Director of Revenue

Director Of Revenue

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below :

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 re-credentialing 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 / EXPERIENCE :

If you find this opportunity compelling, we encourage you to apply for our Director of Revenue opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team.

We are interviewing - apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.