Business hours with flexibility.
Remote position - some travel throughout the system may be required.

Directs and supports the planning, organizing and execution of the daily activities of Advocate Health billing and follow up functions for professional (PB) accounts receivable follow up including hiring, orienting, scheduling, monitoring and evaluating performance. Establishes effective claims management processes and controls to ensure the accuracy and timeliness of claims submissions and collections in compliance with contractual, state and federal regulations. Provides service excellence in working with internal and external departments. Defines strategic objectives and implements process redesign, policies and measurement tools. Provides quality measures and KPI reporting to executive management. Builds relationships with vendors, industry leaders and internal leadership to enhance the hospital performance and reputation among the communities served. Provides key insights and recommendations to the Vice President of Revenue Cycle with regards to the revenue operations and provides leadership for the billing and follow up division.

Remote position with some travel throughout the enterprise

Major Responsibilities:

• Oversees the billing and claims processing for AH for physician sites to ensure timely, accurate, and compliant claims processing. Oversees the optimization of net revenue related to reimbursement from third party payers.
• Develops and utilizes key performance Indicators (KPI's) to analyze processes in order to streamline workflow, design operations and improve quality and service and revenue cycle performance. Works with management and staff to establish and achieve performance objectives.
• Compiles and utilizes statistical information to be used for current operations and future planning. Analyzes leading indicators and operating metrics. Develops plans in response to data. Establishes goals, standards and target time frames for initiative implementation and completion.
• Directs and manages the activities of leaders to set the standard for prompt resolution of payer issues resulting in payment delays.
• Ensures performance metrics are within established thresholds while maintaining the highest level of patient and other customer satisfaction.
• Works collaboratively with facility directors, site leaders and Patient Relations teams to ensure service guidelines are met.
• Reviews departmental productivity and quality levels and allocates resources based on operational trends and performance to achieve Shared Revenue Cycle Operation goals and objectives.
• Oversees the design and utilization of work flow tools to achieve established department goals, objectives and best practice results. Develops department productivity and quality standards to improve patient satisfaction within span of control. Benchmarks to industry standards.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:

• None Required.

Education Required:

• Bachelor's Degree in.

Experience Required:

• Typically requires 10 years of experience in revenue cycle management, preferably within a multi-facility hospital system with affiliated physician practices. Includes 5 years of management experience in revenue cycle management.

Knowledge, Skills & Abilities Required:

• Demonstrates high performance of management skills including ability to work well with others, team building skills, organizational, communication and presentation skills.
• Strong background and knowledge in both hospital and physician revenue cycle operations/principles.
• Demonstrated skills in critical thinking, diplomacy and relationship building.
• Ability to effectively manage and coordinate many different personnel responsible for billing and collection activities.
• Experience in executing change and results based upon data analytics developed by the incumbent.
• Demonstrated self-directed, results oriented, and creative approach to problem solving.
• Ability to work in high volume, dynamic work environment.
• Previous experience with system conversion and office re-structure required.
• Ability to manage multiple sites and travel between sites.
• Strong knowledge in employee development.

Physical Requirements and Working Conditions:

• This position requires travel, therefore, will be exposed to weather and road conditions.
• Operates all equipment necessary to perform the job.
• Exposed to a normal office environment.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.