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)
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.
- 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.
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