Exec Dir Revenue Cycle & Billing Operations- Johns Hopkins Health System

POSITION SUMMARY:

This position is responsible for providing leadership for all activities related to the management of the Health System’s largest asset, its’ accounts receivable. This position is responsible for achieving the following fundamental objectives:

1. Meeting the organization’s cash collection requirements
2. Managing the accounts receivables in a prudent manner so as to optimize its net realizable value
3. Providing world-class service to JHHS patients and internal customers that continually exceeds their expectations

Working jointly with Executive Director(s), Operations and Innovation in providing input into the overall direction for denials management program including managing denials and appeals processes and denials prevention efforts across JHM entities.

The incumbent serves as the spokesperson for the Johns Hopkins Medicine to internal and external organizations, including governmental agencies, Board members, payer organizations, external auditors, other healthcare providers, etc. The incumbent is expected to provide strategic vision to the department, challenging assumptions and standards of business, in an effort to improve overall operational effectiveness.

This position is responsible for managing receivables for multiple entities, and, as such, must establish relationships at all facilities and be familiar with each institution’s computer environment and payer contracts.

REPORTING RELATIONSHIP:

• Reports to the Vice President of Revenue Cycle Management for the Health System and Johns Hopkins Medicine,
• Directs activities of approximately 250 subordinates in the Central Business Office through staff of Directors, Associate Directors, managers and supervisors.
• Has a direct reporting relationship to affiliate Directors of Patient Financial Services for JHHS Hospitals and CPA. Responsibilities include setting policies, A/R performance targets, reserve assessments, contracting for outside services (collection agencies, outsource firms, attorneys, etc.), and providing oversight of PFS systems that are selected and installed.
• Provides oversight and consulting support to non-hospital JHHS affiliates in the areas of billing, collections and A/R management.

EDUCATION & EXPERIENCE

1. Requires knowledge of organizational development, accounting and receivable management principles as acquired through completion of a Bachelor’s Degree in Accounting, Business Administration, Finance or a related field; a Master’s Degree in Business Administration, Health Administration or Information Management is preferred.
2. A minimum of ten (10) -twelve (12) years of hospital receivables management experience within a large academic medical center or multi-facility, integrated health care delivery system health system, with at least 7-10 of those years in progressive leadership/management capacity.
3. Demonstrated ability to be a Change Advocate with prior work experience including a significant role in a redesign project and/or management experience working in a highly automated, revenue cycle operations office environment.
4. Prior experience working in a matrix organization, including multi-disciplinary teams, varying levels of leadership across the organization, including C-Suite
5. Experienced in using team building and quality management concepts

MAJOR RESPONSIBILITIES

Direct all receivables management and billing activities for the Johns Hopkins Medicine

• Ensure that all accounts receivable performance goals are met and that payer requirements regarding billing data elements and timeliness are met.

Build a service- based organization that is responsive to its customers’ needs

• Ensure that each affiliate’s needs are being addressed.
• Provide communication and feedback regarding departmental performance.
• Provide patients and payers with exceptional customer support and problem resolution services.

Continually introduce “best practice” innovations to the work place

• Lead/sponsor process improvement projects within the Health System.
• Attend at least one conference per year that deals with technology issues in the business office.

Manage special projects as required

• Develop initial work plan, identifies necessary resources, communicates progress, and implements corrective action as needed.

Administer performance management program

• Engage in goal setting with subordinates’ peers and supervisor.
• Prepare performance reviews and present to subordinates.
• Recommend and process salary adjustments.
• Initiate corrective counseling, in accordance with JHHS policies
• Recruit qualified candidates to fill approved vacancies.
• Support training and continuing education needs of subordinates.

Monitor Operational Budget:

• Monitor PFS budget.
• Actively participate in annual budget process.
• Submit recommendations to Vice-President for inclusion in the overall Finance budget packet.