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Executive Director - Revenue Cycle - RUHS MC

Company: Riverside University Health System
Location: Moreno Valley
Posted on: March 27, 2020

Job Description:

Under general direction, plans, organizes, and manages revenue cycle programs and systems of the Riverside University Health System-Medical Center (RUHS-MC); evaluates and reports the overall financial or revenue position and results of revenue generating operations of the RUHS-MC; and performs other related duties as required.The Executive Director, Revenue Cycle is a director level, single-position classification and reports to the RUHS-MC Chief Finance Officer (CFO). This class is characterized by the responsibility to work collaboratively with the senior management team to ensure the viability of the organization's financial health through revenue generation. The incumbent is responsible, through subordinate management and supervisory staff, for managing and reviewing hospital-wide revenue cycle activities, including patient access, admissions and registrations, eligibility, financial screening and counseling, patient charges capture, billing, revenue recovery and collections, claims management, and revenue cycle performance improvement functions. In addition, the incumbent is responsible for directing the activities of assigned departments and the organization's management teams. The incumbent is further required to maintain in-depth knowledge of federal, state, and other payment programs and payment reform.This class has been designated At-Will by the Board of Supervisors, in accordance with the provisions provided under Article 6, Section 601E (2) of the County Management Resolution and serves at the pleasure of the RUHS-MC Chief Executive Officer.This class has been deemed eligible for the Performance Recognition Plan as set forth under Article 3, Section 311(B) of the County Management Resolution. Program eligibility requires employees to be in a leadership position, manage other employees or programs, and have significant influence on the achievement of organizational objectives.-- EXAMPLES OF ESSENTIAL DUTIES Review and evaluate the effectiveness of all revenue cycle systems within the medical center, including the medical center's clinical documentation and medical records improvement initiatives; establish procedures to ensure reporting compliance with local, state, and federal laws, rules, and regulations.Direct the development and implementation of revenue cycle systems, policies, and procedures, for patient admissions and registrations, health insurance eligibility, financial screening and counseling, charge capture, clinical documentation, billing fiscal intermediaries, revenue recovery and collections, and claims processing; advise the RUHS-MC CFO on the financial consequence of both proposed and implemented policy decisions.As a member of the Executive Management team, participate in the development and implementation of the operating and administrative policies, potential new programs to facilitate long and short-term strategies, and revenue cycle plan objectives.Coordinate with senior management team in setting revenue cycle performance goals and initiatives consistent with best practice standards; collaborate with RUHS-MC executives and managers on improving the quality of revenue cycle decisions that may have financial, legal, and regulatory impact to the organization.Ensure compliance with federal and state laws, regulations and standards pertaining to revenue cycle operations; review, interpret, and apply laws, policies, regulations, and procedures related to patient admission and registration, billing, credit and collections functions, and clinical documentation to assure compliance; may assist the County Counsel in preparation and resolution of revenue recovery litigation.Monitor and report deviations from approved budgets and recommend corrective measures; maintain cost controls to assure compliance with budget provisions; investigate and recommend methods of productive revenue generation.Review, monitor and direct the productivity and performance of assigned departments and provide direction as necessary; design and evaluate the performance improvement processes related to revenue cycle programs and implements appropriate changes; establish internal controls to monitor and safeguard the financial assets.Coordinate with the Medical Center Chief Information Officer to ensure the development and implementation of data information systems and business technology solutions, which accurately and efficiently compile, record, and report revenue cycle and financial data in conjunction with the County Business System.Prepare or supervise the preparation of a variety of complex revenue cycle and management reports and correspondence; perform special studies as assigned by the RUHS-MC CFO including monthly reports, which reflect the overall revenue and financial positions.Participate as a member of the Executive Management team overseeing consistency in revenue cycle activities of departments at RUHS-MC.Supervise several medical center departments.