Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Patient Financial Services
Work Type: Full Time (Total FTE between 0. 9 and 1. 0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $63.10 - $106.01 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Under the leadership of the System Associate Vice President, Patient Financial Services, the System Director, Patient Experience & SBO Collections oversees processes and functions associated with the Patient Customer Service/Experience, Cash Applications, Refunds and Vendor Management for RUMC, ROPH, RCMC, Castle Surgicenter, including legacy service area locations and various privately contracted bundled services.
In this role, the System Director, Patient Experience & SBO Collections ensures effective system operations, participates in strategic planning initiatives, drives the implementation of plans, and oversees daily workflows for specific functional duties and areas of responsibility. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
Bachelor’s degree and 7yr experience in financial analysis, patient finance, hospital revenue cycle and/or consulting in a revenue cycle managerial position.
5+ years in Revenue Cycle leadership or supervisory experience.
Strong knowledge of hospital and physician billing practices, insurance follow-up and payer contracts as they impact patient liabilities and workflows.
Excellent verbal and written communication skills due to direct interaction with senior management.
Strong time management and organizational skills.
Strong problem solving and financial analytical skills.
Ability to interact professionally with all levels of employees.
Improves technical skills through professional development efforts.
Preferred Job Qualifications:
Professional certification (CPA, HFMA, Epic system or similar) and/or Master’s degree (Business Administration, Health Systems Administration, or similar).
Epic proficiency or certification
Strong knowledge of payer rules, regulations, along with the ability to analyze all forms of payments for accuracy.
Physical Demands:
Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.
Competencies:
Experience in a large, multi-specialty hospital facility environment.
Knowledge of Hospital/Physician billing experience in a complex academic setting.
Knowledge of hospital Medicare, Medicaid and Commercial insurance regulations, specifically for underpayment and denial resolution purposes.
Understanding of insurance and CPT/ICD coding.
Ability to interpret contracts and governmental regulations.
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Responsibilities:
Supports strategic planning initiatives and participates in effective execution of planning relevant to functional area(s).
In collaboration with the System AVP, Patient Financial Services, establishes benchmarks and performance metrics for functional areas of responsibility. Monitors functional area performance in connection with these metrics and Revenue Cycle overall performance, proactively identifying opportunities for improvement and communicating these opportunities with appropriate leadership/areas.
Collaborates with other Revenue Cycle leaders on relevant activities and ensures interdependencies between specific area of functional oversight and other areas within Revenue Cycle have appropriate hand-offs. Proactively communicates to achieve seamless workflows and achievement of overall Revenue Cycle objectives.
Participates in developing, implementing, and maintaining functional specific administrative and operating policies and procedures ensuring consistency within other areas of Revenue Cycle.
Leverages technology to ensure that automated solutions and applications (Epic and non-Epic) support functional objectives. Identifies gaps and proposes solutions where necessary.
Identifies, develops, and maintains reporting tools vital to sound management over the functional area(s) of responsibility.
Effectively manages a departmental budget for functional area(s) of responsibility.
Recruits for and guides the activities of direct reports ensuring optimization of human capital.
Ensures the quality and accuracy of staff’s and overall department’s work
Drives employee developmental programming including annual performance evaluation, employee engagement, and talent management.
Consistently promotes and supports a team approach to innovation in programs and problem solving both within functional area of responsibility and in collaboration with other revenue cycle and non-revenue cycle stakeholder departments.
Develops and maintains effective working relationships with vendors and peer managers both internal and external to the organization.
Stays abreast of industry changes impacting functional area and Revenue Cycle and identifies potential impact and required changes. Strives to promote best practices within functional area and within Revenue Cycle.
Ensures adherence to state and federal regulatory statutes as it pertains to functional area.
Adheres to and supports Revenue Cycle departmental administrative policies.
Functional Specific Duties and Responsibilities:
Primary roles and responsibilities collectively comprise of Customer Service/Experience, Cash Applications, Refunds and Vendor Management functions within Revenue Cycle. Specific managerial oversight includes:
•Manages accounts receivable for patient balances, inclusive of uninsured patients and balances after insurance, managing the process for self-pay follow up, including FAP applications and MANG pending accounts.
•Maintains policies for financial assistance and uninsured discounts and ensures compliance with applicable State and Federal regulations.
•Develops and maintains tools to track patient financial engagement, using tools to improve Rush policies and processes and increase level of patient education.
•Oversees self-pay and customer service teams, identifying opportunities for improving the collection processes and net realization.
•Manage Cash Applications, Blue Cross Reconciliation, Contractual Allowances, Credit Balances, and Refunds.
•Establish measures to improving processing and ensure the accuracy of payment, adjustment and refund processing and posting.
•Works with Treasury, Finance, Accounting on Medicare Cost Report, Deposit Transactions, Audit requests.
•Works collaboratively with other areas to ensure communication to patients about insurance and patient liabilities is consistent throughout.
•Oversee the outside vendors placements and expected performance, identifying areas of opportunity to streamline processes and staff performance to ensuring effective system operations.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.