Director of Revenue Cycle Mgmt & Process Improvement Analytics

Director of Revenue Cycle Mgmt & Process Improvement Analytics

Job Details

Job Location: AUUA Admin - Glendale, AZ
Position Type: Full Time
Job Shift: Day
Travel Percentage: Negligible
Education Level: 4 Year Degree
Job Category: Health Care

Description

GI Alliance is seeking an experienced Director of Revenue Cycle Mgmt & Process Improvement Analytics for the Urology and Radiation Oncology Department .

Duties of this position include, but are not limited to, the following:

Position purpose

Serve as the leader responsible for revenue cycle integrity and performance excellence. D ocument processes, identify areas for process improvement primarily through automation and/or partnering with outside solutions.

Responsibilities/Duties/Functions/Tasks :

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Manage the development of metrics to successfully track improvement and will partner with key organizational and site leaders to identify and achieve priorities, goals and objectives.
• Implement identified technologies and ensure the desired outcomes are met.
• Collaborate with the Business Intelligence (BI) team to ensure analytic tools are developed accordingly to order to meet desired outcomes.
• Analyze and evaluate strategic and financial information for potential target.
• Ensure all elements of cost, benefit, and risk are identified and considered during the project.
• Interact regularly with executive team to ensure initiatives and projects are aligned with companys direction.
• Ensure that all work is carried out in strict adherence with company policies, standard operation procedures (SOP), and in compliance with local, state, and federal guidelines.
• Initiates collaborative relationships between external, internal constituents and inter-office/inter-departmental staff.
• Evaluates practice productivity and provides recommendations for improvement.
• Prepares root cause analyses and recommends workflow improvements.
• Stays current with contracted reimbursement methodologies and coverage guidelines
• Identifies trending on denied claims, root causes of denials, and collaborates with team members to make recommendations for improvements
• Perform other duties as assigned

Qualifications

Qualifications

Education: Bachelors degree from an accredited university in business administration, healthcare administration or related field required. Masters degree preferred.

Experience: Five (5) plus years healthcare revenue cycle operations experience required. Experience in work measurement, methods analysis, and process improvement required.

Performance Requirements:

Knowledge:

• Must possess understanding of multiple RCM processes.

Skills and Abilities:

• Ability to demonstrate, not only the benefits of the performance and process improvement initiatives, but also, the costs are far outweighed by the benefits, ensuring reasonable return on investment.
• Demonstrated excellence in organizational and time management skills.

• Perform effective communications skills both verbal and written.
• Proven ability to manage multiple priorities: delegating and achieving goals and objectives.
• Develop and maintain relationships at all levels of the organization and can influence positive outcomes.
• Adapt, innovate, and lead in a fast-paced environment where change is constant.
• Be able to identify, analyze, and interpret complex data and provide resolutions to operational problems.
• Demonstrate solid commitment to researching, evaluating and recommending continuous quality improvement plans.
• Proficient in Microsoft Office and appropriate practice management software.

• GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.

  Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

  NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

  No phone calls or agencies, please.

  EEO/AA-M/F/disabled/protected veteran

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