Director Patient Financial Services & Revenue Cycle

 
Position: Director Patient Financial Services & Revenue Cycle

Job ID: 151373

Location: US-TX-Houston

Department: REVENUE CYCLE ADMINISTRATION

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8am-5pm

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, the first hospital devoted to children’s care for communities north of Houston. 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 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.  

Summary:

We are looking for a Director of Revenue Cycle Operations – someone who works well in a fast-paced setting. In this position, you will be responsible for implementing, upgrading and maintaining the organization’s billing function and revenue cycle operations. You will also provide oversight of all hospital accounts receivable functions and reporting systems that provide management with the most current information needed to efficiently manage the accounts receivable process. In addition, you will be responsible for overseeing the patient accounting medical audit and charge master function.

Think you’ve got what it takes?



Responsibilities :

  • Successfully manages the implementation and maintenance of the patient accounts hospital billing system functions while supporting other Revenue Cycle systems changes and upgrades in cooperation with Information Systems representatives.
  • Oversees the Charge Master, the electronic billing and remittance posting for all Revenue Cycle functions while ensuring compliance with established local, state and federal rules and regulations. Demonstrates strong knowledge of Charge Master strategies and rate setting. Responsible for ensuring quality customer service to patient families.
  • Works with Information Systems team and outside vendors to ensure that there is reconciliation of electronic claims submission, payment posting, and online software to ensure vendor receives appropriate billing information.
  • Works closely with Senior Vice President of Revenue Cycle and Directors reporting to the Senior Vice President of Revenue Cycle to develop, implement and maintain a formal training program for the Patient Accounts staff.
  • Participates in the Revenue Cycle Advisory Committee, the Pricing Strategy Committee and other IDS/Hospital and Department committees as assigned to help evaluate opportunities for Revenue Cycle improvements and to provide feedback and reporting to management as needed.


Qualifications:

  • Bachelor’s degree in a business-related field required
  • 7 years' experience in a healthcare or business office / patient accounts
  • 3 years formal supervisory experience
  • Knowledge of the revenue cycle including patient registration, billing requirements, collection processes/regulations, managed care reimbursements, hospital patient accounting systems, budgeting, and knowledge of the Continuous Quality Improvement (CQI) processes
  • Must have experience of personal computer applications such as word processing, spreadsheet and database software
  • Knowledge of the Epic HIS product ID preferred
  • Ability to manage projects, processes and people, effectively communicate verbally and in writing, interpret managed care contracts, conduct meetings, operate a personal computer, and promote exceptional customer service

 



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