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Emory Healthcare · 2 days ago

Associate Director, Revenue Cycle

Atlanta, GA

Full-time

Onsite

Lead/Staff, Director/Executive

8+ years exp

Emory Healthcare is a leading healthcare provider committed to professional development and support. The Associate Director of Revenue Cycle will organize and direct daily activities, manage revenue cycle operations, and oversee accounts receivable while ensuring compliance and enhancing revenue.

Health CareMedical

Responsibilities

Organizes, plans and directs the daily activities of the department under the leadership of the director

Directs all business service activities to include policies and procedures

Plans, directs, manages, coordinates and monitors assigned specific activities related to revenue cycle operations for Emory Healthcare

Responsible for maximizing reimbursements and revenue enhancement

Serve as a key leader and senior member of the PFS management team

Oversees and is responsible for Accounts Receivable balance and activity management

Manages timely and appropriate application of payments and refunds

Closely monitors third party payments for compliance with contractual agreements

Pursues additional payments as appropriate

Ensures revenue cycle processes are managed timely with proper adjudication procedures

Intervenes with third party entities when necessary

Serves as key contact for Emory International, Patient Advocacy, VIPs and Administration

Works closely with Project Managers of Artiva, Cerner, Data Warehouse, etc. to enhance work flow and ongoing best practices for Revenue Cycle

Responsible for monthly reporting of collections, appeals and payment variances to the Finance Department, Care Coordination and CFOs of each individual facility

Works closely with colleagues of Emory Clinic on the initiatives for current and future state of streamlining departmental process to improve the Patient Experience and the overall Revenue Cycle

Assists in Management of onboarding and/or integration of new hospital services, acquired business relationships, facilities, etc

Building, maintaining and encouraging a productive working relationship with all staff members

Manages staff and employee performance

Resolves human resource-related issues, determines staffing needs, interviews and hires staff

Provides ongoing performance feedback, addresses problems, orients and trains employees, verifies competencies and identifies and suggests ways to develop skills

Determines disciplinary, termination and salary actions

Monitors workflow

Develops departmental goals, objectives and performance standards

Meets with other staff members to discuss progress and to develop future courses of action

Establishes, revises, administers and communicates policies, procedures and related forms in accordance with state, federal, and organizational guidelines

Communicates and monitors compliance with regulatory, licensing and accreditation standards

Manages third party relationships including but not limited to Early Out Accounts Receivable and Bad Debt Inventory

Qualification

Revenue Cycle ManagementHealthcare ExperienceAccounts Receivable ManagementPolicy DevelopmentStaff ManagementPerformance FeedbackCompliance MonitoringLeadership

Required

Bachelor's Degree in a healthcare or related field with 10 years healthcare experience or 8 years revenue cycle experience, 4 of which must be supervisory OR any combination of equivalent education and experience