Executive Director of Consumer Access Remote

<strong>All the benefits and perks you need for you and your family:</strong> <br>• Benefits from Day One <br>• Career Development <br>• Whole Person Wellbeing Resources <br>• Mental Health Resources and Support <br><br> <strong>Our promise to you:</strong> <br><br> Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that <strong>together</strong> we are even better. <br><br> <strong>Shift</strong>: Monday- Friday Full time<br><br><strong>Job Location</strong> : Remote<br><br><strong>The role you will contribute: </strong> <br><br> The Executive Director Revenue Cycle provides strategic direction and oversight to all aspects of revenue cycle functions for the physician practice operations within AHS PE, and is charged with the responsibility of achieving top quartile revenue cycle performance. The three primary categories of responsibility the Executive Director will manage are as follows: Practice Operational Performance Implement processes, procedures, tools and management structures within the practices to achieve the PE Revenue Cycle Ambition (Ambition). The Ambition is defined as the creation of clean billing claims and is comprised of performing the following functions for every patient, 100% of the time: Complete demographic data entry accurately and comprehensively. Verify insurance eligibility. Collect patient responsibility at the time of service Facilitate precise and comprehensive charge entry, supported by correct clinical diagnoses Directly supervise the PE Corporate Director of Revenue Cycle as well as the Central Florida Regional Revenue Cycle Director(s) who are charged with the responsibility to instill accountability for revenue cycle performance in the various operating units throughout AHS PE. Revenue Integrity Responsible to create an environment in which all AHS PE claims for reimbursement are compliant with all rules and regulations to which we are subject. This includes installing a process to ensure that claims for reimbursement are properly supported by clinical diagnoses and the related coding is done correctly. Oversee and provide direction to the Director of Revenue Integrity. The Director of Revenue Integrity and supporting management team will oversee approximately 130 coders across AHS who will carry out the following major functions: Coding education and compliance training. Coding audits performed under the direction of the Corporate Responsibility Monitoring and Auditing Plan. Specifically requested and/or targeted coding audits. Abstracting and charge reviews (e.g., all work performed outside of the physician's office are to be approved or coded directly by a certified coder before entering into athena Collector). Working and resolution of coding related edits and denials contained in the athena work ques. Central Business Office (CBO) Support With the adoption of the athenahealth software, athenahealth will become the CBO for AHS PE. This is effectuated via the "co-sourcing" model that AHS has contractually agreed to support. Within this model the CBO is supported by a centrally managed group of people who will provide CBO support services. Such services will primarily be customer service for patients, assessment and triaging of denials, working of non-postable payments and patient refunds. This group of people will approximate 100 fte's and the manager of the group will report directly to Executive Director. The Executive Director will ensure the support service performs according to contractually defined service level agreements<br><br><strong>The value you will bring to the team: </strong> <br><ul><li> Provides strategic oversight to the AHS PE revenue cycle functions ensuring compliance with regulatory requirements. </li><li> Develops processes that consistently ensure effective staffing, strong associate engagement and appreciation, and appropriate systems for effective and supportive management engagement. </li><li> Other duties as assigned. </li><li> Develops and implements training programs for all financial revenue cycle staff to achieve impressive customer service outcomes. </li><li> Engages best practices to result in successful outcomes. </li><li> Develops training programs for financial revenue cycle staff to achieve customer service outcomes. </li><li> Facilitates organizational consensus and manages business relationships with stakeholders. </li><li> Manages the development and deployment of patient-friendly programs and activities. </li><li> Integrates employee development and cross-training to align with business unit objectives. </li></ul><br><br><b> <strong>Position Focus:</strong> </b> <br><br> Seeking an executive with proven experience in Professional Billing (PB) revenue cycle operations who has successfully driven performance in Consumer Access or Financial Clearance. The ideal candidate will have led centralized functions across multiple markets and demonstrated success in standardizing processes and outcomes.<br><br><b>Qualifications</b><br> <b> <strong>The expertise and experiences you'll need to succeed:</strong> </b> <br>• Bachelor's Degree <br>• 10+ Work Experience Required <br>• Strong knowledge of all aspects of the physician practice revenue cycle. <br>• Minimum mid-level competency in Microsoft Office applications, especially Excel and Power Point <br>• Ability to function independently with minimal supervision. <br>• Strong interpersonal skills, ability to communicate with all levels <br>• Drive processes to completion <br>• Creativity<br><br><b> <strong>Preferred Qualifications:</strong> </b> <br>• Master's Degree