Executive Director, JHACH RCM Site Services (Tampa Bay, FL)

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Executive Director, JHACH RCM Site Services

Requisition #: 586783
Location: Johns Hopkins Health System, St. Petersburg, FL
Category: Leadership
Work Week: Full Time
Weekend Work Required: No
Date Posted: Sept. 16, 2022

Location: St. Petersburg, Florida

POSITION SUMMARY:

The Executive Director of JHACH RCM Site Services is a highly skilled and innovative thinker who is responsible for the strategic alignment and direction of the daily activities and performance of the (pre AR) revenue cycles associated with hospital and professional services patient encounter activity primarily at The Johns Hopkins All Children's Hospital. They oversee revenue cycle process improvement work at JHACH for both professional and hospital billing and act as the key revenue cycle liaison for cross-functional strategic initiatives within the ACH site and JHM. This position serves as the executive contact for JHACH clinical institute, hospital operations, and financial leaders. The Executive Director directs the overall policies, objectives, and initiatives of the organization's revenue cycle activities to optimize patient financial experience along the care continuum. Other primary responsibilities include monitoring key financial metrics across areas of responsibility, understanding root causes of adverse variances, developing and overseeing the execution of mitigation strategies, and proactively communicating outcomes and issues to interested or affected areas from identification to resolution. Ensures alignment with revenue cycle policy, initiatives, and best practices across the broader Johns Hopkins organization. In partnership with Johns Hopkins Medicine leadership, directs and oversees the Core revenue cycle processes and outcomes to enhance the patient experience, achieve the best possible outcomes, support revenue cycle and financial improvement, and drive performance.

This position is responsible for direct oversight of professional billing and hospital utilization & care management functions and is the primary liaison for revenue cycle activities at the Johns Hopkins All Children's sites.

Champions standardization of enterprise-wide revenue cycle processes and procedures and ensures appropriateness it relates to revenue capture and reimbursement.

The Director will work with key stakeholders to achieve consensus in high stakes conversations, employing a collaborative style, to deliver successful outcomes including but not limited to ensuring high-level patient experience and key operational and financial metrics which will demonstrate consistent excellent results in all of the areas of responsibility.

The responsibility will include the coordination and direction of the implementation of the Epic system and upgrades for the revenue cycle including patient access, professional billing (PB) and hospital billing (HB).

Serves as liaison between the Johns Hopkins Health Services Patient Financial Services/Financial Clearance/Care Coordination, Finance Departments, and clinical practice areas to address revenue charge capture and billing issues as identified.

Establishes and maintains revenue cycle operations, objectives, policies, and procedures aligned with JHM/Hospitals' mission, vision, and values and in accordance with federal, state, and local regulations.

The incumbent should be of an innovative nature, improving work methods and processes resulting in significant time and cost savings and improving the overall quality of data collection.

Work requires internal contacts within all departments with both patient and revenue responsibilities and coordination of financial results with the other JHHS departments. Works closely with the Epic team to optimize the use of the system in conjunction with operational needs.

Communication with external contacts involve providing service to resolve complaints, resolution of verification and pre-certification issues with third-party payers, clarification of technical issues and bulletins with governmental programs, and contact with peers to discuss patient access and revenue cycle issues

REPORTING RELATIONSHIPS
  • Reporting directly to Vice President, Revenue Cycle Management and Chief Financial Officer, JHACH.
  • Direct reports include UM Director, PB Director, Client Service Director, onsite RCM Trainers, and others as assigned.
  • Indirect reports include Revenue Integrity Director, Registration and Financial Clearance Managers, Financial Counselor, and Site Patient Billing Customer Service Rep.
  • Directs activities of over 60+ subordinates through the staff of Managers, Supervisors, Production Unit Staff, and may additionally direct an Operations functional area of 20 or more if assigned.

EDUCATION & EXPERIENCE
  • Requires Bachelor's Degree in Accounting, Business Administration, Finance, or a related field. A Master's Degree in Business Administration, Health Administration, or Information Management is preferred.
  • A minimum of ten (10) years of hospital access and receivables/operations management experience within a large academic medical center or health system, including 5-7 years of management experience with significant business impact.
  • Prior work experience must include access and revenue cycle management projects and/or responsibilities, and a significant role in a redesign project and/or management experience working in a highly automated, centralized business office environment.
  • Experience in using team building and quality management concepts to positively influence the work environment.
More Information on Johns Hopkins Medicine
Johns Hopkins Medicine operates in the Biotech industry. The company is located in Baltimore, MD and Columbia, MD. Johns Hopkins Medicine was founded in 1996. It has 30027 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 149 open jobs at Johns Hopkins Medicine, click here.
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