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REVENUE CYCLE DIRECTOR

Company: Seattle Indian Health Board
Location: Seattle
Posted on: January 15, 2022

Job Description:

SIHB Core Competencies
Core Competencies are foundational commitments and skills that all SIHB staff are expected to develop. These competencies define common measures for performance that are applied to every role in the organization.

  • Commitment to Indigenous and Organizational Values: Everything we do at SIHB is centered on Traditional Indian Medicine. It is our responsibility to maintain cultural integrity in all that we do.
  • Accountability: All employees of SIHB effectively manage their own work and the work of their teams. We take ownership of our actions and decisions. We all strive to deliver the highest quality work and care, while respecting our teammates and relatives.
  • Collaboration: SIHB is a team-oriented organization. As team members, we share the responsibility of working toward a common purpose. We collaborate with our colleagues across the organization to deliver the highest quality of care and results in alignment with our mission, vision, values and Theory of Change.
  • Communication: We practice effective and clear communication with staff, relatives, teams and community. We demonstrate empathy among each other and with those we serve, and transparency in our decision making.
  • Customer Service Orientation: All employees of SIHB recognize the needs of the diverse community we serve. We put the needs of our relatives first by delivering the highest quality, professional, responsive, and innovative care. Our relatives come first and deserve the best.
    Position Summary: The Revenue Cycle Director will direct the day to day operations that contribute to the capture, management, and collection of revenue for clinic services. This position is responsible for ensuring timely activity on accounts receivable to maximize collections in compliance with all state and federal regulations as well as client contractual agreements. Responsibilities will include collaboratively establishing objectives and standards in order to drive efficiency, measure effectiveness and quality of work and continuously improve processes within the Revenue Cycle, Operations, Clinical Operations, IT/Systems and outsourced Vendor Services, and systems to support organizational goals. The Revenue Cycle Director plays a primary role in leading the SIHB strategy and optimization of revenue cycle operations, systems, policies and procedures.
    Organizational Structure/Reporting Relationships: This position reports directly to the Chief Operating Officer.
    Organizational Responsibilities

    • Hold Indigenous values and practices with respect and integrity
    • Hold yourself accountable to the highest standard by being resourceful, innovative, creative and solutions-oriented
    • Actively participate in organizational activities with the understanding that success is achieved through teamwork.
    • Recognize that communication is central to the organization's success and actively champion your words and actions to maintain respect for others, encourage constructive feedback, be open to share laughter and acknowledge differences in skills and opinions, all while keeping others' best intentions in mind.
    • At SIHB, we refer to our customers as Relatives. Our Relatives come first and deserve the best. Serve the needs of our Relatives first by delivering the highest quality, professional, responsive and innovative care.
      Job Responsibilities, Qualifications, Education and Work Environment
      Job Responsibilities:
      • Oversee the functions of the Billing department and align these functions to scale, efficiency and process improvement objectives
      • Work across functional lanes to help monitor and improve all aspects of revenue cycle, including, but not limited to, insurance verification, patient registration, co-pay collection, billing, coding, AR management, system design, operation metric development, payment posting and account reconciliation
      • Build a strong team with quality improvement at the core of their daily objectives
      • Actively lead process improvement activities and development of a cross-functional approach to RCM
      • Team management: performance review, monitoring, and improvement
      • Conduct routine staff meetings regarding billing planning and implementations
      • Implement and enforce written policies and procedures that govern proper claims accounting functions
      • Oversee partner vendors
      • Plan and implement quality assurance for all processes
      • Special program/billing planning and implementation
      • Assist in balancing accounts receivable reconciling statements as needed
      • Effective communication and collaboration with Executive Leadership, Partner Vendors, Providers and Department Directors
      • Assist in standardizing the methods in which work will be accomplished
      • Assist in preparing operational metrics and statistical reports as directed
      • Assist with the onboarding and orientation of new Patient Account Services staff
      • Assure organizational alignment of team design, new hire selection, onboarding and orientation of new RCM and cross-functional staff
      • Maintain best practices and alignment with Compliance and HIPAA Guidelines
      • At all times demonstrates cooperative behavior with supervisors, subordinates, colleagues, clients and the community.
      • Works extremely well under pressure; meets multiple and often competing deadlines.
        • Actively participate in internal quality improvement teams and work with members proactively to drive quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned.
        • Other job-related duties as assigned.
          Qualifications:
          • 7+ years of relevant experience in healthcare billing and revenue cycle and experience with quality management required
          • 5+ years of demonstrated team leadership
          • 2+ years of experience leading and managing vendor partners
          • Able to demonstrate flexible and creative solution design for business requirements in a unique healthcare delivery model
          • Actively lead process improvement activities and development of a cross-functional approach to RCM
          • Experience with multiple payment methodologies, including Fee For Service, Capitation and Encounter Rate
          • Must possess the ability to make independent decisions, aligned with the SIHB Theory of Change, when circumstances warrant such action
          • Must have proven ability to perform strategic planning and priority setting for a Patient Account Services department
          • Must have ability to manage multiple projects concurrently
          • Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
          • Proficiency with Microsoft Office Suite; Microsoft Project Management is desirable
          • Experience managing Payor Contracts and Payor Relationships
          • Proven cross-functional leadership experience
            Education:
            • Bachelor's degree in business/finance/accounting or 5 years equivalent experience in professional or healthcare business-oriented industryOther Requirements:
              • Team player with strong interpersonal skills and ability to build effective working relationships throughout all levels of the organization - Excellent verbal and written communication
              • Demonstrated cross functional relationship building skills
              • System thinker with ability to be creative and innovative in a fast-paced environment with a lot of ambiguity and constant change
              • Must function independently, have flexibility, personal integrity and the ability to work effectively with patients, personnel and support agencies
              • Highly organized
              • Solution-focused
              • Continuous Quality Improvement approach to work
              • Ability to identify, coach, mentor and develop new leadersWork Environment:Office hours are 8-5, Monday through Friday with occasional extra hours for events or to meet deadlines.

Keywords: Seattle Indian Health Board, Seattle , REVENUE CYCLE DIRECTOR, Executive , Seattle, Washington

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