-- MINIMUM QUALIFICATIONS Education: Graduation from an accredited college or university with a Bachelor's degree with a major in finance, accounting, business administration, or a closely related field to the assignment. (Additional qualifying experience may be substituted for up to two years of the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience.)Experience: Four years of fiscal or revenue cycle experience in an administrative or managerial capacity in hospital or ambulatory care systems, which included responsibility for, and participation in, financial or revenue cycle management including patient access, financial services and budget maintenance. A minimum of two years of this experience must have included responsibility for supervising accounting or revenue cycle professionals. (Possession of a Master's degree from an accredited college or university in accounting, business administration, or a closely related field to the assignment may substitute for one year of the required non-supervisory experience.) Six years of revenue cycle management experience in a public hospital or ambulatory care system is preferred.Knowledge of: Principles and practices of hospital and ambulatory healthcare budgeting and financial management; hospital and/or ambulatory care revenue cycle performance metrics and operations, including billing, collections, patient access, cash management, case management, reimbursements, claims denial management; general and governmental accounting principles and standards; federal, state, and local laws, rules, and regulations influencing hospital and other healthcare fiscal and revenue cycle operations; modern office practices, forms, and equipment, including the application of health information systems to the accounting, budget, revenue cycle and other financial functions; principles of supervision and staff utilization; understanding of Medicaid, Medi-Cal System payments; familiar with cost reporting in a hospital or ambulatory care setting and with reimbursement methods of payment.Ability to: Analyze, plan, and direct financial or revenue cycle operations; develop and monitor a revenue cycle system which is highly productive and complies with various local, state, and federal laws, rules, and regulations; analyze organizational, administrative, and budgetary matters and recommend effective courses of action; establish and maintain effective working relationships; prepare comprehensive, clear, and concise reports and correspondence; speak effectively; develop financial strategies for revenue growth opportunities; develop strategies to optimize the Medical Center's financial position.-- APPLICATION PROCESS This recruitment is open to all applicants.Applicants who are current County of Riverside employees and/or current employees of the Department/Agency may be considered before other applicants depending on the volume of applications received.Qualified applicants may be considered for future vacancies throughout the County.-- APPLICATION PERIOD This position will remain open until filled.The preliminary closing date for this posting is March 22, 2020; however, postings may close at any time.Applications received prior to the closing date will be considered based on the information submitted.-- Changes or alterations cannot be accepted.-- No late applications will be permitted.Applications must be submitted through Job Gateway at http://www.rc-hr.com/Careers/JobGateway.aspxInclude relevant work experience details on resume and/or application.Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.Upload a copy of any license(s), degrees, and/or related employment documents to your Job Gateway account.Based on the number of applications received, this posting may close without notice.-- ABOUT THE DEPARTMENT Riverside University Health System (RUHS) is an integrated health system delivering exceptional care to residents of Riverside County, through a network of skilled healthcare professionals.-- RUHS includes the 439-bed Medical Center in Moreno Valley accredited by the Joint Commission, 10 Federally Qualified Health Centers (FQHCs), specialty clinics, and the departments of Behavioral and Public Health.-- RUHS is a teaching organization that provides training for doctors, nurses and allied health professionals, and is affiliated with Loma Linda University, University of California System and Western University of Health Sciences.-- RUHS employs about 6,000 team members.The RUHS-Medical Center is a Level II Trauma Center and provides high quality adult and pediatric acute care, emergency and trauma medical care, and specialized health services that include the Stroke Center and chronic disease management.-- The FQHCs, located throughout Riverside County, deliver comprehensive outpatient primary and preventive care.-- Community-based services for adults and children with mental health issues and substance abuse challenges are provided by the RUHS-Behavioral Health Department.-- The RUHS-Public Health Department offers a wide range of services and programs, such as disease control, children's medical services and nutrition services, to promote and protect the health of the residents of Riverside County.The RUHS is committed to the health and well-being of all communities in Riverside County.-- GENERAL INFORMATION For specific questions regarding this position, contact Angela Levinson at 951-486-5552 or alevinson@rivco.org.--Benefits and detailed job description information is available for all Riverside County classifications on the job descriptions page at http://rc-hr.com/Careers/JobDescriptions.aspx.Information regarding employment requirements, including pre-employment drug/alcohol test, background check, physical exam, initial probationary period is available at www.rc-hr.com.-- Procedures for reasonable accommodation, as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA), may be found at http://dao.rc-hr.com.---Applications must be submitted through the Riverside County Job Gateway System.---Current County Employees must use their Employee Self-Service Account to apply.---All other applicants must apply using https://jobs.co.riverside.ca.us--The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide employment opportunity for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non job-related factor.Riverside County offers diversity that few locations can match.-- To find out more, please visit http://www.countyofriverside.us

Keywords: Riverside University Health System, Moreno Valley , Executive Director - Revenue Cycle - RUHS MC, Executive , Moreno Valley, California

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