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Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

The Director is responsible for the overall operational performance and strategic direction of the business office for NGHS' 4 acute care Hospitals, 2 LTAC facilities, and Hospice. Responsibilities will include managing all operational and financial aspects to ensure an efficient and effective revenue cycle and financial viability. Responsibilities also include oversight of billing, follow-up, charge capture, denials and underpayments, coordination of all commercial and governmental external audits, and matrix responsibility for the hospital cash posting team. Administratively responsible for budget oversight and assisting with strategic planning and implementation.

Minimum Job Qualifications

• Licensure or other certifications:

• Educational Requirements: Bachelors Degree required; or an equivalent combination of education and work experience may be considered.

• Minimum Experience: Three (3) to five (5) years of experience in hospital revenue cycle management with bachelor's degree; Seven (7) years of experience in hospital revenue cycle management required in lieu of Bachelors degree. The ideal candidate will be strategic experienced leader with superb leadership abilities and exceptional interpersonal and communication skills. Responsible for maximizing revenue while adhering to compliance policies and procedures.

• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:

• Preferred Educational Requirements:

• Preferred Experience:

• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• Creative, responsive problem solver, with strong customer service focus and a commitment to patient care and quality assurance

• Demonstrated experience in planning, developing and implementing revenue cycle best practices, gathering and analyzing AR data, and developing new procedures to improve quality and quantity of work processed

• Work with the assigned CFO/Controller to obtain accurate and timely month-end financial reports

• Must be able to demonstrate knowledge of billing and follow-up requirements and proper documentation/support of all requirements. Coordinate with the HIM, Case Management, Access Management, and Managed Care

• Above average use of Excel Spreadsheets and pivot tables

• Ability to make presentations to large and small groups. Coordinates and integrates services both inside and outside the Patient Financial Services Departments

• Ability to assist with the development and implementation of administrative policies, procedures and guidelines for departmental operations

• Knowledge of potential barriers to achieving AR and Cash targets and ability to develop and implement plans to make lasting improvements

• Ability to use data to proactively find cashflow issues and communicate recommendations to senior leadership

• Ability to work well with staff, peers, vendors, members of top management and physicians to continually assess and improve the performance and services provided by the Patient Financial Services
  

Essential Tasks and Responsibilities

• Acts and leads in a manner that is reflective of the philosophy, vision and values of NGHS. Integrates these values throughout all initiatives and efforts.

• Strategic leadership of the team to meet goals for departmental KPIs including (but not limited to) cash, AR aging, denials, and productivity.

• Reporting of daily/ weekly/ monthly KPIs to senior leadership.

• Works collaboratively with Human Resources and respective Director to appropriately select staff to perform Revenue Cycle functions and to monitor/manage staff levels. Administers human resource policies and procedures and ensures that positive human resource practices are implemented.

• Uses a proactive leadership style to model and promote a culture of trust and communication. Seeks suggestions and input from staff and colleagues. Promotes an active participation of all staff in decisions that affect them.

• Provides leadership and mentoring to individuals reporting directly to this position. Demonstrates ability to measure individual employee performance against criteria-based performance standards and uses readiness huddles, rounding, and evaluations as management tools and opportunities for coaching and developing staff.

• Knows the key requirements of each position and holds staff accountable for the responsibilities and regulatory compliance inherent to their roles.

• Encourages personnel to attend educational opportunities relevant to their position and supports their attendance.

• Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives and projects.

• Assesses and responds to current and future internal and external healthcare trends in order to establish and ensure the necessary direction for revenue cycle activities.

• Continually seeks ways and means for improving the delivery and support of Revenue Cycle activities and programs.

• Understands the job functions of all Revenue Cycle staff, is aware of process flow across departments, and involves them, as appropriate, when recommended actions may impact their work functions.

• Provides input into strategic plans, goals, objectives and budgets for Patient Financial Services Departments.

• Develops operational policies and procedures related to the Patient Financial Services Department.

• Researches and recommends various technology tools available to support Revenue Cycle initiatives.

• Performs operational reviews of various Patient Financial Services processes and recommends and/or implements action plans/proposals in consultation with the all Revenue Cycle Management.

• Develops and utilizes monitoring and reporting techniques and systems.

• Maintains professional development and growth through professional affiliations, seminars and workshops to keep abreast of trends in revenue and healthcare in general

• Budgetary oversight and accountability.

• Communicates effectively to operational leadership their impact on hospital revenue cycle.

• Works collaboratively with IT department to optimize system functionality and workflows.

• Collaborate with Education and Quality Assurance Department to assess quality of staff and coordinate necessary training.

• Serves as the key contact to the Compliance department with regard to all regulatory audits.
  

Physical Demands

• Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

• Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

• Vision: Moderate, Frequently 31-65% of time

• Kneeling/Stooping/Bending: Occasionally 0-30%

• Standing/Walking: Occasionally 0-30%

• Pushing/Pulling: Occasionally 0-30%

• Intensity of Work: Frequently 31-65%

• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.