University Emergency Medicine Foundation
Providence, RI, United States
Manager, Operations, Executive, Healthcare
Director of Revenue Operations
Brown Emergency Medicine (Brown EM) is the academic emergency medicine physician practice plan of the Department of Emergency Medicine at the Alpert Medical School of Brown University. Brown EM provides emergency department staffing for Rhode Island Hospital, the only Level I trauma center in this region; Hasbro Childrenís Hospital, Rhode Islandís only childrenís specialty hospital; The Miriam Hospital, a leading community teaching hospital and Newport Hospital, a community Magnet Hospital. Brown EM member physicians and providers treat over 250,000 patients per year at our 4 clinical sites, drawing patients from Rhode Island, Massachusetts and Connecticut. As a non-profit foundation, Brown EM is committed to its mission and vision of academic and research support. Brown EM offers an excellent benefits package, including 85-90% employer-paid medical and dental, vision, employer-paid life insurance, long-term disability, paid time off, paid holidays and generous 401(k) retirement plan.
Brown EM is looking for a full-time, 40 hour per week Director of Revenue Operations who will be responsible for planning and overseeing day-to-day operations of the Patient Services Revenue Cycle. The Director of Revenue Operations will work with staff to ensure compliant and timely billing and collection of all appropriate revenues.
The Director of Revenue Operations will report to the Chief Administrative Officer and will be based in Providence. Other responsibilities include:
Responsible for overall planning and execution of revenue cycle operations and goals.
Plan, direct, review, coordinate and evaluate the functions of the department to achieve operational efficiencies and ensure compliance with laws, regulations, practices and procedures.
Work closely with managers and leadership team to communicate information necessary to ensure processes are implemented and adhered to.
Provide consultation and recommendations on escalations and on complex coding and billing issues.
Ensure communication and collaboration across all revenue cycle groups.
Monitor department performance results through observation, audits, data analysis and operational reports. Develop new reporting, measures and metrics as needed.
Work with leadership team and others to ensure compliance with government and non-government payersí incentive based and other quality measures programs.
Review internal audit summaries. Prepare reporting and commentary as needed for various stakeholders. When appropriate, prepare, implement and monitor action plans.
Partner with Compliance Director in following the Foundationís Compliance Plan.
Participate and provide input on various projects and initiatives.
Review and provide consultation, with emphasis on revenue cycle impact and on various clinical based initiatives.
Play lead role in training provider staff on documentation requirements and provide feedback, when appropriate, on documentation practices.
Keep up-to-date on regulatory practices.
Act as liaison with healthcare system on EPIC, coding and billing related topics and activities. Ensure our requirements are understood and met in terms of the electronic medical record and our ability to capture the information necessary for operational and revenue cycle purposes.
The qualifications for the position are:
Bachelorís degree in Healthcare Administration, Business Management, Finance, or equivalent work experience.
Certified Professional Coder Certificate (CPC), Certified Coding Specialist- Physician based Certificate (CCS-P), Registered Health Information Administrator (RHIA), Certified Healthcare Financial Professional (CHFP) or a related certificate preferred.
Current knowledge of ICD-10 CM and CPT-4 coding, billing, medical terminology, and compliance standards required.
Strong understanding of Medicare regulations ad overall coding regulatory landscape.
Experience in the complete revenue cycle of a large medical practice or with a commercial health insurance company.
Requires eight (8) to ten (10) years of progressively responsible managerial experience in a healthcare organization.
Superior communication skills and interpersonal skills are required.
Must have a proven record of strong managerial and excellent customer service skills.
Successful candidate must submit to a background release form, demonstrate proof of being free from disqualifying information and must possess a driverís license and access to an insured vehicle as some transportation may be required.
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves and others. Brown EM is an equal opportunity employer. We strive to provide a workplace free from harassment. For more information about Brown EM, please visit our website at https://brownphysicians.org/brown-emergency-medicine/.
University Emergency Medicine Foundation