Joining UNC Health Care system means you’ll become part of an inclusive organization with a mission to improve the health and well-being of the diverse communities we serve.
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
This position is responsible for the overall system-wide management responsibility of the physician and professional revenue cycle functions of a state-wide Academic Health Care system with nearly 3000 billing faculty and community Providers. This includes charge capture, coding, claims management, patient billing, program and budget planning, revenue generation, operational and financial analysis, problem resolution, personnel management and performance improvement. A critical component of this job is physician and other provider communication, education, collaboration, and problem resolution. The position reports to the Health Care System Vice President of Revenue Cycle Operations and is part of a senior leadership team of a system-wide integrated overall revenue cycle that includes hospitals revenue cycle, patient access, pre-arrival services, and integrated patient call center.
Description of Job Responsibilities:
1. Patient Financial Services - Responsible for directing all patient account functions including Provider Enrollment, Coding/Charge Capture, Billing, Collections, Denials, Payment Review, Cash Posting, and Refunds across Epic PB Resolute. Keeping abreast of, educating about and planning for ever-changing coding, billing policy, regulatory, and compliance policies of public and private payers is a key component of this role. Responsible for planning, developing, and implementing new systematic approaches to maximizing revenue and cash flow and preparing for value-based reimbursements, including developing effective and patient-friendly approaches to increasing patient liability. Provides direction and leadership to assure support and accomplishment of the health system’s patient account functions, through well-organized, efficient, and effective patient account processes.
2. Leading People - Leads people toward meeting the organization's vision, mission, and goals with patient health and service as paramount Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Treats sensitive or confidential information appropriately. Works to improve and reinforce performance of others. Delegates assignments, clarifies expectations and holds others accountable for achieving results related to their area of responsibility. Encourages workforce engagement by building a commitment to excellence. Works collaboratively with other members of a large academic health care system toward solutions that accomplish organizational objectives.
3. Leading Change - Initiates and manages the change process for organizational improvement, taking steps to remove barriers or accelerate its pace. Communicates a compelling vision and need for change that generates excitement, enthusiasm, and commitment to the process. Clearly communicates the direction, required performance, and challenges of change to all involved parties. Identifies and enlists the support of key individuals and groups to move the change forward. Obtains and provides resources to implement change initiatives. Serves as a role model by demonstrating commitment to innovation and continuous improvement in organizational performance.
4. Results Driven - Exceeds departmental and organizational goals and customer expectations. Makes decisions that produce high-quality results by applying knowledge, analyzing problems, and calculating risks. Delivers high-quality services and is committed to continuous improvement. Understands the overall financial performance of the organization and applies financial concepts and practices to establish and maintain realistic budgets. Uses financial information to monitor overall financial status of operations.
Qualifications Education Requirements:
· Bachelor’s degree in Finance, Business, Hospital Administration, or related field, Graduate Degree Preferred
Professional Experience Requirements:
· Seven (7) years of experience in the healthcare industry performing duties related to professional patient account receivables management including planning, reporting and controls, compliance, regulatory agencies, and new system implementations, including five (5) years of supervisory experience in a patient financial services function. Experience in a health care system preferred and in an Academic Health Care System an advantage.
· Must be proficient in Epic PB Resolute
Knowledge, Skills, and Abilities Requirements:
· Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise.