SYSTEM VICE PRESIDENT - REVENUE CYCLE
Company: UNC Health Care
Location: Chapel Hill
Posted on: September 23, 2018
SYSTEM VICE PRESIDENT - REVENUE CYCLE-FIN0033W
The System Vice President Revenue Cycle serves as the Chief Revenue Officer for the health care system and is responsible for enhancing and maintaining a properly functioning corporate revenue cycle operation across the health care system and within entity cross-departmental organizational structures. This leader reports in a dyad structure to the Senior Vice President of Finance and the Chief Executive Officer of UNC Faculty Physicians.
The System Vice President Revenue Cycle, is the primary executive responsible for executing hospital and professional (provider) revenue cycle shared services and managing the entity service level agreement (SLA) as it relates to revenue cycle operations. In addition, the System Vice President Revenue Cycle has operational responsibility for patient facing and entity resources in key operational areas directly and indirectly involved with revenue cycle operations (e.g. patient access, arrival, HIM, bed side registration, cashiering, etc.)
Description of Job Responsibilities:
1. Scope of Work The position oversees revenue and associated cash operations for the health care system, whether hospital or professional based. The leader must interact with others in executive management at the System and entity level, Board and Committee members, University and School of Medicine executives and officials, Payers, Governmental Representatives, Regulators, collection agencies, consultants and the general public.
2. Revenue Cycle This position works directly to oversee corporate revenue cycle and associated cash flow for the following entities: UNC Hospitals, UNC Rex Healthcare, UNC Faculty Physicians, UNC Physicians Network, UNC Group Practice, UNC Rockingham, Johnston Health, Nash Health Care, High Point Regional, Caldwell Memorial Hospital, Pardee Hospital, Chatham Hospital, Wayne UNC Health Care and such additional affiliates owned and managed as shall become part of the UNCHC in the future. This position oversees hospital and professional revenue cycle functions including, but not limited to: Patient Access, Pre-Arrival, Pre-Call, Scheduling, HIM, Clinical Documentation Improvement, Revenue Integrity, Coding, Patient Financial Services, Denial Management, Revenue Cycle Analytics, Revenue Reporting, Financial Assistance, Financial Counseling, Patient Navigation, Customer Service, Self-Pay and vendor relationships. Revenue Cycle is a 24 hour per day, 7 day per week function highly integrated with clinical operations, and upon which success is mutually dependent. This complexity requires the System Vice President Revenue Cycle to be familiar with and partner with entity operations at the executive, strategic and operational levels to assure that support services and revenue operations are scaled to meet individual entity objectives. Functional area responsibilities are as follows:
- Professional and Hospital Patient Financial Services: Responsible for directing patient account functions including Billing, Collections, Denials, Payment Review, Cash Posting / Refunds, Call Center, and Customer Service. Responsible for planning, developing, and implementing new systematic approaches to optimizing revenue and cash flow. Provides direction and leadership to assure support and accomplishment of the health systems patient account functions, through well-organized, efficient, and effective patient account processes while preparing for value-based reimbursement. Provides direction and leadership to assure support and accomplishment of the health systems patient account functions, through well-organized, efficient, and effective patient account processes. Partners with Managed Care in developing payer partner strategies and resolving payer/provider disputes.
- Health Information Management, Revenue Integrity and Coding: Responsible for directing health information management functions including chart analysis, CDI, Coding, Revenue Integrity/Regulatory Services, Document Management, Chart Correction, Forms Management, CDM Management, Denials Management, Release of Information and RAC/Audit. Provides direction and leadership to assure support and accomplishment of the health systems health information management functions, through well-organized, efficient, and effective processes. Responsible for ensuring compliance with state and JCHAO regulations.
