Company Name:
Harvard University
Approximate Salary:

Location:
Cambridge, Massachusetts
Country:
United States
Industry:
Other
Position type:
Unspecified
Experience level:
Education level:

Director of Revenue Cycle


Harvard University

18-Oct-2017
Director of Revenue Cycle
University Health Services
43953BR


Duties & Responsibilities
The Director is responsible for the oversight and day-to-day activities of the Revenue Cycle department at Harvard University Health Services (HUHS), a multi-specialty group practice serving Harvard students, faculty, staff and retirees. The Director will provide strategic direction for the department of six staff and will be responsible for developing and monitoring key performance metrics for both Patient Accounts and Patient Registration. The Director will develop and implement action plans to improve upon operational productivity and efficiency, customer service, and/or financial performance.

The Director is highly involved in company-wide and department-driven initiatives with high visibility across the organization, and will play a key role in the roll-out of Lean to the department. The primary goal of this position is to assist the department and organization with the development of efficient processes around charge capture and revenue cycle management to enhance revenue and reduce costs. The Director will also be responsible for the management and mentorship of staff, with a strong emphasis on team development, and will establish and maintain strong relationships throughout HUHS.


Basic Qualifications
  • Minimum of 10 years in a billing office/revenue cycle management with at least 3-5 years in a leadership role.
  • Successfully attained a Bachelor's Degree in Healthcare Management, Business Administration, or relevant major.
  • Preferred attainment of a Master's Degree.
  • Demonstrated subject matter expertise in the areas of revenue cycle management, third party billing and collections, business office policies and workflows, and performance analysis.
  • Proficient in areas of technology and applications supporting the revenue cycle; including practice management systems and charge capture.
  • Strong in-depth knowledge of reimbursement methodologies, and regulatory compliance
  • Knowledge of Athenahealth (preferred) and other EHR software
  • Strong in-depth knowledge of CPT, ICD-10, and HCPCS coding
  • Highly self-motivated individual who demonstrates initiative, excellent time management and organizational capabilities. Must be able to multi-task in a fast paced environment and appropriately handle overlapping commitments and deadlines.
  • Possess strong leadership skills with a high emphasis on ability to mentor others. Must be able to delegate appropriately and guide projects or deliverables from a project management role.
  • Have excellent analytical skills and creative problem-solving skills.
  • Strong oral and written communication skills with the ability to interact with different levels within the organization.

Additional Qualifications
  • Responsible for the achievement of annual and periodic goals for significant statistical indicators of revenue cycle performance and for the organization's overall revenue performance. Monitors A/R and collection trends to identify negative outcomes or significant impacts on organization's receivables.
  • Communicates with departments on issues that may have negative impact on timely claim adjudication, increased denials / write-offs and cash flow
  • Works with departments to develop internal controls to target revenue recovery throughout the organization by identifying and communicating charge capture, coding, and reimbursement problems and implementing solutions.
  • Mentors staff to develop their knowledge and understanding of Revenue Cycle and the direct impact that their areas have on it.
  • Provides oversight and direction on any RCM-related technology initiatives; including upgrades, new software, and/or change management.
  • Work closely with the IT department to ensure that the systems are designed as efficiently as possible. Maintain close engagement with EMR vendor.
  • Develops new policies and procedures to ensure alignment with new business requirements. Reviews and modifies existing policies and procedures to ensure they are consistent with payer policies and organizational expectations.
  • Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers. Maintains appropriate internal control safeguards over charge capture, coding, billing, and reimbursement activities.
  • Perform other related duties as designated by the Senior Director, Administration and Finance.


Job Function
General Administration

Sub Unit
------------

Location
USA - MA - Cambridge

Department
Revenue Cycle

Time Status
Full-time

Union
00 - Non Union, Exempt or Temporary

Salary Grade
058

Pre-Employment Screening
Criminal, Identity

EEO Statement
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation or any other characteristic protected by law.


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