Director Revenue Cycle

  • Kaiser Permanente
  • Wailuku, HI 96793, USA
  • Oct 08, 2019
Revenue Cycle

Job Description

Description: Directs revenue cycle initiatives to build compliant, comprehensive non-dues revenue cycle. Oversees coordination and standardization, work integration, change management, issue resolution, and measurement and communication related to non-dues revenue cycle initiative. Develops overall vision and implementation plans to effectively support organizational strategies for new product offerings requiring billing capability. Identifies and develops necessary infrastructure to support implementation of strategies. Coordinates efforts with Kaiser Permanente's national function to standardize organization-wide metrics, processes, procedures, templates and collaborative tools, as applicable, to support revenue cycle. Directs Patient Access Services, Health Information Management and Patient Financial Services functions and other areas as assigned. Communicates key issues and provides status updates to various leadership groups and stakeholders. Serves as role model. Supervises assigned staff.

Essential Responsibilities:
Provides leadership and direction for revenue cycle initiatives. Leads through collaborative processes to implement comprehensive and compliant non-dues revenue cycle procedures.Identifies key performance and project metrics to effectively manage operations. Measures and reports noteworthy statistical and status information.Facilitates development and implementation plans to operationalize revenue cycle initiatives and strategies.Fosters strategic relationships with sponsors, stakeholders, contributors and key internal parties across functions. Leads, coordinates, guides and influences necessary parties to achieve desired transformation.Implements necessary internal controls to ensure regulatory and policy compliance.Implements plans/projects to improve operational efficiency and effectiveness. Monitors and reports status and progress to supervisor.Identifies opportunities to leverage systems, processes, standardization or other vehicles to lower cost while maintaining or improving customer service.Monitors expenditures, ensures compliance with budget. Promotes effective use of resources.Seeks efficient ways to carry out operations within areas of responsibility. Writes department policies and procedures. Assures policies, procedures, and performance goals and measures are met. Reports on areas' operational goal attainment. Participates in interdepartmental activities necessary to meet region wide plans.Acts as resource to organization in matters pertaining to billing, reporting, and reimbursement.Demonstrates knowledge of regulatory billing requirements for Medicare, Medicaid, Workers Compensation, Third Party Payors, for both Hospital & Professional billing.Researches and analyzes data to determine where problems exist. Audits billing documentation and data.  Develops solutions. Provides follow-up training, changes in procedures. Prepares reports to management.Continually improve processes and quality related to revenue cycle operations.
Basic Qualifications:
Minimum eight (8) years of revenue cycle, financial operations management, internal control or related field experience. Minimum three (3) years of management experience. Education
Bachelor's degree in healthcare administration, accounting, finance, business administration or related field OR four (4) years of experience in a directly related field. High School Diploma or General Education Development (GED) required. License, Certification, Registration

Additional Requirements:
Knowledge of insurance, managed care and integrated delivery systems. Demonstrated knowledge of and skill in change management, conflict resolution, creativity/innovation, decision making, group presentations, group process facilitation, influence, interpersonal relations, oral communication, problem solving, process improvement, project management, results orientation, systems thinking, team building, and written communication. Related experience in a healthcare setting. Demonstrated knowledge of and skill in word processing, multimedia presentations, spreadsheet, and database PC applications.

Preferred Qualifications:
Master's degree in healthcare administration, accounting, finance, business administration or related field.

Primary Location: Hawaii,Wailuku,Mem. Wili Pa Loop Building 1849 Wili Pa Lp. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Accounting, Finance and Actuarial Services Department: Revenue Cycle Administration Travel: Yes, 10 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.