Description

　　The Senior Director, Physician Billing Revenue Cycle Operations, will be responsible for the management, implementation and execution of clinic revenue cycle improvement initiatives and to act as the liaison between stakeholders of the clinics and the Shared Service functions provided to the clinics including insourced and outsourced revenue cycle responsibilities.

　　The position will be responsible for process improvement work to optimize people, processes and technology throughout the revenue cycle and must have in-depth knowledge of ambulatory revenue cycle including: scheduling, referral management, insurance verification, registration, charge capture, coding, claim processing, denial management and account receivable lifecycles.

　　This position is responsible for building effective partnerships and promoting collaborative relationships with Providence Medical Groups' Financial and Clinical leaders, caregivers and physicians. This leader continually evaluates the end-to-end revenue cycle processes to maintain best practice standards and realize service and quality commitments, ensuring that key stakeholders are kept fully informed on performance and important factors influencing it. This leader maintains current knowledge of industry trends and regulatory requirements and has considerable expertise in payer contracts.

　　The position requires a hands-on, self-motivated individual who thrives in a fast-moving, dynamic environment within a challenging and evolving industry. This key leader champions a mission-driven culture that embodies PSJH's core values of compassion, dignity, justice, excellence and integrity. This leader must inspire, mentor and cultivate critical relationships with to executives to drive operational outcomes in their assigned region(s).

　　ESSENTIAL FUNCTIONS

　　Analyze and monitor key performance indicator to develop strategies to meet or exceed best practice performance. Facilitate workgroups and develops/implements actionable strategies to maintain results with emphasis on an efficient and effective revenue cycle; improving collections, reducing bad debt and denials, and creating positive patient and provider experiences.

　　In collaboration with PCN leaders, recommend Epic and other system enhancements to drive necessary efficiencies and performance.

　　Manage applicable means of communication for stakeholders at all ministry locations that outline the avenues for success, potential barriers to avoid, and appropriate actions to take, etc., to optimize Revenue Cycle processes and efficiency.

　　Develop, maintain, and oversee consistent, focused front-end revenue cycle feedback loops to clinic and provider operations.

　　Ensure client facing deliverables (e.g., reports, meetings, agendas, presentations) are delivered in a timely and accurate manner.

　　Advocates for the optimal provider experience and is able to effectively communicate operational needs from providers to the shared services operations.

　　Establishes standards and processes to ensure continuous improvement in the revenue cycle.

　　Informs and partners with data and analytics team to build robust reporting which provides insight into the drivers of revenue cycle trends in ambulatory services.

　　Represent revenue cycle on key committees to help move to common standards and practices, while providing input back to the revenue cycle on clinic needs for variation and best practice.

　　Point of contact and escalation for revenue cycle issues and concerns. Work with revenue cycle leadership to resolve and assure the resolution is communicated timely to the clinics. Monitor raised issues for outcome and closure.

　　Establish relationships with key ambulatory leaders. Provide revenue cycle guidance during strategic initiative discussions.

　　Participate in professional activities and affiliations to maintain knowledge of trends and changes in the health care environment.

　　Actively supports and incorporates the mission and core values into daily activities. Treats all others with respect and demonstrates excellence, justice and compassion in daily work and relationships with others.

　　Maintain confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information.

　　Demonstrate service excellence and positive interpersonal relations in dealing with others, including patients/families/members, employees, managers, medical staff, volunteers, vendors and community members, so that positive relations are maximized.

　　Consistently demonstrate and incorporate principles of safety and infection control into daily activities as outlined in Environment of Care, Infection Control, and Exposure Control manuals and department safety policies/procedures. Maintains knowledge of work-appropriate aspects of environment of care programs complies with policies and reports unsafe conditions. Successfully completes Environment of Care HealthStream modules in the required timeframes and participates in fire drills and emergency exercises.

　　QUALIFICATIONS

　　Bachelor's degree in relevant area of expertise such as business, finance, health care administration; or equivalent education/experience (Preferred)

　　7 years of progressively responsible experience in healthcare administration/operations with an emphasis on management, business or account management in a leadership capacity

　　2 years of in-depth experience using Epic, with and understanding of best practice infrastructure to drive optimal revenue cycle performance

　　Advanced ability to analyze and interpret financial data

　　Advanced demonstrated problem solving skills

　　Advanced ability to build strong customer relationships

　　Advanced ability to lead/manage others

　　Advanced ability to represent the company with external constituents

　　Demonstrate knowledge of revenue cycle concepts and issues for ambulatory services

　　Demonstrate outstanding public relations and interpersonal skills

　　Ability to problem solve complex issues

　　Excellent critical thinking skills

　　Proven organizational skills

　　Excellent verbal and written communication skills

　　Ability to maintain in-depth knowledge of Federal, State, Local, and contract specific requirements

　　Ability to multi-task, remain calm in stressful situations, and to make quick and appropriate judgments to address various situations

　　Ability to act independently, guided only by broad organizational policies and objectives

　　Proficiency in MS Office applications, including Excel

　　Demonstrated ability to perform in alignment with company mission and values.

　　Demonstrated knowledge of HIPAA rules and regulations.

　　About Providence

　　At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

　　The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

　　Check out our benefits page for more information about our Benefits and Rewards.

　　About the Team

　　Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

　　Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

　　Requsition ID: 247990

　　Company: Providence Jobs

　　Job Category: Revenue Cycle Operations

　　Job Function: Revenue Cycle

　　Job Schedule: Full time

　　Job Shift: Day

　　Career Track: Leadership

　　Department: 4001 SS RC PATIENT ME ADM 1

　　Address: WA Renton 1801 Lind Ave SW

　　Work Location: Providence Valley Office Park-Renton

　　Pay Range: $63.28 - $103.89

　　The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

　　Check out our benefits page for more information about our Benefits and Rewards.