Dir - LRHPG Ambulatory/Lakeland Surgical Center Rev Cycle

Position Details
Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 80.00
Shift: Weekdays with Occasional Weekends
Location: Hybrid Schedule - Onsite Location: 210 South Florida Avenue Lakeland, FL
Pay Rate: Min $98,467.20 Mid $123,094.40Position Summary

Responsible for planning, organizing, and directing the overall operation of the Ambulatory and Lakeland Surgical Center revenue cycle functions, including the development of policies and procedures which promote strong internal controls, maximize cash collections and compliance, and promote patient satisfaction. Responsible charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results, analysis of revenue cycle metrics and focusing on ways to improve revenue capture and collection rates, concurrent and retrospective auditing of patient accounts, proper coding, customer service relative to revenue cycle, training and development relative to revenue cycle, and all other revenue cycle management activities. Responsible for the coordination of revenue cycle operations with other key departments such as Managed Care, HIMS, Finance, and IT.

Position Responsibilities
People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
• Safety And Performance Improvement
  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.
  • Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  • Director/Assistant Director Capabilities
  • Demonstrates accountability for programs and services and/or organization-wide functional responsibilities within the system to support achievement of organizational priorities.
  • Coaches leaders and professional team members to create an environment that encourages continuous learning and development.
  • Engages direct leadership team to leverage talent, communicate a strong vision and mission and achieve buy-in.
  • Directs and participates in leadership team development, performance management and engagement.
  • Leads change by communicating a clear vision, influencing and motivating others, and developing relationships with key stakeholders.
  • Promotes and inspires a healthy and safe culture to advance overall system, team performance and service experience.
  • Maintains patient confidentiality and privacy, and adhere to HIPAA standards.
  • Standard Work: Director LRHPG Ambulatory/Lakeland Surgical Center Revenue Cycle
  • Develop the strategy for direct operations of the entire Ambulatory Billing and Lakeland Regional Surgical Billing, Revenue Integrity, Denials and Follow-up. Works with System Engineers to optimize and implement system improvements for charge capture and collection rates. Establish baseline measurements including provider's financial and revenue cycle performance and create applicable benchmarks to gather the information necessary to provide recommendations for the following areas: Charge processing, Charge Description Master, Billing, Insurance AR (Follow up and Denials), Credits and Refund Requests, and Payment Posting
  • Responsible for assuring the maximum performance of revenue cycle, including accurate and timely processing of billing, payment posting, account recovery, revenue integrity, and customer service. Analyzes the current revenue cycle operations and focuses on ways to improve revenue capture and collection rates. Collaborates with Registration, Financial Counselor, Authorization and Billing Managers and others as needed in making revenue cycle operations improvements
  • Works with Management and Staff to address identified deficiencies as part of a coordinated effort to obtain measurable improvements within the revenue cycle, identifies improvement strategies and assists with multidisciplinary collaborations.
  • Promotes, directs, and coordinates the development and implementation of performance improvement and quality improvement activities for the Ambulatory Division and Lakeland Surgical Center revenue cycle functions.
  • Ultimate responsibility for accurate and valid account write-offs, refunds, miscellaneous cash adjustments, and departmental expense vouchers, in accordance with the Ambulatory policy and contractual terms.
  • Ensures compliance with Ambulatory and Lakeland Surgical Center policies and directives, and Medicare rules and regulations. Supports the Compliance Officer in the investigation of any issues of non-compliance and oversees the implementation of appropriate corrective regulatory procedures.
  • Ensures internal controls and review mechanisms are in place for key revenue cycle processes and ensures that policies and procedures that maximize internal control are implemented and followed
  • Develops and participates in educational activities to communicate new procedures to staff and other Ambulatory and Surgical Center departments.
  • Ensures a high level of customer service for all related parties, including patients, physicians and other departments, with specific patient satisfaction performance goals.
  • Works collaboratively within a leadership team to achieve division and organizational goals and objectives.

Competencies & Skills

Essential:

• Physician Billing Experience including claims and billing, and denials management, along with hospital professional fee billing knowledge. ACS facility billing experience and knowledge. Outpatient hospital facility billing knowledge and experience.
• Strong planning and organization, critical thinking and decision-making skills, Along with strong leadership and coaching/staff development skills.
• Good general business skills, high degree of confidentiality, maturity, tactfulness and business ethics.
• Strong written and verbal communications skills, coaching and mentoring skills, negotiation and conflict resolution skills.
• High degree of self-motivation, commitment and integrity.

Nonessential:

• Epic Systems Knowledge
• Cerner Systems Knowledge

Qualifications & Experience

Essential:

• Bachelor Degree

Nonessential:

• Master Degree

Essential:

• Business Administration or Healthcare Administration

Nonessential:

• Business Administration or Healthcare Administration

Other information:

Experience Essential:

- Minimum five years in a technical/professional role with increasing leadership responsibility.

- Business and Clinical Operations experience.

Certification Essential:

Certified Revenue Cycle Representative

Certification Preferred:

Certified Healthcare Financial Professional