Tennessee Orthopaedic Alliance

  • Sr. Director Revenue Cycle Management

    Job Locations US-TN-Nashville
    Posted Date 3 weeks ago(4/3/2018 6:12 PM)
    Job ID
    2018-1272
    # of Openings
    1
    Category
    Central Business Office
  • Overview

    The TOA Senior Director of Revenue Cycle Management provides leadership and guidance for the success of our revenue cycle and Central Business Office (CBO) operations. This position is critical to TOA, in that an effective revenue cycle process enables TOA to enhance the patient experience, and drives the financial engine of the largest orthopaedic practice in the middle Tennessee area. This position is responsible for a high performing group that includes a wide array of centralized business functions. The position reports directly to the Chief Financial Officer, directly oversees managers in our CBO, and works very closely with each of our site managers throughout the TOA system.  

    Responsibilities

      

    The Sr. Director of Revenue Cycle Management has oversight for a broad scope. Specific responsibilities include:

     

      1. Oversee the management and performance of the CBO functions including billing, insurance and patient collections, appeals, denial management, coding, credit balance resolutions, adjustments and reporting.

        • Establish performance goals and objectives, and manage organizational performance against them.
        • Develop a culture of high performance and collaboration within the CBO and within TOA as a whole.
      2. Understands industry regulations as they apply to patient accounting and scans the regulatory/administrative horizon to identify emerging trends, issues, and challenges. Then, works diligently to avoid and resolve issues, and also ensure CBO performance
      3. Review and develop strategic initiatives to ensure that the CBO is operating as effectively as possible, including the development and implementation of policies and best practices in terms of performance and revenue generation.

        • Utilize existing – or develop diagnostic tools to identify areas where CBO performance can be enhanced, either qualitatively or quantitatively
        • Identify and implement performance improvements, with the ability to effectively initiate organizational change
      4. Interface with senior management as well as physicians and mid-level providers to identify areas of improvement
      5. Establishes and maintains excellent working relationships with our clinic management, ensuring that the clinics and the CBO are working collaboratively to reduce revenue cycle issues and increase effectiveness. This includes developing exceptional communication channels across the organization.
      6. Builds and maintains exceptional relationships with stakeholders, including payors and other third parties.

    Qualifications

    • At least three years of experience leading a high performance revenue cycle operation is required – with broad exposure to coding, billing, collections, etc.
    • Bachelor’s degree – with a concentration in healthcare administration is preferred. A business degree with additional experience is also acceptable.
    • Successful track record of process and performance improvement, with experience in working collaborative and expeditiously to identify problems, develop solutions, and implement enhancements
    • Must have the demonstrated capacity to work with a small group of managers to achieve high team performance, through effective goal setting, coaching, performance management, and accountability
    • Must be exceptionally well organized, with the ability to maintain focus on a number of initiatives simultaneously
    • Demonstrated proficiency in applicable technology platforms, preferably NextGen, and the capacity to leverage technology and data to yield actionable solutions
    • Relationship building and management is essential, with the capacity to effectively work with a broad array of personalities and organizational levels – high emotional intelligence

     

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