CommonSpirit Health System Director of PE Revenue Optimization – Front office in United States
CommonSpirit was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry in early 2019. More than 150,000 physicians, nurses, caregivers, and other staff are employed by CommonSpirit Our hospitals and care centers cover 21 states. CommonSpirit has the size and ability to scale best-in-class clinical service lines; recruit and retain top talent; standardize operations to improve quality and reduce the cost of care; and advocate more effectively for all people, especially those who are poor and vulnerable. For more information, please visit our website atwww.commonspirithealth.org (http://www.dignityhealth.org) . You can also follow us on Twitter (https://twitter.com/dignityhealth) andFacebook (https://www.facebook.com/dignityhealth) .
The System Director of PE Front-end Revenue Cycle is responsible for implementation and support of system direction, policies, and strategies to create a high performing revenue cycle for CommonSpirit Health (CSH) Physician Enterprise. This role will be key in monitoring PE front-end revenue cycle performance and leading revenue cycle development and performance with business partners across the revenue cycle. This role will work extensively with CSH PE market leaders, business partners, and CSH system colleagues.
1. Provide support and Lead operational and tactical planning and performance monitoring to create high performing front-end revenue cycle for CSH :
o Aid in selection and implementation of strategic business partners and solutions, including RFP, implementation cost budgeting, planned benefit analysis, and related tasks
o Implement and support the strategic plans, goals, objectives and budgets for the CSH System revenue cycle that promote leading practices
o Evaluate and revise the standardized front-end policies and procedures and institute changes to streamline operations and enhance revenue collections on an on-going basis, while remaining compliant with applicable regulations
o Support of revenue cycle partners to maximize performance
o Track and trend front-end revenue cycle performanceand participate in discussions for improvement as applicable
o Provide leadership and subject matter expertise across all components of the front-end revenue cycle
2. Provide front-end revenue cycle operational leadership:
o Coordination with PE operations including but not limited to resources that fall under the VP of Administration and Transformation, clinic operations, centralized call centers
o Lead efforts to optimize front-end revenue cycle processes; standardization within and across technology platforms
o Assists with the management of vendor relations and contracts coordination. Works closely with internal and external stakeholders to support alignment of application rationalization and solution utilization across CSH
o Facilitate cross functional relationships with CSH and local market IT, BI, preferred vendors, and revenue cycle partners
o Assumes role as a change leader, handling assigned work and creating process methodologies, processes, tools and techniques
3. Leading and Developing Teams:
o Assembles, advises, evaluates, restructures and coaches team members in a complex matrix environment
o Provides hands-on leadership and expertise to CSH front-end teams and any related partners
o Improves team performance by providing feedback, initiating peer assistance, and assisting in obstacle avoidance
o Team with partners’ change leadership to proactively integrate change techniques
o Sets quantitative and qualitative metrics tied to goals and objectives
o Reports progress and evaluates results on an ongoing basis
o Provides guidance and clarity; uses ingenuity and guides others to cope effectively
4. Applied Knowledge:
o Applies comprehensive knowledge of front-end revenue cycle functions, market configurations, and system knowledge to refine and improve market performance
o Studies industry best practices to bring insight and fresh perspective to CSH's approach to front-end revenue cycle
o Collaborate with IT partners to evaluate system upgrades and works with partners to effectively utilize new functionality available from the upgrade
o Adapt and comply with regulation changes. Work with partners to apply changes to the systems and procedures
o Facilitate management of system front-end policy and procedures through the creation, revision, modification, and publication
o Support front-end revenue cycle audits including but not limited to data capture and action plan completion
5. Support and facilitate the smooth transition of front-end revenue cycle management functions in CSH acquisition and divestiture transactions as appropriate:
o Represent front-end revenue cycle and provide input to stakeholders involved in the transaction
o Facilitate preferred front-end vendor transition in or out of the CSH MSAs
6. Serve as a subject matter expert in the interpretation of front-end revenue cycle activities and needs:
o Represent and provide front-end subject matter expertise on CSH system, regional, and market specific committees and work groups
o Lead governance forums with the intent to apply standard approaches and leading practices across all technology systems and markets
7. Collaborate with physician enterprise revenue cycle on strategies, tactics, policy development, etc. to ensure consistency with overall CSH revenue cycle direction
8. Other duties as assigned
CSH Core Expectations:
At CSH, we expect all our employees to live the values ofCommonSpirit Health:
· Care with listening, empathy and love.
