Director, Net Patient Revenue

Description:

The Director, Net Patient Revenue will take on a significant leadership role within Emory Healthcare to drive operational and financial effectiveness within the net revenue function of a complex health system.

Prepare support and perform the calculations for valuation of the accounts receivable across Emory Healthcare for all hospital and physician billing operations.

Collaborate closely with financial planning and analysis, contract management, revenue cycle, and operations to resolve net revenue issues.

Support and recommend annual system-wide net revenue budget with operational leaders.

Calculate actual, budgeted, and projected net patient service revenue using data sourced from the general ledger and Epic.

Work collaboratively with other departments and divisions related to net revenue management activities.

Assist in the preparation of annual Medicare and Medicaid hospital cost reports and provide support upon audit.

Collaborate with internal and external auditors to support the valuation of the accounts receivable.

Align work efforts with revenue cycle activities and manage through changes to process and ensure the valuation of accounts receivable is accurate.

Ensure compliance with Medicare and Medicaid regulations and reimbursement policies.

Develop and maintain relationships with clients.

Provide detailed research and analysis of client reimbursement issues.

Monitor industry trends and changes in reimbursement policies.

Prepare and analyze reports on healthcare reimbursement trends.

Work with decision support team on the development and review of operational statistics.

Works with the Director Government Reimbursement to ensure cost reports are filed timely and financial reporting aligns across programs for accurate financial reporting.

Supports the Director Government Reimbursement to review and provide analysis to ensure accuracy of reimbursement rates and modeling financial impact.

Knowledge of Medicare and Medicaid regulations and reimbursement policies is a must.

Knowledge and understanding of government payor reimbursement.

Experience in Cost Report preparation and review, strongly preferred.

Education:

Bachelor's degree in accounting, business, economics, math, or a related field.

Seven or more years of directly-related experience.

Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.

3 years of leadership or management experience preferred.

Additional Preferences:

Bachelor's Degree in Accounting, Finance, or related field preferred.

Healthcare experience highly preferred.

Crowe RCA experience highly preferred.

Certified Net Revenue Analyst (CNRA) a plus.

Certified Public Accountant (CPA) a plus.

Permanent