Director of Revenue Cycle Management - HCA Healthcare

Description

Introduction

Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Revenue with HCA Healthcare, you can be a manager in an organization that is devoted to giving!

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a Director of Revenue. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: $50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

GENERAL SUMMARY OF DUTIES:

Serves as the central point of contact for revenue cycle operations in the PHY Division for our Parallon business partners. Directs and coordinates revenue cycle activities, including insurance verification/preauthorization, self-pay policies and processes-front end and back end, physician query processes, denial analysis, coding analysis, insurance company reimbursement analysis.

The objective of this position is to streamline operations and improve revenue cycle metrics through detailed analysis and process improvement, working together with Provider Enrollment, Coding Education, Payor Contracting and Analytics, Transition Management, Accounts Receivable Management, as well as with the Parallon and Division, Market and Practice leadership. This position focuses on providing a centralized resource to improve our revenue growth, cash payments, and optimization, and guide practice operators towards higher levels of performance.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Oversee the revenue cycle efforts in the practices within the division, partnering with Parallon and other HCA PSG departments.

• Serve as the primary liaison for communication and follow up between assigned practices and Provider Enrollment

• Serve as primary contact for the CPC and the hospital Medical Staff offices for credentialing and recredentialing all providers.

• Ensure the timely completion of deliverables in conjunction with the enrollment process is met, including facilitating across departments throughout the life cycle of onboarding.

• Manage all Division/Market-related Provider Enrollment special projects and reporting.

• Assist in the training of other Directors of Revenue with the Group as needed.

• Plan and conduct training of a Provider Enrollment Department in any Market/Division hospital acquisitions as needed.

• Manage and approve all Provider Enrollment Claims, on Hold write-offs, and administrative adjustments regularly.

• Create outstanding application reports (applications that are older than 120 days) to Provider Enrollment for follow up.

• Collaborate with Parallon's Division Account Manager and practice leadership to improve Division A/R Days (charge Lag, claims on hold, insurance denial issues, and training).

• In conjunction with new colleague orientation, manage the front desk and IET resolution training for practice Medical Office Specialists and Medical Office Coordinators.

• Implement processes to decrease denials by focusing on top denial reasons and working with practice leadership, account management, and coding.

• Report and manage IET's and Claims on Hold, Encounters without Claims in conjunction with Practice management.

• Regularly review A/R data and develop strategies to improve revenue. Develop action plans for improvement where needed.

• Collaborate with the Division Regional Coding Manager (RCOM) to analyze coding reports and assist with employee and provider training. Work with the HCA Coding and Compliance Departments to provide training to ensure providers are documenting and coding correctly.

• Review preauthorization policies and processes and change as needed to reduce denials.

• Implement processes to decrease final denials by focusing on the top ten denial reasons.

• Coordinate with other entities, including Parallon, Division, and Market Leadership, and established vendors to exchange information and coordinate efforts.

• Manage the implementation and training of PK, DFT interfaces.

• Primary contact with Parallon Business Performance Group (Provider Enrollment, Account Management, HCI, Coding, Compliance, CBO).

• Be proactive in identifying ways to improve the revenue cycle.

EDUCATION:

• Bachelor's degree or equivalent combination of education and/or work experience.

EXPERIENCE:

• Five years of medical billing or collections experience along with supervisory experience of at least three years required. 

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Director of Revenue opening. Help HCA Healthcare create healthier tomorrows for patients and communities.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.