Director, Revenue Cycle Business Office - Payment Applications
Provide overall leadership for the Payment Applications team by developing goals, objectives, policies, and procedures; supervising, coordinating, and evaluating activities; preparing operating and capital expenditure budgets; and performing personnel administration functions. This role is critical in driving work to the right people in the business office and beyond based on accurate and timely payment and denial application in the patient accounting system.
Oversight, monitoring, and management of payment applications from governmental, commercial, third-party payers and patients, ensuring timely, and accurate postings in a highly automated environment
Oversight, monitoring, and management of credit balance reporting to government payers following regulatory requirements
Oversight, monitoring, and management of refunds, ensuring accuracy and compliance with institutional policy and industry regulations
Ensure strict adherence to internal controls related to balancing and reconciliation
Guide efforts to streamline and automate processes to improve efficiency and accuracy in all areas of the department
Provide leadership and model behavior to promulgate the mission and the values of the institution to the department
Create an organizational culture (both within and across departments) that provides a safe, satisfying, and enriching environment for employees and provides qualified, competent staff to meet patient and departmental needs
Create an environment that encourages and supports self-development and learning for all staff through regular feedback
Goals and Objectives:
Develop departmental plans and objectives based on interpretation of institutional policy and goals.
Achieve goals and objectives by developing project plans with timelines and milestones and holding staff and peers accountable to meet agreed-upon deadlines
Analyze and evaluate ongoing department programs to identify areas where adjustments/improvements are needed
Initiate changes in or develop new policies, procedures, and methods.
Prioritize, initiate and oversee efforts to automate processes to optimize accuracy and efficiency
Participate in departmental and interdepartmental committees to address problems and facilitate information exchange about programs, questions, etc.
Identify, establish, and evaluate quality assurance standards, programs, and procedures within the department
Prepare an annual operating budget for a unit or department, including direct labor, material and supplies, services, equipment maintenance, and replacement
Present and justify a proposed budget (operating and capital expenditure) to a management review committee
Analyze and evaluate budget variances
Prepare justification or develop alternatives for cost containment/reduction
Establish and evaluate standards of performance to ensure safe, effective, and efficient operation of the department
Ensure departmental adherence to all Human Resource and VUMC policies and procedures
Participate in periodic management meetings to keep top management informed of departmental problems and concerns
Create and exceed service standards utilizing key service dimensions and knowledge of patient/customer expectations and best practices
Develop staffing plans to meet developmental objectives
Define the qualifications and performance expectations for all staff positions through the Performance Development system, including department-specific job descriptions and measurable performance standards Ensure staff development through orientation, training programs and work experiences
Assess staff competencies against performance expectations stated in their job descriptions (typically annually)
Supervise the team to ensure coordination and control of the work and procedures; provide advice/consultation to staff on escalated issues
Adjust work schedules or project priorities to meet emergencies or changing conditions
Bachelor's Degree (or equivalent experience) and eight years' experience
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.