Senior Director of Revenue Cycle and Managed Care

at Cook County Government in Illiopolis, Illinois, United States

Job Description

Job Summary The Senior Director of Revenue Cycle and Managed Care (Senior Director} will be responsible for organizing Managed Care and Revenue Cycle initiatives, staff and resources to maximize revenue received by Cook County Health (CCH) for the provision of clinical services including inpatient care and outpatient services. The Senior Director will focus activities on internal program operations and collaboration with clinical and operational leadership. The Senior Director designs a system to support the patient's financial interface across the continuum of care, using best practices of cash collection and posting, registration, insurance verification, billing, and managed care reimbursement principles. This position is exempt from Career Service under the CCHHS Personnel Rules. General Administrative Responsibilities Collective Bargaining • Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals • Participate in collective bargaining negotiations, caucus discussions and working meetings Discipline • Document, recommend and effectuate discipline at all levels • Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements • Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements Supervision • Direct and effectuate CCH management policies and practices • Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements Management • Contribute to the management of CCH staff and CCH' systemic development and success • Discuss and develop CCH system policy and procedure Human Resources Professional Building 1950 W. Polk Street 8th Floor, Room 8802 Job Code: 8100 Chicago, IL 60612 Grade: 24 General Administrative Responsibilities continued • Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements • Work with Labor Relations to discern past practice when necessary Typical Duties • Using available data sources, designs a mechanism to collect, interpret and take action for program and process parameters. • Uses common improvement methodology e.g. Plan-Do-Study-Act (PDSA) to address programmatic areas not achieving performance targets. • Investigates and evaluates approaches e.g. methodological, technical to improve efficiency and effectiveness for areas of responsibility. • Supports the accurate translation of payer requirements (Governmental or Commercial) into workflows or metrics. • Provides periodic reports to senior leadership on selected aspects of revenue cycle, impact of process changes and opportunities to reduce cost or denials. • Works across departments and wide range of staff to support revenue cycle goals. • Provides reports to clinical leadership on achievements and opportunities in the areas of documentation, charge capture and compliance with managed care requirements. Works collaboratively to identify solutions. • Supports the provision of answers to financial or benefit related questions that are consumer centric and responsive. • Understands and keeps current with changes in managed care third party reimbursement that may have an impact on revenues received and provides recommendations on strategy. • Provides day-to-day oversight and leadership to Patient Access, Revenue Cycle and Managed Care. • Oversees negotiation of payer and managed care contracts to ensure best outcomes for the system. • Monitors performance of approved managed care contracts. • Facilitates reporting for leadership that shows how the system is maximizing revenue while adhering toall regulatory requirements. • Ensures billing practices meet or exceed industry standards. • Participates in discussions or activities regarding medical staff providing services at other institutions and will ensure this will provide maximal benefit to CCH. • Participates in discussions with external entities regarding partnerships or other joint venture activities to identify revenue generation activities that will be beneficial to the health system. • Performs other duties as assigned Reporting Relationships Reports to the Chief Financial Officer, CCH Minimum Qualifications • Bachelor's degree in business administration, health administrationor finance from an accredited college or university· • Seven (7) years of experience in financial management or administration for an integrated health system • Three (3) years of experience with third party billing related... For full info follow application link.


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Job Posting: 11980875

Posted On: Jun 16, 2024

Updated On: Jul 16, 2024

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