Director - Hospital Revenue Cycle - Revenue Cycle Solutions

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! The Director s is responsible for the strategic planning, direction and direct accountability for hospital revenue cycle operations including billing, coding, compliance, service line accounts receivable, technology integration, quality assurance and operations support for the hospital central business office (CBO). The Director monitors, reports and communicates matters impacting Ochsner Hospital facilities Accounts Receivable and non-Ochsner clients as they may be added to the CBO. The Director maintains excellent and productive relationships with colleagues, facility leadership, physicians, physician groups, and third party payers.The Director of Hospital Revenue Cycle evaluates billing, denial and follow-up trends and associated metrics to implement mitigation plans and educational requirements, including follow-up edit consultation, education, and KPIs for Ochsner Health System’s Revenue Cycle; develops and is accountable for budget for department or multiple functional areas; oversees and directs business office activities including billing related staff for Ochsner Health System CBO facilities; develops and monitors specific objectives and performance standards for each area of responsibility in order to evaluate and improve financial outcomes and quality improvements. The Director of Hospital Revenue Cycle develops, evaluates and implements individual training plans and staff development programs for each functional area; provides ongoing training for new and existing staff; monitors regulatory issues, federal and state, that impact the department for compliance; and coordinates staff assignments according to volume of work and areas of responsibility to ensure that all assigned tasks are completed timely.Education Required - Associates degreePreferred - Bachelor's degree in Business, Finance, Healthcare AdministrationWork ExperienceRequired - 5 years in Healthcare revenue cycle management experience, including 2 years of experience in a multi-facility system with substantial clinic exposure (i.e., large faculty practice plan or employed physician model).CertificationsPreferred - Professional Certification through Healthcare Financial Management Association (HFMA), American Association of Healthcare Administrative Management (AAHAM) or Medical Group Management Association (MGMA)Knowledge Skills and Abilities (KSAs)Must have computer skills and dexterity required for data entry and retrieval of information.Effective verbal and written communication skills and the ability to present information clearly and professionally.Must be proficient with Windows-style applications, various software packages specific to role and keyboard.Strong interpersonal skills.Thorough knowledge of medical billing and collections including, Medicare, Medicaid, Blue Cross, Workers Comp and other third party payers.Professional attitude and ability to relate to executive management, professionals and business and community leaders. Excellent leadership and self-direction.Good judgment in handling difficult situations.Good organizational, time management, interpersonal and conflict resolution skills.Job DutiesManages all billing, follow-up and denials for managed care, commercial, workers comp and specialty AR.Manages the external vendor relationships and partnerships and subsequent results of their work.Adheres to a personal plan of professional development and growth through professional affiliations, activities and continuing education.Ties revenue cycle operations to the financial statements.Monitors progress on strategic plans and recommends updates to Senior Management.Ensures that the physical environment and job structures are designed to promote employee safety.Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.Physical and Environmental DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.Must be able to sit for prolonged periods of time.Must be able to work a flexible work schedule (e.g., more than 8 hours a day).Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.There is no occupational risk for exposure to communicable diseasesAre you ready to make a difference? Apply Today!Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.Please refer to the job description to determine whether the position you are interested in is remote or on-site.Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at View phone number on click.appcast.io (select option 1) or View email address on click.appcast.io. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.SummaryLocation: New Orleans - New Orleans Region - LouisianaType: Full time