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Regional Manager of Revenue Cycle Operations

Patient Registration

Full-time-Exempt

Day shift

M-F

Bachelors degree is preferred
Experience is required

Job Summary: 
Responsible for strategic and operational management of the Patient Access (PA) Department with a key emphasis on the regions. Contributes to the financial strength, compliance and overall performance of the Patient Access Revenue Cycle operations by providing leadership for all functions, including hospital and physician (provider) services for the PA department.  Provides assistance to the PFS and HIM Management team to ensure regional staff collaboration and alignment of the Revenue Cycle areas. Key role to monitor and facilitate improvement in the overall quality, timeliness, completeness, and accuracy of PA processes (such as denials, pre-registration, insurance eligibility, financial assistance, call center, and centralization). Ensures the effectiveness of PA policy, practices and technology platforms.
Education and Experience:
Bachelor's Degree required or eight (8) years of experience in  Revenue Cycle in lieu of degree
Five years experience in Finance or Revenue Cycle with a minimum of two (2) years of experience in a leadership role
Data integrity and reporting of financial performance and impact of improvement initiatives and standard KPIs is required.  
Net revenue/performance improvement goal setting, monitoring and achievement are required. 

Knowledge, Skills, and Abilities:
Detailed knowledge of privacy and security regulations, confidentiality / HIPAA, payer registration /authorization requirements, State Charity Care compliance, and MaineCare compliance regulations.
Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-9, ICD-10).
Expertise with regulations and accreditation standards, knowledge of specific state and federal requirements and standards. 
Working knowledge of Medical Record, Financial Services and Healthcare Application technology.  
Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in operations.  
Able to effect collaborative alliances and promote teamwork.
Ability to ensure a high level of employee, patient, visitor, and external stakeholder satisfaction.
Effective organizational, planning, controlling, scheduling and project management abilities.
Effective managerial and administrative abilities as applied to the management of multiple projects.
Effective leadership abilities.
Financial acumen with ability to extract data, ensure integrity, produce reports and utilize for communicating results and affecting change.
Ability to positively influence change.  
Excellent communications skills, both oral and written.  
Demonstrated ability to work well with diverse people, excellent human relation skills.
Flexible and able to react to ever changing priorities.


*JIUS