Director Revenue Analysis

Director Revenue Analysis

Tucson, Arizona Carondelet St. Marys Hospital

Category HIM & Revenue Cycle, Leadership, Corporate Positions Job ID 2603025432

Facility Carondelet Health Network Status Full Time Shift Day

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Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Carondelet St. Marys Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Carondelet St. Marys Hospital, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

Job Summary

The position will be responsible for all aspects of the Revenue Cycle. Provide leadership, staff development, and supervision related to Revenue Cycle. The position will work with other functional facility leaders and Facility Leadership to identify weakness in the Revenue Cycle process. The position will also interact heavily with Conifer to address process flaws or weaknesses that are causing collection issues on the back end of the Revenue Cycle. It is essential for this position to review points of A/R build up with Conifer, identify the cause, and help implement a solution. The position will not be successful without close alignment with Facility Operations and Conifer in the identification of Revenue Cycle weakness.

Responsibilities

• Establish a multi-disciplinary team including hospital, Home Office and Conifer individuals to identify revenue cycle opportunities
• Monitor and ensure achievement of Conifer benchmarks
• Work closely with CFO and Conifer to continually evaluate the activities of revenue cycle, shifting strategies and tactics as necessary
• Improve the level of quality of revenue cycle decisions that have financial implications to the organization
• Monitor/analyze AR/disputes and work with revenue cycle team members to prevent denials
• Implement revenue cycle operational/process best practices across Tenet and Conifer, ensuring consistency once adopted. The areas of review will include but not limited to POS Cash, admitting, billing, authorization, reclasses, appeals, rebills
• Examine, and analyze patterns of payment discrepancies and escalate to Managed Care or appropriate party to resolve
• Analyze and approve single case agreements/LOAs
• Identify changes to Policy and Procedures for discussion and implementation
• Provides direction and ensures appropriate handling of accounts by Medicare/Medicaid liaison and NIC
• Responsible for coordinating RAC/MAC/Payor DRG audits for timely facility response
• Provides oversight for the DNSP process and works with revenue cycle departments and Conifer for timely billing
• Ensure review and approval of requested adjustments, refunds and revenue re-class accounts
• Responsible for appropriate adjudication of account balances on high $$$ accounts prior to month-end (credit and debit balance review)
• Month-end eReserve completion and assists in month-end reporting and identifying items/trends that significantly impact net revenue as required
• Ensures clinical research process is implemented and correctly followed. Responsible for assisting with required information and clinical research billing requirements as outlined by Tenet
• Monitor and manage accounts on the Cash Pay report daily for timely payment
• Monitors and manage client billing process for vendors as assigned
• Analyzes and reviews accounts applicable to the physician discount process
• Acts in customer service role as required for patient with billing and charge concerns and/or physician offices with a billing or charge concern coordinating with Conifer audit services

Qualifications

• Minimum Requirements
• Education: Bachelor Degree in Business, Health Administration or related degree.
• Experience: Four (4)+ years in A/R management and/or managed care contracting and analysis as well as directing a multi-facility business office.

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Organization Description

St. Marys Hospital, established in 1880, is Southern Arizonas longest continually operating hospital and one of the top medical centers in Tucson and the region. Home to the Carondelet Heart & Vascular Institute, St. Marys is recognized as a destination hospital for minimally invasive heart and vascular surgery, as well as advanced stroke care, emergency care, wound care and bariatric surgery. St. Marys strives to offer personalized, compassionate care to every patient. Join our team!

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603025432

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