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Position Details

Department: CORP | Physician Revenue Cycle
Category: Director/Management
Location: Phoenix
Posting #: 670869
Date Posted: 4/28/2022
Employee Type: Regular

Position Summary

Posting Note: This is a hybrid position and would require coming on-site work at the Phoenix office.

This position plans, directs, coordinates, and manages the activities of Phoenix Children’s Primary Care (PCP) Revenue Cycle Operations, managing charge capture, billing and collections. This position leads the department, creating effective processes, monitoring results, overseeing staff training and related information systems set up and performance. This position also serves as the liaison from Revenue Cycle to PCP leadership and participates as a member of the PCP leadership team. A key focus for this position will be integrating new physicians and acquired physician practices into revenue cycle operations.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Assists Director of Revenue Cycle Operations developing Revenue Cycle strategy and operational objectives. Develops and implements policies and procedures.
    • Collaborates closely with PCP leadership, 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 and have charges posted within 48 hours of date of service.
    • 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 and track to bring to resolution.
  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.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. Bachelor`s degree in Business, Finance, Health Care Administration, or closely related field, OR equivalent related work experience Required
Do you meet this requirement?
Experience
1. 5 years of Physician and Professional Office Management experience. Required
2. 3 or more years of Revenue Cycle experience, preferably in a large multi-specialty physician group. Required
Do you meet this requirement?
Certifications/Licenses/Registries
1. Certified Revenue Cycle Representative (CRCR) - must be obtained within one year of employment. Required
Do you meet this requirement?
Special Skills
1. Advanced proficiency in data analysis using Microsoft Excel and other statistical packages, as well as knowledge of the functions and use of billing systems. Required
2. Ability to construct financial and other reporting models to assess and report performance. Required
3. Extensive knowledge of physician billing processes, knowledge of CPT and ICD-9/10 coding, A/R systems, and compliance and maintain knowledge of billing and other systems and their capabilities. Required
4. Must possess strong written and verbal communication skills. Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Frequently
4. Physical Requirement - Hearing Constantly
5. Physical Requirement - Pushing/pulling Occasionally
6. Physical Requirement - Reaching Occasionally
7. Physical Requirement - Sitting Constantly
8. Physical Requirement - Standing Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Constantly
11. Physical Requirement - Tasting/smelling Occasionally
12. Physical Requirement - Walking Constantly
13. Physical Requirement - Near Vision Constantly
14. Physical Requirement - Far Vision Constantly
15. Physical Requirement - Color Discrimination Constantly
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance Occasionally
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply