Saint Francis Health System · 4 months ago
Director, Revenue Cycle-Patient Accounting
Saint Francis Health System is a healthcare organization seeking a Director of Revenue Cycle-Patient Accounting. This role is responsible for directing all aspects of patient financial services, ensuring accurate billing and collections processes, and collaborating with leadership to implement best practices in patient accounting.
Hospital & Health Care
Responsibilities
Directs daily operations of patient accounting including Epic-based billing, follow-up, payment posting, and Accounts Receivable resolution for both professional and hospital services
Ensures accurate and timely claim submission and remittance processing using Epic Resolute Hospital Billing/Professional Billing (HB/PB) and associated claims tools (e.g., Claim Edit Work Queues (WQs), Remittance Processing, and Correspondence WQs)
Manages automation tools such as Epic Clearinghouse Integration, Batch Posting, and Auto-Posting configurations
Manages and mentors a team of managers and supervisors, ensuring effective use of Epic workflows and task lists
Coordinates Epic training for patient accounting staff and promotes adherence to Epic best practices and new functionality rollouts
Oversees training and competency development related to Epic front-end collections and patient communications via MyChart and other digital tools
Monitors and reports on Epic-based Key Performance Indicators (KPIs) such as Days in Accounts Receivable, Clean Claim Rate, First Pass Resolution Rate, and Denial Trending
Uses Epic dashboards and workbench reports to proactively identify issues and lead performance improvement efforts
Collaborates with Epic Application Support, IT, Revenue Integrity, and clinical departments to resolve issues affecting billing and collections
Participates in Epic upgrade testing, revenue cycle optimization projects, and system-wide Epic governance committees as needed
Identifies opportunities for automation and improved integration between Epic and external vendors (e.g., collections, lockbox, payment portals)
Ensures Epic workflows meet payer billing requirements and comply with Center for Medicare and Medicaid Services (CMS) and state guidelines
Works with Compliance and Internal Audit to monitor Epic workflows for proper controls, segregation of duties, and documentation
Prepares and manages the patient accounting departmental budget; tracks Epic-related technology costs and identifies Return On Investment (ROI) opportunities
Qualification
Required
Bachelor's degree in Business, Healthcare, or related field
Minimum 8 years experience in Hospital and Professional billing and claims in an Epic environment
Experience with Epic systems
Extensive knowledge of healthcare revenue cycle management, particularly in patient accounting
Advanced knowledge of Microsoft 365 and other applicable software applications
Strong leadership and team management skills, with a focus on improving efficiency and patient satisfaction
Sound organizational skills to manage multiple tasks and deadlines effectively with the ability to identify and resolve problems efficiently
Strong ability to develop and execute strategies that improve billing and Accounts Receivable management
Ability to manage and optimize claims workflows, with using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems
Effective ability to work in a collaborative team environment and build strong relationships with team members
Company
Saint Francis Health System
Saint Francis Health System is an integrated health system in Tulsa, Oklahoma, with an emphasis on a complete continuum of care.