Sr Director of Surgical Hospital CBO Operations

Key Responsibilities

Daily to day CBO management: Owns RCM performance and outcomes for client facilities who use USPI’s CBO for billing and collections:

• Ensure billing is sent timely and maintain high clean claim rates
• Collaborate with coding experts including in-house and vendor contacts to minimize unbilled levels and maintain the highest quality of clean claims
• Post cash receipts against patient accounts from individual patients and insurance/government payers
• Manage collections and accounts receivable follow-up
• Partners with Managed Care leadership team to identify and quantify payor issues impacting market performance and assess and communicate payor contract issues
• Annually achieve key revenue cycle outcome targets, including: 100% or more of cash goal collected across clients, maintain low AR days, reduce AR aging and minimize bad debt

Communication, growth and performance improvement: Serves as accountable RCM leader to own communication for monthly, quarterly and ad hoc performance review meetings with clients, including local facility clients, market and corporate leadership

• Provides market and RCM leadership with recurring performance dashboards, reports, action plan updates, and forecasting
• Prevent denials and identify opportunities to improve collections across the revenue cycle
• Collaborates with other RCM departments including Performance and Service Delivery teams to achieve overall goals
• Works with IT and other departments to enhance systems, introduce new automation into processes and oversee system migrations along with centralization
• Ability to scale up operations, adding new client facilities on a recurring basis into the shared service model to support USPI growth
• Provide training and feedback to facilities to improve onsite-operations while also enhancing centralized RCM functions

Budgeting and margin management: Manage a blend of US and offshore resources/teams to deliver target outcomes within annual expense budgets

• Monitor and manage expenses using a blend of US, offshore and vendor resources
• Identify opportunities to improve margins while maintaining expenses within budget
• Manage capacity models and forecast resource needs during periods of growth/expansion

Qualification & Requirements

• Must possess a comprehensive understanding of RCM principles, processes and performance drivers spanning front, middle and back-end functions and a minimum of seven (7) years of RCM leadership experience, preferably in the ASC and/or Hospital space or large RCM shared services environment
• Bachelors or Masters degree in business, finance, healthcare administration or other relevant field of study preferred
• Experience developing and implementing successful data-driven action plans spanning multiple facilities resulting in measurable RCM and financial performance improvement
• Demonstrated interpersonal and relationship management skills used to develop lasting partnerships with clients, USPI/Tenet executive leaders, key stakeholders and decision makers
• This position will require periodic travel to designated market offices, client facilities and corporate headquarters in Dallas, TX, depending on specific initiatives and need

Benefits

• Medical, dental, vision, and prescription coverage.
• Life and AD&D coverage.
• Availability of short- and long-term disability.
• Flexible financial benefits including FSAs and HSAs.
• 401(k) and access to retirement planning.
• Paid holidays and vacation.