Required)
• And 5+ years Relevant management experience, including three years in healthcare.
• Equivalent experience may substitute for a degree
• Master's Degree Healthcare Administration or related field and 3+ years Relevant management experience, including three years in healthcare (Preferred)

Skills and Abilities

• Knowledge of patient registration, scheduling, authorizations, billing process and workflow.
• Experience with accounting, financial statements, and revenue cycle operations.
• Basic knowledge of EHR programs, Medical Terminology, ICD-10, CPT, HCPCS codes and coding processes.
• Strong understanding and comfort level with computer systems and experience with process improvement methodologies.
• Thorough understanding of healthcare reimbursement and denial management processes.
• Previous staff management experience.
• Excellent inter-personal, verbal, and written communication skills.
• Demonstrated ability to successfully lead process improvement projects.
• Demonstrated analytical skills.