REGIONAL REVENUE CYCLE OFFICER #109768 (KAUAI -KR364)

Exempt
Kaua'i Veterans Memorial Hospital
Posted on October 15, 2021

JOB DESCRIPTION

DATE POSTED: October 15, 2021 ***Updated on December 27, 2023***

POSITION TITLE: REGIONAL REVENUE CYCLE OFFICER

JOB STATUS: Exempt | Full-Time WITH Benefits (1.0 FTE)

SALARY: Negotiable

LOCATION: This position is located in the Patient Financial Services (PFS) department of Kaua’i Veterans Memorial Hospital (KVMH). KVMH, Samuel Mahelona Memorial Hospital (SMMH) and the Kaua’i Region Clinics, which includes: The Clinic at Waimea, The Clinic at Port Allen, The Clinic at Kalāheo, The Specialty Clinic at Kalāheo, Urgent Care at Po’ipū, The Clinic at Līhu’e, and The Clinic at Kapa’a, are part of the Kaua’i Region, Hawai’i Health Systems Corporation (HHSC), a public benefit corporation of the State of Hawai’i.

The PFS department is responsible for a variety of fiscal services including patient accounting, admitting (patient access), financial counseling, payer negotiations, price transparency, charge description master management, denial management, health information management, financial informatics, and so forth.

JOB FUNCTIONS: The Regional Revenue Cycle Officer (RRCO), is responsible for enhancing and maintaining a high functioning revenue cycle process that incorporates a cross-department organizational structure. The functional areas of Patient Access Services, Patient Financial Services, Utilization Review and Health Information Management act interdependently during a patient visit, contributing critical information required for clinical service and procuring payment. The RRCO is responsible for concentrating resources to improve core clinical care delivery and protect the assets of the Kaua’i Region. The RRCO must be able to meet performance goals to include cash, A/R days, denials reduction, and clean claim rates among accepted industry benchmarks; is responsible for monitoring changes in the healthcare industry impacting patient accounting and related efforts of the Kaua’i Region; and provide leadership, management and supervisory oversight for the entire patient financial services area for the Kaua’i Region and its affiliates. Other duties include assisting in strategic planning, staffing issues, budget, and cost analysis and performing other duties as assigned.

This position requires travel to all facilities within the Kaua’i Region. Position may be required to work all shifts, weekends, and holidays. The RRCO reports to the Regional Chief Financial Officer (RCFO), position no. 109672.

MINIMUM QUALIFICATION REQUIREMENTS

To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experience are credited based on a 40-hour workweek. All applicants are required to provide evidence of all applicable education, licenses, and certifications.

Education: Bachelor’s degree from an accredited (4) four-year college or university in healthcare administration, business, accounting or related field.

Experience:

5-10 years of managerial and leadership experience.
5 years of experience in healthcare billing is preferred.
Strong background in financial management and knowledgeable of State and federal laws and requirements relating to healthcare.

Certification: None required. Active membership in the Healthcare Financial Management Association (HFMA) or related professional organization is highly desirable.

Licensure: Valid, current State of Hawai’i drivers license.

DESIRED KNOWLEDGE & ABILITIES

Knowledge of: principles and practices of hospital revenue cycle management; principles and practices of public fiscal administration including budgeting and financial reporting; principles and practices of supervision; cost accounting methods and systems; governmental organization and functions; and public relations. Requires competitive skills in analysis, accounting, measurement, and communication. Excellent computer and financial management skills.

Ability to: plan, organize and direct the work of a fiscal and revenue cycle program; develop, revise and install general accounting systems; obtain, analyze and evaluate facts; analyze facility needs and provide service to fulfill those needs; interpret pertinent laws, rules and regulations; prepare clear and concise correspondence and reports; draft policies and procedures; maintain cooperative and effective relationship with public officers, departmental personnel and members of the general public; and make sound administrative policy decisions. Ability to analyze and resolve problems that affect claim submission process; ability to financially analyze data for operations, budgeting, auditing, forecasting; basic accounting knowledge; AR and reserve analysis, market analysis. Leadership skills to motive cross-department teams’ performance toward excellence.

