Santa Clara County
Deputy Revenue Cycle Director
Santa Clara County, San Jose, California, United States, 95199
Under general direction, the Deputy Revenue Cycle Director assists the Revenue Cycle Director in overseeing and managing the end-to-end revenue cycle process for the County of Santa Clara Health System (CSCHS). This role involves ensuring the efficiency and effectiveness of revenue cycle operations, including patient access, billing, coding, collections, and financial reporting. The Deputy Revenue Cycle Director will collaborate with various departments to optimize revenue generation and enhance financial performance.
Filing Period and Application Procedure Final Filing Date:
Closes on January 10, 2025. First application review scheduled for December 20, 2024. The recruitment may be extended or closed as early as 10 days after issue date. You are encouraged to apply as soon as possible and to monitor this site for updated closing information. This recruitment requires the submission of an online application, resume, and cover letter. No paper applications will be accepted. Applicants must apply online at
www.sccjobs.org . Questions regarding this Executive recruitment may be directed to Patricia Carrillo, Executive Services at (408) 299-5897 or
Patricia.Carrillo@esa.sccgov.org .
Job Responsibilities
Assists in the development and implementation of revenue cycle strategies and processes; Oversees day-to-day operations of the revenue cycle team, including billing, coding, and collections; Ensures compliance with regulatory requirements, payer policies, and internal policies; Analyzes revenue cycle performance metrics and identifies areas for improvement; Prepares and presents financial reports, including revenue forecasts and trend analyses; Monitors and manages the key performance indicators (KPIs) to optimize revenue and reduce denials; Acts in the absence of Revenue Cycle Director; Identifies and implements process improvements to enhance efficiency and effectiveness; Leads initiatives to streamline workflows, reduce claim denials, and improve cash flow; Collaborates with other departments to address revenue cycle challenges and implement solutions; Leads a cross-functional team to enhance revenue cycle operations; Collaborates with the management team to improve the reimbursement for services rendered and the profitability of product lines; Develops, for assigned areas of responsibility, policy and procedure recommendations to meet the needs of the Health System and its patients; Develops and maintains processes and controls that are in compliance with regulatory requirements; Identifies performance indicators and benchmarks and integrates with reporting; Develops appropriate reporting for various levels of management; Develops and maintains departmental policies and procedures; Directs and manages patient accounts to ensure accounts are collected appropriately and to optimize cash flow; Responsible for staff development and related goal setting performance standards from staff to unit management; Provides leadership and guidance to special projects related to the revenue cycle; Manages and develops high functioning Patient Business Services (PBS) team that includes all management levels that supports delegation and oversight; Continually assesses and develops an organizational structure that supports high performance results; Participates in the preparation of PBS budget and the annual County Health System budget as it affects these services; Prepares annual goals and objectives for areas of responsibility, involving subordinates in the process; Attends outside meetings related to the County Health System including the Board of Supervisors, when assigned; Serves on various committees of the Health System; Assists patients, physicians and visitors in resolving any billing and collections problems between patients and the Health System; Evaluates subordinate business office supervisors; May be assigned as a Disaster Service Worker, as required; and Performs other related duties, as required.
Minimum Requirements
Considerable training, education and experience which would demonstrate the ability to perform the above tasks and the possession of the following knowledge and abilities: Experience Note: The required knowledge and abilities would typically be acquired through education and experience equivalent to a Bachelor's degree with major work in Business or Public Administration, Accounting, Finance, Analytics, Healthcare, or a related field; and a minimum of three (3) years progressively responsible and directly related work managing procedural area billing and medical practice billing, collection processes, and healthcare reimbursement, with at least two (2) years in a supervisory role. Certification from The Health Care Finance Management Association in revenue cycle or patient accounting preferred.
SPECIAL REQUIREMENTS:
Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization.
Knowledge of:
Principles and practices of organization, administration, personnel management, labor relations and budgeting; Basic principles of health and hospital systems organization and administration; Regulations and laws common to the operation of health and Hospital Systems in California; Hospital Management; Health and hospital systems patient business services, business office practices and methods, patient registration and coverage verification, patient chart systems and forms, hospital, clinic and professional fee charging and coding, and billing and collection; and Medicare and Medi-Cal regulations.
Ability to:
Administer; coordinate and supervise the PBS functions of a large health and hospital system, including charging, billing, collections and insurance verification, patient coverage and eligibility verification; Explain and interpret registration, eligibility, and patient account procedures to patients, visitors, hospital and clinic personnel, and other officials; Identify problems in registration and patient account systems and devise procedural changes and recommendations to resolve same; Learn and apply the hospital and clinic policies, regulations, and administrative procedures in the context of the revenue cycle functions; Keep informed of current methods of automating hospital and clinic patient business services tasks and of changing Medicare and Medi-Cal regulations; Understand the interface between electronic data processing systems and the tasks of the Health System's revenue cycle services; Work effectively as a member of a management team in a large Health System; Communicate calmly & effectively, both verbally and in writing; and Write clear and concise correspondence and reports.
