Director, Revenue Cycle Operations

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what''s possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people''s lives. Responsibilities The Director of Revenue Cycle Operations (DRCO) for Wellstar North Fulton Hospital (Roswell, GA) is responsible for overseeing the accounts receivable and revenue cycle operations at one of the hospitals within the WellStar Health System. The DRCO has 7 main responsibilities: team leadership, revenue cycle operation duties as assigned, financial, reimbursement, denials & adjustments, resource for hospital leadership where necessary and operational and reporting responsibilities when assigned. Additional responsibilities include but are not limited to: Work with financial leaders in the facility to complete the month end revenue cycle performance including:- Regularly review operational revenue cycle performance based on a set of defined key performance indicators against targets- Review large dollar financial class changes that affect reserves and accurate statement of monthly net revenue- Collaborates with the CFO to explain net revenue variances for the month end.- Work with key stakeholders to determine root cause of variances related to CFB, cash, AR and denialsRegular Operational and Reporting Duties:- Assess, review daily work queues, which include the following: Charge, CFB, Adjustments, etc to ensure accounts are being worked timely- Provide oversight and direction of the daily report requests. Reports are as follows: DNFB, CFB trending, AR reports, and other reports as requested- Facility revenue cycle contact for Case Coordination/Utilization Management.- Liaison and point of escalation for revenue cycle customer service requests and issues.- Monitor and assist with CFB resolution as it relates to revenue cycle.- Interface with AR, PAS, SBO as needed regarding the following key metrics:o Total cash collectionso POS casho Denial write offso Medicaid outlierso Payor trendso Specific accounts reviewso Special account handling that may be needed.- Assists various business units with general facility-based inquiries thus improving claims quality and overall cash performance.- Works with facility departments to resolve various revenue cycle issues, (order clarification, patient status changes, account charging, etc.).- Coordinates annual Trauma Uncompensated Care Audit- Consistently communicate with Revenue Cycle departments (PAS, AR, SBO), vendors and their staffs to ensure ongoing issues are resolved in a timely manner.

Created: 2021-11-29