Must have thorough working knowledge in the areas of patient registration, medical records, accounts receivables (AR), and cost report programs; knowledge of third party requirements, Medicare/Medicaid regulations, and electronic filing of claims; excellent customer service skills required to deal with internal and external customers, departments and facilities, associates and physicians, various committees, vendors and governmental agencies; ability to meet deadlines

Must have high level of accuracy and attention to detail, flexibility, and ability to attend to competing priorities in an efficient and timely manner while prioritizing effectively in a team environment.

HEALTH & PHYSICAL REQUIREMENTS

Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation.

*CB

To apply for this job email your details to cguirao@hhsc.org

HOW TO APPLY: Please complete our HHSC Employment Application even if you are submitting your resume. Once complete, you may either email your application and any other relevant documents directly to Kauai Recruitment at kauaijobs@hhsc.org or mail them to our address listed below with an attention to our Human Resources Department.

For any inquiries, please contact us at:

HHSC- Kauai Region Human Resources 4643 Waimea Canyon Drive, Waimea, HI 96796 KVMH: (808)338-9425 | SMMH: (808)823-4116 KVMH Fax: (808)338-9286 | SMMH Fax: (808)823-4179 Email: kauaijobs@hhsc.org

Recruitment posting are continuous until needs are met
All job vacancies will be posted for a minimum of ten (10) calendar days
We are an Equal Opportunity Employer

QUALITY OF EXPERIENCE: Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities. If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek. Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications.

MERIT OR CIVIL SERVICE SYSTEM: You must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted. Applications will be kept active for six (6) months.

CITIZENSHIP AND RESIDENCE REQUIREMENT: Applicants must be eligible to work in the U.S. and at the time of appointment will be required to become a Hawaii resident within a reasonable time from hire.

VETERAN’S PREFERENCE: If you are claiming Veteran’s Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service.

PHYSICAL/MENTAL REQUIREMENTS: Applicants must be able to physically and mentally perform efficiently the duties of the position. Qualified applicants with disabilities who can perform the essential functions of the advertised position are encouraged to apply. The Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodation should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship.

PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be conditioned on the results of a complete physical examination, which includes a drug screening. For certain job categories, applicants may be referred to an HHSC-designated physician, rather than the applicant’s personal physician of choice. The cost for all physical examinations, except the cost for the drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation. The Hawaii Health Systems Corporation shall bear the cost of the drug screening.

CRIMINAL/BACKGROUND, CREDENTIALING CHECKS: Applicable checks will be conducted periodically and any associated costs may be borne by the applicant. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks.

HOW TO APPLY: Please complete and submit our HHSC Employment Application. Only applicants that have been through a Human Resources (HR) applicant screening process will be considered for an interview with the hiring manager. Applications for announcements with a deadline date must be on file no later than the last day to file applications. Applications received for positions with "Continuous Recruitment Until Needs are Met" will be accepted as long as there are vacancies. Inactive/filled announcements will be taken off the HHSC website.

STEPS TO AN ADMINISTRATIVE REVIEW, SUBSEQUENT APPEALS: If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete a Request for Administrative Review form or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include 1. The job title(s) and recruitment number(s), 2. the specific reason(s) you are requesting the review noting if there is a statute or rule violation, and 3. any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection. If you do not agree with the Administrative Review, you may file a Formal Complaint and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board.

Contact Information

The Kauai Regional Office of the Hawaii Health Systems Corporation is located at Kauai Veterans Memorial Hospital, 4643 Waimea Canyon Road, Waimea, HI 96796. For employment opportunities, please click on this link. For additional information, call SMMH:(808)823-4116 or KVMH:(808)338-9425 or e-mail kauaijobs@hhsc.org

PERSONS WITH DISABILITIES MAY CONTACT THE RECRUITMENT OFFICER AT SMMH:(808)823-4116 or KVMH:(808)338-9425 (TTD/TTY) OR EMAIL kauaijobs@hhsc.org TO DISCUSS SPECIAL NEEDS IN APPLYING.