Director, Revenue Cycle Operations

Under the direction of the Senior Director, Revenue Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the

Director, Revenue Cycle Operations provides enterprise oversight of core Professional Revenue Cycle support functions including provider data management. This position will serve as a key member of HMFP Revenue Cycle leadership team, working collaboratively with HMFP Finance, HMFP CAOs and BILH/Epic IT to achieve business outcomes. Collaborating closely with Senior Director, Revenue Cycle, this position will provide input into the overall direction for accounts receivables and denials management in an effort to optimize its net realizable value.

The following statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and skills required for this position.

Primary Responsibilities:

Provides leadership and direction to all Operations staff, to ensure Operations Support activities are executed accurately and efficiently. Ensures adherence to established HMFP policies, government regulations and payer requirements.

Provides managerial oversight of core Operations functions and outcomes, including developing operational policies and procedures, process flows, reports, system optimization, performance monitors and other mechanisms.

Evaluates, monitors and assists in the setup of specific payor and/or contract system setup including but not limited to Medicare Pecos, Managed Care /BILH PN to ensure HMFP’s information is kept up to date and current, minimizing any downstream impacts.

Evaluates, monitors and assists in developing the priorities and progress of HMFP’s Provider Onboarding and Enrollment functions, including provider data management, MDS integration.

Establishes operational policies and procedures, organization Cash Collection targets, reserve assessments, and provides input to any technology and/or automation improvement opportunities related to Revenue Cycle Operations area.

Prioritizes and organizes work within department to meet changing priorities.

Approves account adjustments and refund requests based on HMFP departmental policy.

Identifies opportunities for improved efficiency through better processes and additional automation. Monitors impact of process-oriented changes on staffing requirements.

Supervisory Responsibilities—directly manages the Manager, Provider Onboarding and Enrollment. Directs employees’ daily work activities. Responsible for the development of staff including the following employment actions: hiring, termination, corrective action and performance reviews.

Required Qualifications:

Bachelor's degree required preferably in Business, Health or Finance.

10+ years related work experience required in healthcare revenue cycle, hospital or multi-specialty practice setting.

Knowledge of health care revenue cycle, including professional billing and reimbursement.

Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.

Advanced skills with business intelligence, analytic tools to conduct analysis, reporting, trending.

HFMA Certifications including CHFP, FHFMA preferred.

Ability to demonstrate core understanding of third-party billing and collections processes with particular focus on billing cash management requirements.

About the organization:

Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of New England’s premier physician-led organizations, dedicated to excellence in clinical care, education, research, career advancement, inclusivity, and well-being. HMFP employs more than 2,200 renowned and dedicated physicians, and serves the more than 1.3 million patients at BIDMC and across the Beth Israel Lahey Health (BILH) system, as well as other hospitals. A majority of physicians are teaching faculty affiliated with Harvard Medical School (HMS), as well as international leaders in their clinical specialties. In addition, 700+ community-based physicians deliver world-class healthcare through Associated Physicians of Harvard Medical Faculty Physicians (APHMFP).

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