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Filing Period and Application Procedure Final Filing Date:
Closes on January 10, 2025. First application review scheduled for December 20, 2024. The recruitment may be extended or closed as early as 10 days after issue date. You are encouraged to apply as soon as possible and to monitor this site for updated closing information. This recruitment requires the submission of an online application, resume, and cover letter. No paper applications will be accepted. Applicants must apply online at
www.sccjobs.org . Questions regarding this Executive recruitment may be directed to Patricia Carrillo, Executive Services at (408) 299-5897 or
Patricia.Carrillo@esa.sccgov.org .
Job Responsibilities
Assists in the development and implementation of revenue cycle strategies and processes; Oversees day-to-day operations of the revenue cycle team, including billing, coding, and collections; Ensures compliance with regulatory requirements, payer policies, and internal policies; Analyzes revenue cycle performance metrics and identifies areas for improvement; Prepares and presents financial reports, including revenue forecasts and trend analyses; Monitors and manages the key performance indicators (KPIs) to optimize revenue and reduce denials; Acts in the absence of Revenue Cycle Director; Identifies and implements process improvements to enhance efficiency and effectiveness; Leads initiatives to streamline workflows, reduce claim denials, and improve cash flow; Collaborates with other departments to address revenue cycle challenges and implement solutions; Leads a cross-functional team to enhance revenue cycle operations; Collaborates with the management team to improve the reimbursement for services rendered and the profitability of product lines; Develops, for assigned areas of responsibility, policy and procedure recommendations to meet the needs of the Health System and its patients; Develops and maintains processes and controls that are in compliance with regulatory requirements; Identifies performance indicators and benchmarks and integrates with reporting; Develops appropriate reporting for various levels of management; Develops and maintains departmental policies and procedures; Directs and manages patient accounts to ensure accounts are collected appropriately and to optimize cash flow; Responsible for staff development and related goal setting performance standards from staff to unit management; Provides leadership and guidance to special projects related to the revenue cycle; Manages and develops high functioning Patient Business Services (PBS) team that includes all management levels that supports delegation and oversight; Continually assesses and develops an organizational structure that supports high performance results; Participates in the preparation of PBS budget and the annual County Health System budget as it affects these services; Prepares annual goals and objectives for areas of responsibility, involving subordinates in the process; Attends outside meetings related to the County Health System including the Board of Supervisors, when assigned; Serves on various committees of the Health System; Assists patients, physicians and visitors in resolving any billing and collections problems between patients and the Health System; Evaluates subordinate business office supervisors; May be assigned as a Disaster Service Worker, as required; and Performs other related duties, as required.
Minimum Requirements
Considerable training, education and experience which would demonstrate the ability to perform the above tasks and the possession of the following knowledge and abilities: Experience Note: The required knowledge and abilities would typically be acquired through education and experience equivalent to a Bachelor's degree with major work in Business or Public Administration, Accounting, Finance, Analytics, Healthcare, or a related field; and a minimum of three (3) years progressively responsible and directly related work managing procedural area billing and medical practice billing, collection processes, and healthcare reimbursement, with at least two (2) years in a supervisory role. Certification from The Health Care Finance Management Association in revenue cycle or patient accounting preferred.
SPECIAL REQUIREMENTS:
Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization.
Knowledge of:
Principles and practices of organization, administration, personnel management, labor relations and budgeting; Basic principles of health and hospital systems organization and administration; Regulations and laws common to the operation of health and Hospital Systems in California; Hospital Management; Health and hospital systems patient business services, business office practices and methods, patient registration and coverage verification, patient chart systems and forms, hospital, clinic and professional fee charging and coding, and billing and collection; and Medicare and Medi-Cal regulations.
Ability to:
Administer; coordinate and supervise the PBS functions of a large health and hospital system, including charging, billing, collections and insurance verification, patient coverage and eligibility verification; Explain and interpret registration, eligibility, and patient account procedures to patients, visitors, hospital and clinic personnel, and other officials; Identify problems in registration and patient account systems and devise procedural changes and recommendations to resolve same; Learn and apply the hospital and clinic policies, regulations, and administrative procedures in the context of the revenue cycle functions; Keep informed of current methods of automating hospital and clinic patient business services tasks and of changing Medicare and Medi-Cal regulations; Understand the interface between electronic data processing systems and the tasks of the Health System's revenue cycle services; Work effectively as a member of a management team in a large Health System; Communicate calmly & effectively, both verbally and in writing; and Write clear and concise correspondence and reports.
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