Director - Revenue Cycle Operations - UTMB - Galveston

Job Description:
Develops, coordinates and directs of all receivable management activities related to the revenue cycle. The Director of Revenue Cycle Operations ensures accurate and timely billing and collection of all professional and hospital services at UTMB. This position actively establishes policy and procedure both internally within Revenue Cycle as well as throughout the institution to ensure compliance with all Federal and State-mandated billing and cash collection laws. The Director of Revenue Cycle Operations is responsible for managing critical key indicators and direct supervision of Revenue Cycle Management.
ESSENTIAL JOB FUNCTIONS:
Responsible for the coordination and provision of personnel and capital resources for revenue cycle operations.
Identifies and initiates improvements/efficiencies to the revenue cycle for both professional and technical revenue.
Provides guidance and instruction in the interpretation of policies, procedures, and regulations.
Identifies appropriate internal controls for department; provides mechanisms to monitor and enforce compliance. Develop, coordinate and implement receivable management and revenue cycle activities related to UTMB Hospitals and Clinics.

Monitors changes in Federal Regulations and advises departments of the impact of pending regulation changes. Establishes policy to ensure compliance with all Federal MD regulations and insurance company requirements related to the revenue cycle for UTMB Hospitals and Clinics.
Interacts with multidisciplinary personnel, including Chairmen, Institutional Leadership, Department Directors, etc., to ensure that processes are developed and maintained to maximize reimbursement to UTMB Hospitals and Clinics.
Develops plans for recruitment and retention of direct subordinates and oversees the recruitment and retention of management and operational staff.
Develops and implements institutional-wide strategies in conjunction with the Director of Health Information Management, relating to the diagnostic coding of Inpatient Medical Records to maximize reimbursement to the institution.
MARGINAL OR PERIODIC FUNCTIONS:
Other duties as assigned.
KNOWLEDGE / SKILLS / ABILITIES:
Knowledge of federal and state collection laws, Medicare, Medicaid, and other third-party pay or regulatory requirements.
Thorough knowledge of physician reimbursement and managed care contract issues.
Knowledge of automated systems that support physicians billing services.
General knowledge of medical terminology and trends related to disease processes and technology available for detection and treatment.
Strong communication and interpersonal skills with a high degree of professionalism in dealing with staff at all levels of the institution.
Demonstrated project management and performance improvement skills.
Excellent relationship-builder and communicator and extensive knowledge of health care operations and physician group practices.
Effective problem solving skills.
Ability to develop, prioritize, and accomplish goals.
Ability to analyze and evaluate data and make appropriate decisions/recommendations.

Desired Skills and Experience
Min Qualifications
Bachelor’s degree in finance or related field. Must have at least 10 years of related experience in revenue cycle environment and at least 6 years of management experience
Preferred Work Experience
Project Reengineering, Facilitation and Management
Knowledge of Project Lean Six Sigma
Strong Regression Analysis Testing Experience

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