SUMMARY: Responsible for managing and overseeing the activities for multiple value streams within the Revenue Cycle and Patient Financial Services. Responsibilities include analyzing data, documenting process flows, coordinating changes, and resolving issues; this position provides ongoing input to the strategic planning of business requirements and enterprise objectives for the Revenue Cycle; this position is responsible for developing new, leaner processes and integrating the necessary systems changes to support new processes; this position ensures compliance with all federal, state and local statutes and regulations, as well as all third party payer policies.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1. Performs standard supervisory functions, including recruitment, hiring, on-boarding, training, coaching, mentoring, task assignment, performance evaluation, progressive discipline, conflict resolution and allocating staff resources.

2. Develops and implements operational processes and manages activities of various Revenue Cycle teams.

3. Develops systems and processes that further develop Alameda Health System’s ability to provide efficient, complete, accurate and timely patient billing.

4. Collaborates and coordinates with other departments and alliances in a seamless administration of processes and policies as well as analyzes and resolves sensitive financially related situations, coding, and compliance issues

5. Assesses appropriateness of medical documentation against billing guidelines; maintains and coordinates activities with Utilization Review department.

6. Maintains and coordinates activities with Accounting department.

7. Manages processes that optimize efficiencies along with meeting regulatory requirements .

8. Coordinates issues to appropriate level for problem solving; develops coordinated team approach with providers, the financial team, and AHS integrity.

9. Participates in goal setting and strategic planning for Revenue Cycle departments.

10. Participates and/or leads process improvement projects focused on achievement of annual goals and lean initiatives.

11. Determines root causes to issues and inefficiencies through process analysis and initiates or recommends issues and/or process improvements.

12. Provides leadership and acts as a resource to management and department staff to support successful day to day operational activities along with meeting KPIs.

13. Effectively communicates in a courteous and professional manner to foster a collegial work environment.

14. Supports positive customer relations by responding to customer complaints timely and working to resolve issues.

15. Subject matter expert in their area of responsibility within the Revenue Cycle and Patient financial services; trains other staff on EPIC, standard work processes, operations, and any other integrated business service; plans and implements coordinated staff development and training programs.

16. Defines business needs ranging from computer system functionality, financial software optimization, to project definition and reporting requirements; facilitates the prioritization of work; makes recommendations to improve the flow of financial information and/or viability of the hospital system.

17. Provides direction for implementation of new programs and services.

18. Manages the operating budget for areas of responsibility.

19. Performs other duties as assigned.

MINIMUM QUALIFICATIONS:

Required Education: High School diploma or equivalent.
• Preferred Education: Bachelor’s degree.
• Required Experience: Seven years healthcare (including five years of increasingly responsible management experience in healthcare);experience in a hospital financial operation; experience developing systems solutions and project management.
• Preferred Experience: N/A
• Required Licenses/Certifications: N/A
• Preferred Licenses/Certifications: N/A

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.