Director, Revenue Cycle Continuous Improvement

Company Overview

Headquartered in Atlanta, GA, EyeSouth Partners is an eye care physician services organization committed to partnering with leading physicians to build a premier network of eye care services in throughout the Southeast. EyeSouth’s partner practices’ clinical mission is to provide high quality medical and surgical specialty eye care. EyeSouth supports its affiliated practices and physician partners with capital, administrative resources, operating expertise, and strategic guidance with an absolute focus on clinical quality and a patient-first culture.

EyeSouth’s affiliate network consists of over 40 practices with 300+ doctors providing medical and surgical eye care services at over 175 clinic locations and 20+ ambulatory surgery centers throughout Georgia, Texas, Louisiana, Florida, Tennessee, Ohio, Kentucky, Alabama, Illinois, Pennsylvania, New York, North Carolina, and South Carolina. 

Position Summary

We are actively recruiting for a Director, Revenue Cycle Continuous Improvement to join our growing team at EyeSouth Partners.

If you wish to join a growing team with favorable benefits and perks, while contributing to a best-in-class organization, please apply with your resume

The Director of Revenue Cycle Continuous Improvement reports to the CRCO and is responsible for leading revenue cycle process improvement initiatives and root-cause analytics. In this transformational role, the Director, Revenue Cycle Continuous Improvement, enables EyeSouth’s revenue cycle process excellence transformation by identifying and implementing continuous improvement opportunities across business segments and supporting transformation initiatives to enable our culture, talent, processes, tools, and technologies to transform business capabilities to deliver an exceptional stakeholder experience.

The Director, Revenue Cycle Continuous Improvement will proactively engage with business partners and stakeholders to understand business operations and goals then identify opportunities for process improvement through process redesign and automation technologies.

Responsibilities

• Develop, monitor, and maintain operational goals, objectives and expectations and provide subject matter expertise for all functional areas of HIM to include onsite operational assessments, due-diligence, system conversion support, etc. as needed.
• Prepare, support training and implementation, monitor go-lives for and with facilities at travel to facilities as needed.
• Facilitate and/or coordinate various calls, projects, meetings as it relates to HIM related functions
• Collaborate with Revenue Cycle, Compliance, Risk, Legal and Regulatory on all things related to the Legal Health Record and operational parameters.
• Develop and maintain HIM operational tools, references, policies/procedures, and resources.
• Lead evaluation, selection and management of HIM technologies (e.g. Electronic Document Management systems, Encoders, Computer-Assisted Coding, etc.). Coordinates these efforts and activities with Health Information Technology Services (HITS).
• Provide guidance and oversight for department vendors, vendor contracts and vendor support for any HIM initiatives, current and future.
• Leads and facilitates process improvement initiatives by documenting processes, driving ideas, and developing solutions.
• Drives a data driven approach to identify trends and process variations, which includes performing cost-benefit analysis to support transformational initiatives.
• Actively leads and collaborates with cross-departmental resources to collectively complete process improvement initiatives.
• Acts as a transformation champion across the business while serving as a thought leader, with an understanding of business operations.
• Maintain a strong knowledge of insurance billing and reimbursement procedures and federal, state, and local regulations related to insurance charging, billing, and collections.
• Ensure that all revenue cycle activities assigned, are conducted in compliance with all state and federal regulations, and ensure staff are properly educated to accomplish this requirement, through training and written policies and procedures.
• Develops leadership teams appropriate for department needs.
• Develops and implements strategic plans and budgets, monitors performance to expectations.
• Identify opportunities for system or process improvements and drive change through targeted initiatives.
• Responsible for the effective budget development and financial performance of the department as delegated in the areas of salary expense, supply expense, and capital needs and expenditures.
• Maintain a system to recognize staff informally and formally for accomplishments.
• Implement a Quality Assurance program for RCM functions and monitor staff and team performance, making changes, when required, to support accurate billing to payers and patients in a timely manner and compliance with laws and department procedures.
• Performs other duties as assigned.

Qualifications

• Minimum of (10) years healthcare revenue cycle experience in a multi-location setting required including: ICD-10,CPT, and HCPCS coding, physician practice management, or reimbursement analysis.
• Bachelor’s degree in health care administration, Business Administration, or another related field or equivalent encouraged
• Must possess strong managerial competencies in the areas of leadership and team development, managerial coaching, mentoring and situational assessment skills.
• Must be a change agent and capable of guiding the firm in initiating various change management initiatives with the view of leading and guiding the firm towards growth and development.
• Must possess strong managerial acumen in setting corporate directions and aligning strategic goals around business plans.
• Must possess superior judgement, negotiations, and decision- making skills.
• Must possess strong ethics and a high level of personal and professional integrity.
• Must possess strong analytical skills and be adept in interpreting strategic vision into an operational model.
• Must be willing to seek out new methods and principles and be willing to incorporate them into existing practices, and willing to embrace new technology.
• Exercise knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.

Company Benefits

We offer a competitive benefits package to our employees:

• Medical
• Dental
• Vision
• 401k w/ Match
• HSA/FSA
• Telemedicine
• Generous PTO Package

We also offer the following benefits for FREE:

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance

EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.