The position plans, directs, coordinates, and manages the activities of PCMG Revenue Cycle Operations for the ambulatory clinics. Coordinates the development and integration of information systems related to revenue cycle performance. The position works with the clinical business operations areas to ensure timely, effective, and accurate billing and collections for physician and related services provided by Phoenix Children’s Medical Group. The position also manages billing and collections creates reports, monitors results, trains staff, and leads the department.

1. Assists Director of Revenue Cycle Operations developing Revenue Cycle strategy and operational objectives. Develops and implements policies and procedures
   • Collaborates closely with Managed Care, Decision Support and Finance departments. Works on joint teams to solve complex, interdepartmental issues
   • Develops and supervises staff through provision of timely feedback and use of appropriate Human Resources policies and tools to facilitate and ensure the ability of staff to achieve highest level of professional growth and desired performance standards.
   • Develops clear business plans and project plans as required. Effectively manages projects to ensure timely achievement of objectives.
   • Develops Key Performance Indicators. Follows through by monitoring qualitative and quantitative performance to ensure achievement of targeted financial and non-financial goals.
   • Directs, manages, and evaluates effectiveness and efficiency of all outsourced vendor relationships, including, but not limited to, billing, collections, cash posting, and adherence to hospital guidelines by establishing controls and review mechanisms for all associated procedures.
   • Prepares a variety of financial and operational reports to identify and monitor trends, activity, and report changes. Develops appropriate action plans to modify results in accordance with required outcomes.
   • Continually reviews policies and procedures within the department, updates, and changes as necessary to ensure the department is working at an optimal level.
   • Creates work flows for all processes within the department.
2. Manages and evaluates effectiveness of established controls and review mechanisms affecting ability to accurately bill. Reviews write-off lists, refund requests, and miscellaneous cash adjustments
   • Focuses proactively on denial prevention and develops operational controls to mitigate associated rework and revenue loss.
   • Plans, directs, manages, and evaluates effectiveness and efficiency of billing and collections operations to ensure timely billing and collection of patient charges.
   • Monitors bad debt, charity and contractual adjustments against budget and compliance with established hospital policies.
   • Regularly meets with payers to understand and review remittance advices, payer issues, to determine problem areas causing rejections and denials.
3. Develops and supervises staff through provision of timely feedback and use of appropriate Human Resources policies and tools to facilitate and ensure the ability of staff to achieve highest level of professional growth and desired performance standards.
   • Makes personal growth and development a priority by facilitating the professional growth of staff by accurately assessing learning needs, styles, and barriers to learning and coordinating learning opportunities in conjunction with education staff.
   • Develops clear business plans and project plans as required. Effectively manages projects to ensure timely achievement of objectives.
   • Promotes a high level of patient satisfaction through timely communication of financial information and innovation/creativity in addressing payment issues.
4. Performs miscellaneous job related duties as requested.

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable