Reports directly to the Director of Revenue Services and responsible to develop plan, organize, manage and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s receivables. Also responsible for managing the day-to-day activities of the Peachtree Orthopedics and Peachtree Orthopaedic Surgery Centers as they relate to revenue cycle functions which include but are not limited to front office check-out services, billing, collections, accounts receivables and financial planning for patients and third party payors.
This position will work on revenue cycle performance to meet short term strategic goals and will provide analytical analysis and create written guidelines, policies, and procedures in accordance with implementation of all work processes as a result of thorough analysis.
Essential Duties and Responsibilities
General Management – 40%
Performs selection and staffing functions such as:
In collaboration with Human Resources Department, conducts in- depth assessment interviews to determine the technical and behavioral competencies of the candidate to ensure that the best from among the qualified candidates are being hired in the company.
Adheres to, and implements the philosophy of “hiring the best fit” and ensures that prospective employees’ personal values are aligned with the company’s corporate values.
Conducts regular and periodic meetings with the team, to ensure the following:
Implementation of all Revenue Cycle team plans, programs, and projects strictly adhering to prescribed deadlines and schedules.
All communications and relevant information pertaining to the team are cascaded to the proper channels within the team in particular, and the organization in general.
Conducts and implements “Performance Improvement Program”, through the following:
Performance coaching for the staff who failed to perform and deliver the prescribed and committed level of performance output and standards.
Performance counseling staff with behavioral/attitudinal problems. Implements the necessary guidelines on discipline management for erring employees, in accordance with company policies, rules and regulations, due process, and government regulations.
Performance mentoring for high potential staff, capable of assuming bigger responsibilities in the future.
Performs training and development functions, as follows:
Designs and develops training programs that are relevant and necessary for the continuous development of the technical competencies of the team.
Recommends and implements for appropriate training programs that will further enhance and hone the technical competencies of the staff.
Conducts training programs, and acts as subject matter expert on training programs pertaining to the Revenue Cycle team.
Develops and formulates performance measures and standards for the team, as basis for the conduct of annual performance management review program.
Reviews and evaluates the performance of the team, on regular and periodic basis, and ensures that the overall performance of the team is on- track, and well within the pre-established goals and objectives.
Consolidates performance status reports of the team as basis for monitoring the weekly progress of the various activities within the team.
Patient Services Functions -60%
Manages and oversees the patient services and billing staff in handling patient relations.
Handles complex patients’ complaints and issues by explaining company policies and guidelines as well as those involving compliance issues with state and federal regulations.
Develops plans and programs in conjunction with SBU leaders to monitor patient relations thru the conduct of regular patient satisfaction surveys.
Records State and Federal Regulations Management
Ensures that HIPAA Notice of privacy Practices is on display, if applicable.
Ensures that patient financial and medical records are stored securely and handled in compliance with HIPAA privacy and security regulations, if applicable.
Implements state and federal regulations on clinic records management.
Arranges for HIPAA, OSHA and risk seminars in conjunction with Human Resources.
Education and/or Experience