The Chief Revenue Officer is expected to demonstrate through plans and actions that there is a consistent standard of excellence to which all departmental work is expected to conform. Such a standard should be based on establishing and maintaining a constancy of purpose focusing on continuous improvement within the Managing Director's area of influence and delivering the highest degree of quality service possible. Critical responsibilities include achievement of annual and periodic goals for significant statistical indicators of patient accounting and patient access performance and for the organizations overall financial performance. This position may work remotely from time to time.
Analyzes and resolves problems that affect the claim submission process .
Implement patient friendly billing guidelines.
Completes (or contribute to) various financial forecasts.
Completes employee annual evaluations.
Directly manages all service programs including external vendor programs and systems.
Directs patient accounting and patient access daily operational tasks .
Ensures adequate staff coverage.
Ensures claims denials and rejections are logged for measurement and analysis.
Ensures compliance with relevant regulations standards and directives from regulatory agencies and third-party payers.
Enters detailed collection notes regarding activity on all reviewed accounts.
Updates system proration and account information as needed.
Establishes benchmarks or standards for patient accounting and patient access.
Directing the hiring and training of all staff in patient accounting and patient access.
Maintains appropriate internal control safeguards over AR records and collection of cash. Maintains compliance standards for providing accurate information on all facility or health system billings.
Monitors and supports daily staff functions in all areas related to the scope of the manager responsibility. Participates in revenue cycle denial management and access management work teams.
Monitors the financial interface between and the performance analysis of the patient accounting and patient access functions and fiscal services functions.
Responsible for allocation of human resources. Effectively meets productivity standards and explains variances.
Reviews and understands applicable regulatory updates.
Updates and/or corrects patient insurance information and demographic information in all corresponding systems.
Required Education: Bachelor's degree in business, health or related field.
Preferred Education: Master's degree in hospital or business administration or related field.
Required Experience: A minimum of seven years management experience in healthcare receivables field. In-depth knowledge of hospital and physician billing and reimbursement. Clear, effective communication skills. A mature approach to problem-solving for all types of issues. Knowledge of healthcare industry financial statistical indicators.
Preferred Certification & Licensures: HFMA or AAHAM certification.
