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Job Title

Director Revenue Cycle, Cleveland Clinic Abu Dhabi

                        

Location

                    

Facility

Cleveland Clinic Abu Dhabi

                     

Department

                      

Job Code

T38105

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

This position requires relocation to Abu Dhabi.

This position is responsible for setting the strategic direction of Revenue Cycle including Patient Access, Health Information Management, Clinical Documentation Improvement, Compliance, Billing, Charge Master and Denial Management across CCAD and reviewing and developing processes and systems to improve financial performance and generate cash flow. The Revenue Cycle includes: Patient Access, Contact Center, Clinical Documentation Improvement, HIMS Coding/Operations and Patient Financial Services as it relates to billing, coding and regulatory compliance, denials, audit and compliance. This position is also responsible for providing overall decision support, organizational planning and operational leadership and will proactively identify, develop, and execute critical process improvement initiatives to drive best practice performance and favorably impact accounts receivables, cash acceleration and net revenue across CCAD.

                         

Job Details

Responsibilities:

• Develops and directs the implementation of business planning policy, procedures and tracking

• Defines, in collaboration with other members of the Finance team, the overall revenue cycle strategy for CCAD

• Provides necessary governance with optimal integration and operational control of Revenue Cycle functions in the areas of Patient Access, Contact Center, Clinical Documentation Improvement, Health Information Management,  Coding,  Patient Financial Services, Audit and Compliance systems in an effort to optimize revenue cycle performance

• Develop, redesign, and monitor new KPI’s for presentation and review by Senior Leadership including payer mix, accounts receivable, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, denials and other requested parameters

• Works to enhance and develop the revenue cycle centralization across CCAD

• Effectively communicates with the diverse constituents of revenue cycle to ensure that revenue cycle is meeting the expectations of its many customers

• Develops and promotes an environment of service excellence, collaboration and patient-centric performance throughout CCAD

• Acts as an internal consultant in the development of financial business plans within the Institutes

• Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems then recommending/implanting solutions

• Develops processes and systems to improve financial performance and cash flow

• Monitors A/R effectively and ensure aging categories are within established goals and national benchmarks

• Ensures DNFB remains within established goals

• Leads project management support for all projects utilizing long range plan models

• Supports corporate compliance initiatives by ensuring the development and implementation of appropriate policies and procedure as it relates to Revenue Cycle

• Oversees staff to ensure timelines are met in regard to the effectiveness, correction of, and policing of late charges

• Develops and oversees strategic financial planning analysis activities

• Manages staff to effectively meet goals and objectives and ensures staff is educated on new technology, goals and contracts

• Proposes and analyze new technology and processes to maximize efficiency and accuracy in the revenue cycle processes

• Works with Payer Contracting to identify any payer relation issues or contracts that need to be renegotiate or negotiate for the first time

• Works with the Clinical Leaders across the organization to ensure documentation, coding, charge capture aligns with the budget reviews for all the Institutes

• Works with Daman and the Department of Health to enhance processes to ensure clinical documentation and justification by physicians are recognized especially when new procedures such as transplants, robotic surgeries, cardiac surgeries are introduced to CCAD to ensure appropriate reimbursement to CCAD

• Provides and analyzes reports to the Chief Financial Officer by using technology to deliver accurate reporting of Revenue cycle metrics to improve processes and workflow

• Works with CCF and other Mubadala Health Care assets to assist and share best practice across Revenue Cycle.

  ·         Performs other duties as assigned

Education:

• Bachelor’s degree in Business Administration, Health Administration or related field, is required
• Master’s degree in Finance or Business Administration, or related field, is required
• CPA is preferred

Work Experience:

• Minimum of fifteen (15) years finance experience, preferably in a health care environment, is required

• Knowledge and understanding of healthcare revenue cycle management and managing staff of professionals in the revenue cycle environment
   

Job Specific Skills and Abilities:

• Proficient in the use of PCs, spreadsheets and other databases
• Strong analytical skills
• Strong oral and written communication skills
• Proficiency with Microsoft Office suite
• Fluency in written and spoken English

Technical Skills:

• Understanding of Business/ Hospital Policies & Procedures- Expert
• Data Reliability and Validity- Expert- Expert
• Work in Interdisciplinary Teams
• Practice-Based Learning & Improvement- Expert
• Quality Improvement- Expert

Physical Requirements:

• Ability to communicate and exchange accurate information. 
• Ability to perform work in a stationary position for extended periods.  
• Ability to work with physical records or operate a computer or other office equipment.  
• In some locations, ability to travel throughout the hospital system.  
• In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities