STAMFORD HEALTH IS COMMITTED TO PREVENTING THE SPREAD OF INFECTIOUS DISEASES AND CARES ABOUT YOUR HEALTH AND THE HEALTH OF OUR EMPLOYEES. TO THAT END, IF YOU ARE INVITED TO INTERVIEW IN ONE OF OUR OFFICES/CAMPUSES, AND YOU OR A MEMBER OF YOUR FAMILY AND/OR SIGNIFICANT OTHER IS EXPERIENCING SYMPTOMS (I.E. FEVER, COUGHING OR OTHER RESPIRATORY SYMPTOMS), OR YOU SIMPLY DON’T FEEL WELL, PLEASE INFORM THE HR REPRESENTATIVE IMMEDIATELY SO WE MAY SCHEDULE YOUR INTERVIEW FOR A LATER DATE. WHEN ARRIVING ON OUR CAMPUS OR SITE WHETHER FOR AN INTERVIEW OR TO BEGIN YOUR EMPLOYMENT WITH US, PLEASE NOTE IT IS IMPERATIVE YOU ABIDE BY CT STATE GUIDELINES ON TRAVEL ADVISORY WHICH CAN BE FOUND HERE https://portal.ct.gov/Coronavirus/Travel.  PLEASE SCHEDULE ACCORDINGLY AND UPDATE YOUR HR REPRESENTATIVE IMMEDIATELY TO MAKE ANY NECESSARY ARRANGEMENTS/ADJUSTMENTS TO SCHEDULING.

ABOUT STAMFORD HEALTH

Stamford Health is a non-profit independent healthcare system with more than 3,500 employees committed to compassionately caring for the community and offering a wide-range of high-quality health and wellness services.  Patients and their families can rely on comprehensive person-centered care through the system’s 305-bed Stamford Hospital; Stamford Health Medical Group, with more than 30 offices in lower Fairfield County offering primary and specialty care; a growing number of ambulatory locations across the region; and support through the Stamford Hospital Foundation. Stamford Health is also a major teaching affiliate of the Columbia University College of Physicians and Surgeons. Dedicated to being the community’s most trusted healthcare partner, Stamford Health puts patients first to build long-lasting relationships.  For more information, visit StamfordHealth.org. Like us on Facebook and follow us on Twitter, YouTube, and Linked In.

JOB SUMMARY:

A system-level position overseeing all front-end cycle functions of the Enterprise, the Director of Revenue Cycle, Front End leads teams that fall under Pre-Access to include Scheduling, Pre-Registration, Insurance Verification, Pre-Authorization/Pre-Service Financial Clearance; and Patient Access to include Registration, Admitting, Finance Assistance/Community Benefits/Charity Care for Stamford Health.  The incumbent will be responsible for daily operations of all front-end revenue cycle revenue cycle activities while operating in compliance with federal and state regulations, hospital and medical group related policies.  The leader is responsible for implementing revenue cycle initiatives while overseeing operations and financial performance of the team’s activities.  Provides guidance and support in building one front-end revenue cycle team covering Stamford Hospital and Stamford Health Medical Group.

Key Responsibilities:

• Demonstrates the ability to oversee and monitor the plan and organization of the daily operational duties including the coordination of work distribution for designated shift activities.
• Collaborates with internal partners such as Middle and Back End revenue cycle leaders and Enterprise stakeholders; including, but not limited to, Information Services, Compliance, Risk Management, Case Management; and clinical and operations leadership for the Hospital and the Medical Group to advance the organization’s mission and strategic plan.
• Develops policies and procedures regarding all front-end revenue cycle processes.
• Ensures compliance with state and federal laws and standards related to privacy and security.
• Oversees all functions of front-end revenue cycle to ensure the consumer’s seamless entry to the financial systems of the organization by capturing accurate patient demographics, facilitating price transparency, coordinating financial clearance prior to – and at - time of service with a consumer-centric focus upon patient arrival and check-in increasing likelihood of higher clean claim rate, maximum reimbursement, and reduced patient financial complaints.
• Oversee the integration of the organization front-end revenue cycle functions.
• Participates in relevant committees, as assigned.
• Collaborates with Executive Director and senior leadership on system-level strategy as an active member of the implementation/execution team.
• Monitors relevant internal and external KPIs, meets all documented SLAs, holds team accountable.
• Provides appropriate training opportunities, mentorship, and support for team members in alignment with organization’s focus on employee engagement and satisfaction.

Required Skills

QUALIFICATIONS/REQUIREMENTS:

• Experience managing performance and developing a solid team
• Must have ability to handle multiple priorities and work independently.  
• Current knowledge of HIPAA, Joint Commission standards, Legal, Compliance, and Vendor management.
• Demonstrates knowledge of cash controls, computer technology, Electronic Health/Medical Record systems, and other relevant third-party technology tools.
• Knowledge of healthcare regulatory requirements including, but not limited to, EMTALA, 501R, Price Transparency, Medicare (MSPQ), Medicaid and other government payers.
• Collaborative, collegial leader with strong communication skills.
• Customer service and results oriented.
• Experience managing projects preferred.

EXPERIENCE:  Ten plus years of professional and management experience with at least 5 years of direct supervision in two or more areas of front-end revenue cycle functions (Scheduling, Pre-Registration, Insurance Verification, Pre-Authorization/Pre-Service Financial Clearance, Registration, Admitting, Finance Assistance/Community Benefits/Charity Care) required.  Previous director level experience preferred.

EDUCATION: Bachelor’s degree required. Master’s degree in Business Administration, Healthcare Administration or relevant equivalent preferred.

A commitment to continuous learning shown through membership in professional organizations like NAHAM, HFMA and/or relevant industry standard certifications a plus.

Required Experience

QUALIFICATIONS/REQUIREMENTS:

• Experience managing performance and developing a solid team
• Must have ability to handle multiple priorities and work independently.  
• Current knowledge of HIPAA, Joint Commission standards, Legal, Compliance, and Vendor management.
• Demonstrates knowledge of cash controls, computer technology, Electronic Health/Medical Record systems, and other relevant third-party technology tools.
• Knowledge of healthcare regulatory requirements including, but not limited to, EMTALA, 501R, Price Transparency, Medicare (MSPQ), Medicaid and other government payers.
• Collaborative, collegial leader with strong communication skills.
• Customer service and results oriented.
• Experience managing projects preferred.

EXPERIENCE:  Ten plus years of professional and management experience with at least 5 years of direct supervision in two or more areas of front-end revenue cycle functions (Scheduling, Pre-Registration, Insurance Verification, Pre-Authorization/Pre-Service Financial Clearance, Registration, Admitting, Finance Assistance/Community Benefits/Charity Care) required.  Previous director level experience preferred.

EDUCATION: Bachelor’s degree required. Master’s degree in Business Administration, Healthcare Administration or relevant equivalent preferred.

A commitment to continuous learning shown through membership in professional organizations like NAHAM, HFMA and/or relevant industry standard certifications a plus.