Director Business Services - Revenue Cycle Administration

 
Position: Director Business Services - Revenue Cycle Administration

Job ID: 145722

Location: US-TX-Houston

Department: REVENUE CYCLE ADMINISTRATION

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 7a - 3:30p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital opening in 2017. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for a Director of Business Services – someone who works well in a fast-paced setting. In this position, you will be responsible for coordination and management of the professional fee billing and collection communications to the academic sections comprised of pediatric medicine, pediatric surgery and women's service. This leader provides insights and direction necessary to positively impact the performance of revenue cycle functions in collaboration with the clinical and administrative section leadership. The leader will inform and influence the sections regarding efficiency and effectiveness performance opportunities including operations activities associated with patient accounts commencing with ambulatory patient registration through final resolution. Responsibilities include leadership aspects of revenue cycle communications, continuous performance improvement and revenue recovery in concert with other revenue cycle leaders, practice administrators, section leaders and executives.

Think you’ve got what it takes?



Responsibilities :

  • Achieve the enterprise goals of increasing cash collections in proportion to expected reimbursement, lowering the level of uncollectable accounts for bad debt and uncompensated care arising from payor denials and process failures
  • Analyze performance, develops and present monthly reports to clinical and administrative leaders including physician in-chiefs, section-chiefs, individual physicians, and operational and executive leaders in a timely manner
  • In concert with other revenue cycle leaders, facilitate the organizations adoption of industry change relating to professional clinical revenue. Manage the revenue cycle’s relationships with outsourced professional fee billing and collection vendors
  • Develop, communicate and defend the business cases for appropriate in-sourcing of revenue cycle functions
  • Lead and/or participates in strategic projects that enable the revenue cycle operation to establish and exceed organizational objectives including, annual revenue growth, wRVU generation tracking and trending, billing system technical redesign, process improvement / workflow redesign
  • Set annual goals for revenue cycle staff
  • Ensures staff assignments are appropriate and formal training and other experiences are available to foster learning and development
  • Develops and supports an ongoing quality assessment and improvement program that targets the most important aspects of services provided by the department


Qualifications:

 

  • Bachelor's Degree
  • 4 years of revenue cycle, managed care, continuous quality improvement, and/or business administration experience
  • Master's Degree preferred


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