- Pre-Arrival: Responsible for directing pre-service functions including insurance verification/authorization, pre-registration, pre-call, patient estimates, billing edits and denials. Plans for system changes to improve financial performance. Identifies and implements systems that prevent revenue loss, ensure correct reimbursement for services, and encourage timely receipts. Contributes to collaboration, integration, and performance improvement activities with revenue cycle and clinical operations managers to achieve strategic, financial, and operational performance goals.
-Patient Access: Responsible for directing hospital based patient access functions including Registration, Medicaid Eligibility, Financial Assistance, Financial Counseling, Courier Service and Cashiering/POS Cash Reconciliation. Provides direction and leadership to assure support and accomplishment of the health systems patient access functions, through well-organized, efficient, and effective patient access processes.
- Analytics and Reporting: Responsible for directing analytics functions for both hospital and physician revenue cycle operations. Responsible for analyzing, planning, developing, and implementing new systematic approaches to maximizing revenue and cash flow. Develops dashboards to provide real time feedback to management/physicians/staff on key revenue cycle metrics. Provides direction and leadership to assure support and accomplishment of the health systems patient analytic functions, through well-organized, efficient, and effective processes. Develops and distributes practice and entity revenue reporting and supports Relationship Director and Practice Leadership interactions.
3. Compliance Corporate revenue cycle operations are subject to regulatory and corporate compliance rules and policies, including CMS, Conditions of Participation, Medicaid, The Joint Commission, the NC Department of Health and the NC State Insurance Department. The System Vice President Revenue Cycle interacts internally and externally to promote, monitor and continuously improve operations with respect to compliance, and efficiency.
4. Leading People Leads people toward meeting the organization's vision, mission, and goals. Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Treats sensitive and confidential information appropriately. Works to improve and reinforce performance of others. Delegates assignments, clarifies expectations and holds others accountable for achieving results related to their area of responsibility. Encourages workforce engagement by building a commitment to excellence. Works collaboratively toward solutions that accomplish organizational objectives.
5. Reporting Relationships Reporting to this position are the following roles and functions: Executive Director of Patient Finance Hospital, Executive Director of Patient Finance Professional, Executive Director of Health Information Management, Revenue Integrity and Coding, Executive Director Pre-Arrival, Executive Director-Revenue Cycle Analytics and Reporting, Executive Director Patient Access, Revenue Cycle Project Manager.
6. Leading Change Initiates and manages the change process, taking steps to remove barriers or accelerate its pace. Communicates a compelling vision and need for change that generates excitement, enthusiasm, and commitment to the process. Clearly communicates the direction, required performance, and challenges of change to involved parties. Identifies and enlists the support of key individuals and groups to move the change forward. Obtains and provides resources to implement change initiatives. Serves as a role model by demonstrating commitment to innovation and continuous improvement in organizational performance.
7. Results Driven Exceeds departmental and organizational goals and customer expectations. Makes decisions that produce high-quality results by applying knowledge, analyzing problems, and calculating risks. Delivers high-quality services and is committed to continuous improvement. Understands the overall financial performance of the organization and applies financial concepts and practices to establish and maintain realistic budgets. Uses financial information to monitor overall financial status of operations.
Masters Degree in Finance, Accounting, Business or related field is required.
Ten (10) or more years of management experience in healthcare with evidence of progressive leadership responsibility. Direct experience in finance, accounting, revenue cycle and healthcare administration required. Prior experience as a Senior Executive required at the Vice President and/or C-Suite level. Extensive knowledge of revenue cycle operations, financial accounting, contract modeling, audit procedures, and cash flow/treasury management, along with accounts receivable valuation proficiency is highly desired.
This highly visible position requires, refined executive presence and astute ability to lead strategically and tactically the hospital revenue cycle operations of a complex integrated health care delivery system. Operational and financial management skills, including the ability to analyze and resolve issues related to accounts receivable..... click apply for full job details
Keywords: UNC Health Care, Chapel Hill , SYSTEM VICE PRESIDENT - REVENUE CYCLE, Executive , Chapel Hill, North Carolina
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