Senior Director, Revenue Cycle Operations - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)

The Senior Director, Revenue Cycle Operations is responsible for oversight of revenue cycle payer collection performance; vendor performance, and operational efficiency through to completion of the revenue cycle for the organization. Interprets and communicates health payment policies and practices. Ensures operational efficiencies to ensure optimal revenue cycle performance, revenue integrity, reduce bad debt, and increase cash flow. Develops strategies to both maximize reimbursement within current contracted terms as well as strategies to increase workflow efficiencies and reduce operating costs. Coordinates activities related to Revenue Cycle services with other hospital departments and ensures compliance with regulations. Plans, develops, and implements new programs to advance Revenue Cycle services to improve hospital cash flow. Responsible for strategic planning in relation to annual departmental budget, projecting estimated needs and operating expenses, staffing and capital expenditures. Appropriately plans for changing market conditions while proactively adapting to changes within regulations and external environment. Responsible for corporate compliance assurance related to hospital billing and collections. Serves on various hospital committees.

Essential Duties:

• Build, plan, and organize all leadership functions and oversight for related revenue cycle functions.
• Stay current and knowledgeable of all regulations that impact AR performance and outcomes.
• Develop relationships with payers and Managed Care team; assess payer performance and communicate performance via Payer Scorecards.
• Oversee Revenue Cycle vendor relationships and performance, including contract maintenance, new contract development, and vendor contract adherence; work in collaboration with operational areas that work with the vendors.
• Lead the restructuring of the current operation and foundationally establish a strategic future-state best practice and insource operations as warranted.
• Establish performance standards (quantitative/qualitative) for area of responsibility; set, monitor, and control productivity standards and outcomes while encouraging innovative concepts and break-through improvement.
• Continually develop and oversee the management of workflow activities and the formulation of policies and procedures relating to assigned departmental functions. Oversee the evaluation and recommendations of programs, procedures for improved operations, modifications to and/or implementations of new procedures. Ensure that all policies and procedures reflect compliance with governmental regulations.
• Utilize knowledge of contractual constraints and federal and state regulations pertaining to billing and monitor impact on hospital receivables.
• Performs other related duties as assigned or requested.

Required Qualifications:

• Req Bachelor’s Degree Accounting, Finance or related field.

• Req 15 years or more Experience in Executive Management, Patient Accounting and Revenue Cycle with progressively increasing responsibilities.

• Req Ability to grasp complex concepts involving contracting and reimbursement relation to AR operations.
• Req Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills.
• Req Excellent analytical, problem-solving, planning and evaluation skills.
• Req Demonstrated ability to adapt easily to change and lead others in a team environment.
• Req Knowledge of registration, patient accounting, data processing, customer service, California Collection Law and all insurance billing regulations.
• Req Effective communication with all customers.
• Req Ability to work with varying groups at all levels of the organization.
• Req Demonstrated negotiation skills

Preferred Qualifications:

• Pref Master’s degree Accounting, Finance or related field.

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $174,720.00 - $288,288.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.