DIRECTOR, AR OPS TRANSITION REMOTE 100% TRAVEL

DIRECTOR, AR OPS TRANSITION REMOTE 100% TRAVEL

7+ to 10 years experience

As clients consolidate, integrate and transition their existing operations (business offices) into this role directs the various activities throughout the client consolation process. This includes serving as interim management of operations, overseeing all functions of A/R Management (billing, follow-up, cash posting, and customer service and vendor management) during a client consolation, and conducting client assessment prior to client consolations, to include gap analysis between current state of the department and the Conifer model to include; processes, staffing levels, metrics and technology. The role will report to the Sr. Director of Transitions and will work closely with other members of the transition team and our operations Team.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

No. Description

1. Align operations to meet core performance metrics and SLA’s for new client.

2. Manage the process change as it relates to performance, staffing, and employee relations to fully transition new client to existing operations leaders.

3. Provides operational direction to assigned site and business function. Coordinates site related issues with Human Resources and Legal.

4. Oversees billing/collections/reimbursement, ensuring standardization and compliance with established policies and procedures of Conifer Health Solutions, regulations of applicable regulatory agencies, and standards of JCAHO for new client site and fully transitions new client to existing operational leaders.

5. Analyzes and identifies problems, determines cause and desired resolution. Takes steps necessary to implement resolution. Solves escalated problems related to his/her areas of assignment, and maintains a detailed knowledge of functions in these areas.

6. Ability to transition from our transitions Management Team to the applicable unit in the absence of new client engagements.

7. Supports and interfaces with hospital leadership when required. Coordinates necessary meetings/focus groups and assigns direct reports as necessary to help with implementation and feedback within these groups.

8. Ensures implementations of any new processes are in line with the client’s policies and works directly with client’s departments to ensure visibility of any changes in processes.

9. Prioritizes transition projects and completes them effectively within the provided timeframe. Ensures that any delays to projects are communicated proactively and can address issues.

10. Make recommendations based on gap analysis of processes and performance data.

11. Completion of assessment and provides feedback on key benefits for us in transitioning a client. Participates in preparation of financial model.

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): varies by location/assignment

SUPERVISORY RESPONSIBILITIES 

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

No. Direct Reports (incl. titles) TMT Manager Operations. Number is variable

AR Manager assignments are dictated by each new client, and varies by location

No. Indirect Reports (incl. titles) As dictated by each new client, varies by location

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 Advanced understanding of Compliance Regulations and Guidelines 

 Advanced knowledge of healthcare reimbursement methodologies

 Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/Case Management, Management Information Systems, Accounting and Finance

 Advanced knowledge of healthcare A/R, collections, insurance, government programs and appeals

 Knowledge of the flow of revenue cycle, revenue cycle technology, and revenue cycle metrics and drivers

 Detail oriented, analytical skills, and an ability to work independently

 Proficiency in prioritizing and managing multiple tasks

 Advanced skills in human resource management as it relates to large floor operations/call center environments 

 Ability to create and clearly communicate strategic and tactical plans leading to an efficient and effective operation, and understand and execute financial models

 Intermediate Microsoft Office (Word and Excel) 

 Excellent oral and written communication skills and strong presentation skills

 Ability to provide advanced customer service

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

 4 year college degree in Business Administration, Finance, or Health Administration or equivalent experience

 7 - 10 years experience directing a multi-facility healthcare business office (CBO) or large facility Patient Financial Services Department or financial services call center

CERTIFICATES, LICENSES, REGISTRATIONS

 Certified Patient Account Manager (CPAM) or 

 Certified Financial Healthcare Professional (CFHP) or

 Certified Revenue Cycle Representative (CRCR) preferred

OTHER

 100% Travel Required (Not required to travel on weekends/ holiday’s or weeks surrounding a National Holiday)

Hospital Revenue Cycle Managment 

Acute Care Collections