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HCA Healthcare · 2 days ago

Director of Revenue Analysis

Commerce, MI

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

HCA Healthcare is seeking a results-driven leader to join DMC Huron Valley-Sinai Hospital as the Director of Revenue Analysis. This role involves directing the revenue analysis function, maximizing process efficiency, overseeing hospital revenue cycle operations, and ensuring compliance with regulations while driving operational success.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Responsible for preparation and completion of eReserve

Responsible for the analysis of eReserve and items/trends that significantly impact net revenue. Responsible for the review and approval of manual adjustments and refunds

Monitors/analyzes AR/Disputes and assists with Bad Debt Initiatives. Monitors and communicates non-reimbursable charges (e.g., ABN not signed, denials, disputes, bad debt)

Reviews proposed managed care contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized

Assists in analyzing data to verify contract terms have been loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations

Monitors/reviews billing, A/R and reconciliation for hospital specific contracts (e.g., non-IMaCs, local employer). Works with hospital departments to resolve revenue cycle issues (e.g., orders, charging, Patient Access, DNFB, DNSP, QS, disputes). Works with hospital leadership on revenue cycle issues. Works with hospital related entities (e.g., clinics, universities), if applicable

Facilitates revenue cycle meetings (preparation, facilitation and follow-up). Supports/directs/monitors the following: department head meetings, chart audit meetings, compliance committees, charge master review/updates, pass through invoice retrieval, complex (e.g., High $ or At-Risk) in-house patient meetings, hospital revenue cycle implementation initiatives, internal/external Audit Assistance, engaging legal for collection Issues

Qualification

Revenue cycle managementFinancial analysisLeadership skillsHospital billing knowledgeProject managementAnalytical skillsProficient in softwareCommunication skillsInterpersonal skills

Required

Bachelor of Science in Biomedical, Electrical or Electronics Engineering or related area of study

Five to seven years experience in supervision and management of biomedical equipment, repair and maintenance of biomedical equipment or similar responsibilities with management of assets

In-depth knowledge of hospital and physician billing and reimbursement

Working knowledge in the areas of patient registration, billing, accounts receivables, HIM, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements, business office operations, and industry standards for health care revenue resolution management practices

Financial analysis ability to conduct cost and pricing studies and monitor overall financial performance of revenue cycle improvement initiatives and revenue impact of other pricing policy initiatives

Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forego alliances and garner support

Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes associated with patient management and the revenue cycle

Communication and/or interpersonal skills for contact with internal and external customers/stakeholders to obtain and interpret a variety of information based on knowledge of departmental practices, DMC policies and programs and specific technical and regulatory knowledge

Project management skills including the ability to define programs, projects, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner

Proficient in the use of personal computer and software applications and programs

Preferred

Master's degree in a related area preferred

Past experience in hospital revenue cycle programs highly desirable

Benefits

Medical, dental, vision, and life insurance

401(k) retirement savings plan with employer match

Generous paid time off (PTO)

Career development and continuing education opportunities

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

Company

HCA Healthcare

Glassdoor3.3

HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

Founded in 1968

Nashville, Tennessee, USA

10001+ employees