Job Description

Location: Steward Health Care
Posted Date: 6/5/2022

At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.

We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.

In support of this, we commit ourselves to the following values:

Compassion

Accountability

Respect

Excellence

Stewardship

If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.

Responsible for all aspects of the revenue cycle for the Steward Health Care System hospitals. Reports to the SVP - Finance & CFO.

KEY RESPONSIBILITIES:

Responsible for the following revenue cycle components:

  • Patient Financial Services. Responsible for the following:
    • Continue process of building a world class CBO in Richardson, TX
    • All billing, collections and accounts receivable management.
    • All denials management.
    • Coordinate all payer communications regarding appeals, denials, etc. with Chief Managed Care Officer

  • Patient Access. Responsible for the following:
    • Centralized scheduling
    • Insurance verification and approvals
    • Admitting and outpatient registration
    • Copay collections

  • Health Information Management. Responsible for the following:
    • All medical records, transcription and coding.
    • Follow-up of certain types of denials.
    • Monitoring and enforcement of completion of records by physicians.
    • Monitoring and enforcement of coding by clinical departments.

  • Fiscal & Clinical Integration. Responsible for increasing net revenue by uncovering and resolving revenue issues ranging from coding to charge capture to case management. Responsible for defending the hospitals’ interests on all third party payer audits.

  • Payment Verification & Charge Master. Responsible for the following:
    • Verification of payments from all payers to ensure compliance with contracts.
    • Collection of all underpayments.
    • Management of charge master for all hospitals, including rate sensitivity analyses for all hospitals at least annually and frequent monitoring of “lower of cost or charge” issues.

  • Along with the Chief Managed Care Officer, responsible for working with third party payers with respect to all level-of-care and length-of-stay issues.

  • Third Party Reimbursement. Responsible for the following:
    • Manage all governmental payer relationships (Medicare & Medicaid), including the filing of all cost reports and rate filings.
    • Calculate annual net revenue budgets for all hospitals.
    • Ensure integrity of net revenue monthly for all hospitals.
    • Perform continuous net revenue analysis by payer for each hospital.
    • Manage third party reserves for all six hospitals, including all prior period adjustments and all PRRB appeals.
  • All other duties and responsibilities as assigned from time to time by the CFO and/or SHCS ELT.

REQUIRED KNOWLEDGE & SKILLS:

  1. Possesses strong analytic and technical skills, including a strong foundation of developing dashboards presenting key revenue cycle and A/R metrics on a daily basis.
  2. Organizational skills to manage multiple projects through effective planning and time management.
  3. Knowledge of Meditech revenue cycle systems.
  4. Sound verbal and written communication skills; outstanding interpersonal skills; ability to relate positively with hospital operations and ELT.
  5. Participates in projects and attends other team meetings as assigned.
  6. Creative, flexible, and self-motivated with sound judgment; ability to plan and implement.
  7. Commitment to service excellence.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

  1. Education: Bachelor's degree in relevant required, Master’s preferred.
  2. Experience (Type & Length): Minimum of ten years’ experience in healthcare, with significant experience in hospital revenue cycle functions.
  3. Hardware/Software: MS Office (Excel, Word, PPT), Access, SQL, and/or other query/analytic tools.


Additional Information

Important COVID message

This position is subject to the COVID-19 Vaccination Policy for Steward Health Care Workforce. Employees in this position will be required to provide adequate proof of vaccination for COVID-19 by an FDA-approved vaccine prior to starting work. Steward will consider requests for exemptions from this vaccine requirement on the basis of medical condition or sincerely held religious belief in accordance with applicable Federal laws.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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