· Accompany and comfort those in need of healing.
· Celebrate each person’s gifts and voice.
· Respect the dignity of all.
· Inspire trust through honesty.
· Demonstrate courage in the face of inequity.
· Serve with fullest passion, creativity.
· Exceed expectations of others and ourselves.
· Commit to the power of working together.
· Build and nurture meaningful relationships.
Core CSH Behaviors :
The following behaviors have been identified as critical to all management roles at CSH:
Integrity & Character– exhibits high standards of personal conduct by engaging in ethical decision-making, honoring commitments, communicating openly/honestly, and living our values
Spirituality– gives evidence that she/he finds a higher meaning in work and demonstrates caring for others in body, mind, and spirit
Performance– creates a clear line of sight between strategic priorities and individual goals, monitors progress, provides accurate and timely feedback, and recognizes contributions
Communications– communicates clarity of purpose and direction in a manner that energizes, and fosters commitment; provides ongoing encouragement as well as information vital to success
Collaboration & Teamwork– seeks out and values diversity in people and perspectives; manages conflict in a manner that improves results and relationships; acts in the best interest of all CSH stakeholders
Caring & Service– Consistently treats others with respect; holds team accountable to high service standards; appropriately involves others in decisions impacting them
Learning & Growth - Regularly invests time in developing, and coaching others; energizes team innovate, to continuously improve processes, and share knowledge across CSH
Future Focus– Actively seeks opportunity for growth consistent with CSH’s Mission, Vision, Values
Change Leadership– Gains a willing commitment to change, and assists others in coping with ongoing pace of change
Achieving Results– Holds self and team members accountable for people, performance, quality and growth outcomes
Initiative: Takes prompt action to accomplish objectives, goes beyond what is required, seeks to resolve problems without being asked.
- Bachelor's degree or equivalent work experience required in patient access/financial clearance management, business administration, finance, healthcare administration, or related field.
At least 8 years direct patient financial experience with a minimum of 5 years of patient access/financial clearance management related to physician/clinic or hospital billing
Practice management or electronic health record technical or operational experience
Understanding of RCM operational processes
Must be a strategic thinker and insightful decision maker with ability to analyze and solve problems
Demonstrate leadership skills including the ability to direct changes to existing routines or practices to meet changing organizational needs
Successful candidate will have a record of accomplishment in building durable working relationships in a matrix organization
Ability to enhance the physician and clinical department experience by developing and implementing streamlined, customer-friendly front-end revenue cycle processes.
Must have excellent written, oral, and interpersonal communication skills to educate and interact with all levels of healthcare professionals.
PMP certified as applicable
EHR Certification as applicable
Skills, Knowledge or Abilities:
Language Ability : Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to sensitive inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication using original or innovative techniques or styles. Ability to make effective and persuasive speeches and presentations on controversial or complex topics to senior management.
Math Ability : Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra.
Reasoning Ability : Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Ability to separate noise from key details
Computer Skills : Must be knowledgeable with various practice management software applications, proficient in Microsoft Office/Google software, including Outlook/Gmail and Excel/Sheets. Must also be able to use vendor-based Internet software and have previous experience with databases.
Interpersonal : Ability to communicate vision and expectations, work with complex cross functional teams, discern motivation of key participants, speak and communicate in situation- appropriate style, apply active listening, and create positive working relationship with revenue cycle and its partners.
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Job ID 2021-153697
Employment Type Full Time
Department Physician Integration
Hours / Pay Period 80
Facility Dignity Health System Office
Standard Hours Monday - Friday (8:00 AM - 5:00 PM)
Work Schedule 8 Hour
Location -Remote Opportunity