Director of Revenue Cycle

Company: Hoag Hospital
Location: Costa Mesa
Posted on: May 9, 2022

Job Description:

Job Summary
The Director Revenue Cycle is responsible for effectively managing Hoag Clinic Epic revenue cycle operations which include:
Responsible for the Epic system operational revenue cycle activities
Maximizes reimbursement within contractual terms
Implements new programs
Increase cashflow
Minimize bad debt
Provides outstanding patients services
Provide overall strategic direction for all Epic billing/collection activity

Job Knowledge, Skills, and Competencies
Change Management - The ability to adapt to changes in the environment on a personal and workload basis. Ability to facilitate constructive change in a team, unit, or other workgroup. Included is the facilitation of innovation and the encouragement of positive change.
Critical Thinking - Actively and skillfully conceptualizing, applying, analyzing, synthesizing, and/or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication.
Data Analysis - Identifying, evaluating, interpreting, and organizing data so that it can be used for business decisions. It includes sorting through data to identify patterns and establish relationships.
Diversity - Ability to work with a diverse group of people in a manner that enables them to reach their full potential, in pursuit of organizational objectives, without anyone being advantaged or disadvantaged by irrelevant considerations.
Equipment Knowledge - Knowledge of equipment, tools, technology, and other devices in work area and the ability to use them to the extent required for the job. For clinical position, this includes equipment and devices pertinent to treatment, procedures, and practice.
Interpersonal Skills - Listens to and understands what others are saying. Establishes effective working relationships with others, contributing to a climate of mutual respect and cooperation. Uses vocabulary and grammar appropriate to the situation. Demonstrates sensitivity and tact, understanding own effect on the motivation, attitudes, and actions of others. Makes favorable first impressions.
Job Knowledge - The knowledge and understanding of concepts and procedures needed to be successful in the job. For clinical positions, this includes clinical procedures required by department and unit, as demonstrated by unit-based competency testing.
Operational Management - the management of the people, resources, deliverables, budgets, general administration, and other components of day-to-day management of a functional unit or department.
Oral/Written Communication - Ability to speak and write effectively, demonstrates fundamental command of language, communicates well using all mediums.
Project Leadership - Project Leadership is a process of stating objectives in a way that is precisely understood, ensuring the commitment of individuals to those objectives, defining the methods of measurement, and getting things done
Travel - Position may require local travel between various Organization locations.

Organization Behavioral Competencies
Trust & Accountability - Demonstrates honest and ethical behavior. Takes responsibility for both words and actions. Acts with integrity. Maintains patient confidentiality.
Business Acumen - Uses resources, equipment, and finances appropriately. Demonstrates the functional and technical skills to do the job effectively. Willing and actively shares his/her knowledge with others. Accepts changes and adapts to new situations and responsibilities.
CUSTOMER SATISFACTION - Delivers superior customer service consistent with the Hoag Experience. Displays a professional image. Demonstrates tact, diplomacy, and understanding when dealing with difficult situations. Listens and asks questions to understand patient and customer needs. Builds relationships with internal customers and employees. Admits mistakes and takes service recovery to steps to ensure any issues or problems are quickly addressed. Ensures that all information and services provided are safe, accurate, and available in a timely manner and meet regulatory requirements.
INNOVATION - Brings forth creative ideas (one's own or others) to address patient, physician, customer, and community needs. Looks for creative or new ways to improve efficiencies and reduce costs. Adopts new processes, techniques, and methods. Stays current with technologies and advances in his/her area, department, and/or field.
INSPIRING LEADER & COACH - Fosters energy, enthusiasm, commitment, and an environment where people want to excel. Demonstrates respect for diversity in people, ideas, and backgrounds. Aligns actions with Hoag's Mission, Vision, and Values. Maintains positive relationships with Hoag's physician partners and practices mutual respect between hospital staff and our physician partners. Provides feedback in a way that facilitates improvement and growth. Delegates responsibilities to build team capability and manage workload. Is someone people like working WITH and FOR.
TALENT DEVELOPMENT - Selects and grows talented individuals. Empowers others with the authority they need to be successful. Identifies and supports developmental initiatives and opportunities. Takes time to mentor and support direct reports. Recognizes and rewards people for excellent performance.
STRATEGIC AGILITY - Anticipates future trends and consequences. Provides clear direction to his/her team. Works through formal and informal channels to get things done. Accurately anticipates and addresses both potential threats and potential opportunities that may impact the department/function's success. Accepts change and adapts to new situations and responsibilities.

Education and Experience
Bachelors' degree or equivalent experience
Six plus years experience in revenue cycle and/or billing practices
Knowledge of third-party payers, Medi-Cal, Medicare, State, and Federal Programs
Knowledge of denial management practices
Licenses Required
N/A
Certifications Required
N/A
Physical Job Requirements
Work Environment and Hazards: Office environment - exposure to paper dust, toners (printers, photocopy machines, and fax machines). Possible exposure to hazardous materials, communicable diseases, and risk of physical injury. Repetitive motion of hands due to heavy computer work.

Reporting Relationship:
Reports To: VP and CFO - Hoag Clinic
Position Supervises Manager Collection, Manager Billing, Manager Customer Service. Additional staff to be assigned by VP and CFO - Hoag Clinic.

Keywords: Hoag Hospital, Costa Mesa , Director of Revenue Cycle, Executive , Costa Mesa, California