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   Current UPMC employees must apply in HR Direct

Director, Revenue Cycle Regional Operations

  • Job ID: 864003532
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Western Maryland
  • Department: Patient Account
  • Location: 12501 Willowbrook Rd, Cumberland MD 21502
  • Union Position: No
  • Salary Range: $0 / hour

Description

Purpose:
The Director, Revenue Cycle is responsible for directing overall policies, objectives, and initiatives of WMHS's revenue cycle activities. This position is responsible for directing the daily operations of the revenue cycle functions to include: billing and collections, charge master maintenance, denials management, billing systems, reporting and analysis. Will also have responsibilities with medical records and patient access. Reviews, designs, and implements processes surrounding pricing, billing, third-party payer relationships, collections and other financial analyses to ensure that the clinical revenue cycle is effective and properly utilized. Keeps current on industry concepts, procedures and best practices to position the organization to achieve top performance.

Responsibilities:

  • Maintains the expected level of attendance and punctuality. Completes annual education requirements on? time and demonstrates an ongoing focus on personal development. Adheres to all WMHS policies and procedures. Other duties as assigned by supervisor.
  • Managing Employee Performance - Takes action to ensure that employees fully understand their roles, responsibilities and performance standards/expectations and provides ongoing feedback and support employees strive to achieve expectations. Engages in two-way conversations throughout the year that ensure an up-to-date understanding of expectations, performance gaps and actions required to close any gaps. Empowering Employees - Empowers others in an intentional manner that accepts the risk of mistakes while focusing on the benefits. Allows others to find their way, yet helps when needed. Uses good judgment related to the level of authority and the amount of leeway to extend to particular individuals. Delegating Responsibility - Makes it a practice to delegate responsibility whenever it is appropriate to do so. Sees to it that employees have the ability, potential and motivation level to perform delegated work effectively and gives them enough authority to carry out these assignments.
  • Establishing Focus - Establishes a clear and realistic sense of direction by clarifying organizational goals as well as how employee roles and responsibilities contribute to them. Ensures that departmental goals match those of the larger organization and that resources are allocated to meet priorities. Maintains staff motivation and focus on goals and priorities throughout the year. Building Team Environment - Establishes an environment that creates incentives for, and eliminates barriers to, a team environment. Articulates common goals, communicates how individual roles contribute to team success and provides both clear direction and sufficient resources while removing or reducing obstacles to team success.
  • Coaching - Provides performance feedback in a timely and effective manner. Keeps employees informed about what is going well and what needs to be improved. Such discussions are frequent and clear and also serve to encourage positive behaviors. Reconciling Differences - Expresses disagreement or differing points of view in a manner that is non-threatening and that leaves open the option of finding some middle ground. Demonstrates awareness that there are times to stand fast and take a firm stand on a particular topic or approach with a consistent focus on building consensus.
  • Monitors performance data and visual indicators and uses systematic problem response to control process functioning and assure targeted results. Manages each stage of a project to ensure that commitments are met in a manner that is timely and within established budget and quality parameters. Clearly defines roles and responsibilities, determines necessary resources, and monitors project performance through appropriate systems and procedures.
  • Seeks/collects and synthesizes information from a variety of stakeholders and sources using various data collection techniques. Clearly documents and validates accuracy of data and resolves any inconsistencies, seeking additional resources as needed to resolve variances and data gaps. Demonstrated ability to objectively analyze data, and to determine if the data supports the intended goals or desired outcomes.
  • Develops the steps necessary to accomplish long-term goals. Identifies long and short-term goals and establishes realistic plans to reach them. Allocates required resources, allows for contingencies and ensures that plans fit with the larger needs of the organization. Sets milestones to measure progress along the way.
  • Establishes a track record of producing consistently accurate work that demonstrates attention to detail andreflects well on the organization. Demonstrates personal commitment to high quality work andencourages others to have similar standards.
  • Utilizes information received from oral, written and electronic sources to make effective and appropriatedecisions. Provides documentation, if applicable. Demonstrates sound judgement as evidenced byappropriate and timely referral of information. When applicable, uses technology to efficiently and effectivelymanage information.
  • Understands the internal climate of the organization, including the most productive channels ofcommunication, and makes use of the appropriate communication channels to achieve goals and objectives.Has learned about both formal and informal communication channels and understands when to stick to theformal hierarchy of reporting relationships. Understands unwritten protocols and the political aspects of howcommunication takes place. Avoids errors in judgment when selecting strategies for accomplishing tasks.

 

Qualifications

  • Masters in Business Administration or related field required.
  • Ten years in healthcare finance with an emphasis on revenue cycle.
  • Thoroughly knowledgeable of the principles and practices of registration, billing, accounts receivable and cash management in a healthcare setting.
  • Strong written and oral communication skills.
  • Demonstrated expertise of payer requirements relative to coding, charging, and billing.
  • Strong computer skills including hospital financial management systems.
  • Strong negotiation skills.
  • Experience with State of Maryland reimbursement system strongly preferred


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct