Director, Post-Acute AR (Remote)

Description

We are seeking a Director, Post-Acute (Remote) to:

• Direct operational accountability for billing, follow up and denials for all ministries and includes legacy AR
• Be responsible over all payers, across all applicable Providence Post-Acute ministries, including Home Health, Hospice, Skilled Nursing, Assisted Living, Home Infusion, Home Medical Equipment, PACE, Behavioral Health, Transitional Care and Long-Term Acute Care Facilities that are utilizing Epic and Non-Epic Systems
• Be responsible for annual cash collections of approximately $1.5B across Post-Acute ministries in AK, CA, OR, TX and WA
• Be responsible for executing a strategic plan to accomplish the goals for the Post-Acute ministries, including legacy AR, in partnership with the leaders of Providence RCS Services
• Be accountable for development, operations and optimization of the Post-Acute Ministries Billing processes within Revenue Cycle (RC)
• Work with key stakeholders across Providence; executing strategic plans around Post-Acute Ministries Billing initiatives; participating in, leading, and partnering with others on RC strategic integration efforts; ensuring a compliant, effective, and streamlined operational experience for business and patient constituent groups
• Have strong communication skills and leadership experience managing all areas within Post-Acute Ministries billing, follow-up and denials
• Be responsible for participation in the leadership of the RCS directors and managers to ensure Revenue Cycle activities are standardized across the Revenue Cycle departments in the health system, and that all policies, procedures, and strategies adhere to the guidance and vision of the centralized Revenue Cycle function
• Partner with the system level leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance and vendor management
• Continually review the current state and work with the Executive Director of Post-Acute AR, Billing and Follow Up and other Providence Revenue Cycle leaders to move the organization to leading practices
• Be responsible for ensuring policies and procedures are current and enforced, business practices are compliant, and a high level of patient and customer satisfaction is maintained across the region
• Be self-directed and require minimal supervision
• Promote an environment shaped by health, healing, hope, diversity, and mutual respect

In this position you will have the following responsibilities:

• Develop, evaluate monitor and communicate the long and short term strategic objectives of the revenue cycle function, ensuring consistency and alignment with the strategic objectives of the centralized revenue cycle organization, and Providence
• Responsible to achieve annual performance goals as established by the Chief Revenue Cycle Officer for Providence
• Develop and execute a detailed plan to improve the revenue cycle and to continually improve registration accuracy, coding accuracy, reduce days in AR, increase cash collections, reduce bad debt, eliminate write-offs due to revenue process issues and improve customer and patient satisfaction
• Provide shared operational leadership to all ministries in the organization related to Post-Acute lines of business
• Provide shared leadership and supervision to the areas of oversight
• Partner with other Revenue Cycle leadership to lead the development and implementation of policies, procedures and workflows which impact net revenue cash flow or performance efficiency across the Revenue Cycle function that align with the strategic direction and standardization for all of RCS Home and Community Care
• Partner with system wide Revenue Cycle leadership to develop process improvement opportunities, training, technology innovation, analytics, compliance and vendor management to meet Post-Acute Revenue Cycle needs
• Collaborate with other Providence ministries and provides leadership in communicating consistent information and data regarding performance
• Organize payer issues to communicate to Providence Contracting to understand contract specifics and provide Providence Contracting with data to support negotiations with payers and development of contracting strategies
• Develop relationships and collaborate with leaders at the payer level to improve appeal turnaround and dispute resolution
• Manage and oversee the development of technology solutions to improve efficiencies and reduce the delays in workflow processes
• Develop and ensure that all activities of the Revenue Cycle are performed in accordance with state and federal regulations, mandated collection practices, all regulatory agencies including JCAHO, and are HIPAA compliant
• Monitor the operational budget as well as any capital budget requests, and complete all fiduciary responsibilities
• Actively collaborates with the financial leaders across Providence to ensure the goals and strategic initiatives are aligned and whenever feasible, operational procedures are standardized
• Responsible to ensure work distribution is allocated appropriately and productivity metrics are achieved on a daily basis
• Responsible for tracking all KPI benchmarks (daily, weekly and monthly) and determining root causes of gaps in any metrics
• Lead efforts to standardize and optimize operational activities within the assigned service lines

Required qualifications for this position include:

• H.S. Diploma or GED; High school diploma or equivalent
• 10 or more years - Related experience in healthcare, revenue cycle or finance
• 10 or more years - Leadership experience

Preferred qualifications for this position include:

• Bachelor's Degree in Business, Healthcare Management, or related field -OR- a combination of equivalent education / experience
• Master's Degree, MBA or MHA -OR- a combination of equivalent education / experience

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

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.

Requsition ID: 103124

Company: Providence Jobs

Job Category: Billing/Collections

Job Function: Revenue Cycle

Schedule: Full time

Shift: Day

Career Track: Leadership

Department: 4001 SS IS HCC ADMIN

Address: WA Renton 2201 Lind Ave SW

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.