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VP Patient Financial Svcs Ops

Company: Clevelcrossing
Location: Champaign
Posted on: September 23, 2022

Job Description:

VP, Patient Financial Svcs Ops
Department:
Administration - CFH_10_19
Entity:
Carle
Job Category:
Management
Employment Type:
Full - Time
Job ID:
27267
Experience Required:
More than 10 years
Education Required:
Bachelors Degree
Shift:
Day
Location:
Champaign, IL
Usual Schedule:
M-F; 8-5:00 p.m.
On Call Requirements:
N/A
Work Location:
Carle at The Fields
Secondary Job Category:
Professional
Weekend Requirements:
N/A
Holiday Requirements:
N/A
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Position Summary:
Responsible for the management of the system's accounts receivable to optimize reimbursement in a compliant fashion for services rendered by the multiple Carle hospital providers, Ambulatory Surgery Centers, Carle physician and advanced practice providers, Home Care, Hospice, DME, Home Infusion, Retail and Specialty Pharmacies. Scope of responsibility includes billing and follow-up, denials unit, system PFS customer service call center, system RAC management, system cash management, system charity care program and system self-pay and bad debt portfolio management. Serves as a change agent in a constantly changing and growing system and drives process and systems supporting the change and growth. Provides subject matter expertise related to the development of a compliant, comprehensive, professional patient financial services division. Is accountable for protecting the foundation's accounts receivable asset by ensuring that contemporary processes and systems are utilized that promote strong cash collections, minimizes bad debt and provides an excellent patient experience.
Qualifications:
EDUCATIONAL REQUIREMENTS
Bachelor's Degree in Finance or Related field
EXPERIENCE REQUIREMENTS
A minimum of 10 years of experience in a progressively responsible healthcare revenue cycle and/or patient financial services role in a hospital or system setting is required, of which five of those years are in an executive/Vice President position. OrA minimum of 10 years of experience in a progressively responsible healthcare revenue cycle and/or patient financial services role in a hospital or system setting is required, of which seven of those years are in a director level position.
SKILLS AND KNOWLEDGE
Proficient in Microsoft Office products such as Word, Excel, Power Point, Outlook, etc. Experience with EPIC Prelude, Cadence and Resolute for HB and PB. Must be highly organized; able to manage multiple priorities simultaneously; able to prioritize and re-prioritize on short notice; must have outstanding listening and written and oral communications skills; must be able to function well in a team centric culture; able to equally embrace and develop strategy as well as understand and work in the operational details; must have innate inquisitiveness with outstanding analytical skills; high EQ; exercises excellent judgement and has a strong operational focus; sound technical and presentation skills; ability to collaborate and work effectively with all levels in the organization including medical and non-medical staff; problem analysis and resolution skills at strategic and functional levels; ability to make necessary decisions and initiate and implement policies and procedures with a system focus.
Essential Functions:
Leads and directs the Patient Financial Services Division's activities through reporting Directors with guidance from the Senior VP/CRCO. Establishes operational goals, objectives and budgets. Responsibilities include the planning of optimal operating policies and procedures required to deliver quality services and enhance operational processes and workflows.
Designs and oversees an industry-leading operational model that ensures high physician and customer satisfaction, organizational efficiency, and strong financial performance while assuring accurate and complete billing, streamlined denial management functions and sound cash collections processes.
Monitors ongoing performance through the development, production and distribution of performance metrics. Facilitates performance improvement/process redesign as needed.
Oversees all contracted/outsourced services. Effectively negotiates contracted arrangements and manages performance from all vendors.
Communicates regularly and effectively with subordinates and superiors regarding the status and condition of the operations; raises issues/concerns timely and appropriately.
Communicates, collaborates, organizes, prioritizes, leads, facilitates, coaches and problem solves with reporting directors and peers to ensure that division and system goals, objectives and operational budgets are met.
Ensures compliance with relevant regulations, standards and directives from regulatory agencies, governmental bodies and third parties.
Develops, implements and maintains compliant policies and practices for all departments within the division.
Action and results oriented; pro-active
High ethical integrity
Financial acumen
Data driven
Quick study
Strategic and systems thinker
Leads by example
Interest and aptitude in understanding the importance of emerging healthcare issues
Presents complex or difficult messages clearly, understandably and persuasively
Self-starter who has passion and drive about making a contribution
Creative yet practical; thinks outside of the box
Able to manage conflict and negotiate adeptly with individuals and groups
Solid current knowledge and high intellectual curiosity regarding best practices, business process re-engineering, information technology and business planning
Confident, decisive and proactive in dealing with peers
Strong people management and leadership skills
Extremely organized, disciplined, hands-on and process oriented leader who is not afraid of digging into details when necessary
Highly engaged, focused and execution oriented
Actively seeks out and supports collaborative thinking and problem solving with others in the organization
Record of successfully executing on strategic initiatives
Proven ability to make sound business decisions regarding human resources, budgets and deadlines consistent with the requirements of the business
Demonstrated ability to build successful and impactful teams and make positive team-centered contributions
Ability to forge linkages in a vertically integrated system to meet the organizational goals
Is able to get work done through others; sets and communicates goals and initiatives; measures accomplishments; holds people accountable; provides constructive feedback and develops team; effectively delegates
Embraces challenges; comfortably and professionally confronts conflict; has crucial conversations when necessary
Focuses on action and outcomes/deliverables
Adept at learning and understanding organizational culture - adapting to it and influencing it at the same time
Is able to build diverse networks; quick to find common ground
Is a person of high character; is consistent and acts in line with a clear and visible set of values; communicates with honesty and respect
Maintains an open door policy and approachability for all levels of staff whether
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. - For more information: **** . Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted. With an approved exemption, healthcare workers must do weekly testing and verify a negative COVID-19 test.
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Keywords: Clevelcrossing, Champaign , VP Patient Financial Svcs Ops, Accounting, Auditing , Champaign, Illinois

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