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Job Description

Job Title: Patient Accounting Specialist
Department: Financial Services
Reports To: Manager, Revenue Integrity
Prepared Date: 4/10/2018

POSITION SUMMARY:
The Patient Accounting Specialist ensures that all patient information, charges, billings, and follow-ups are accurate, complete, and timely. This includes reviewing all billing and follow up activities related to the hospital and physician organization. One main focus of this position is to coordinate the point of service process, as well as making sure credit balances in the electronic medical record systems for both the hospital and physician organization are monitored and patient refunds are issued, as necessary. This position will also manage special project requests.

ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES
Includes the following but are not limited to:
• Coordinates the point of service collection process.
• Identifies and works with appropriate personnel to resolve credit balances and true overpayments.
• Assists in making sure patient refunds are issued.
• Reviews payments are received and posted to the appropriate patient account.
• Identifies and works with appropriate personnel to resolve small-balance, adjustments, discounts and any other discrepancies on patient accounts.
• Assists in performing audits related to accurate charging and documentation on patient accounts.
• Maintains activity log for management.
• Maintains a working knowledge of billing and third party payment systems.
• Uses judgement, discretion, and initiative in detecting and appealing underpayments.
• Works with management to identify opportunities that can improve overall processes.
• Prepares relevant reports for management review.
• Utilizes information and data relevant to the position to identify problems or potential problems; communicates recommendations to manager for consideration.
• Assists in upgrades and/or conversions for any software impacting Patient Accounting systems.
• Works with team members to resolve issues regarding patient concerns.
• Maintains confidentiality of hospital and patient information.
• Provides support for special projects as required.
• Demonstrates competence in required job skills and position specific knowledge.
• Demonstrates knowledge of and follows hospital policies and procedures.
• Completes a sufficient amount of work on schedule.
• Actively seeks ways to improve and streamline processes.
• Demonstrates financial prudence and judiciousness; effectively uses resources, does not waste supplies/materials; seeks out ways to reduce costs.
• Assumes accountability for the preparation and completion of projects and analysis.
• Assumes accountability for demonstrating behaviors consistent with the customer service policy.
• Anticipates program delays, adjusts resources to stay on course and when necessary, communicates issues to recipients and manager.
• Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity.
• Makes communication meaningful; practices professionalism and excellence with a team centered approach; understands and utilizes service recovery approaches.

OTHER FUNCTIONS
• Keeps the Manager, Revenue Integrity informed on key issues.
• Other duties as assigned.

WORK STANDARDS
• Works well with patients, physicians, vendors, sales reps and other CCOC employees
• Successfully meets Unit Specific Skill Sets
• Complies with all Standards of Behavior set forth by CCOC
• Adheres to policies and procedures set forth in CCOC Employee Manual
• Adheres to the CCOC attendance policy
• Maintains safety awareness.
• Follows HIPAA, OSHA and Compliance Plan regulations

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE
High school diploma or equivalent required.
Some college and/or classes related to Third Party billing or Patient Accounting preferred.
Three (3) to five (5) years related professional and business experience in a hospital and/or physician automated billing environment preferred.
Basic computer knowledge required; experience with computerized billing systems preferred, particularly MedHost and/or Centricity.
Healthcare experience preferred.

COMMUNICATION SKILLS
Excellent communication skills, both written and verbal.
Must be able to effectively communicate with physicians, vendors, employees, patients and families.

SKILLS
Be flexible to work in a fast paced and constantly changing environment.
Team player with strong interpersonal skills and sound business judgment.
Self-starter able to work independently with a minimum of supervision.
Ability to communicate with management and staff.
Ability to maintain confidentiality based on access to proprietary financial, operational and competitive information.
Demonstrated ability to persuade and develop cooperation
Respect and value all individuals’ diversity, knowledge, experience, and abilities.
Demonstrates honesty and fairness in interpersonal relations.
Open to new ideas/approaches.

PHYSICAL REQUIREMENTS
Must have the dexterity to operate standard office machines (computer, keyboard, mouse, copiers, fax machines, etc.).

Must be able to sit or stand for extended periods of time.

As an organization, all employees with patient contact are expected to demonstrate competencies, specific to their job duties, for the following patient population categories:

Elderly, Children, Surgical, Impaired (Hearing/Visual), Cultural, Age.

NOTE: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification. This description of duties is not intended to be all inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.

TRINITY HEALTH

JOB DESCRIPTION

REGIONAL DIRECTOR, REIMBURSEMENT (OHIO)

LOCATION: Columbus, Ohio

POSITION PURPOSE

The Regional Director of Reimbursement serves as the primary contact to the Regional Chief Financial Officer along with the Regional Health Ministry (RHM) Vice Presidents of Finance and the Regional Ambulatory Services Leadership to provide them with an understanding of their business, net revenue estimates, balance sheet valuations, net revenue budgets, mid-month projections and regulatory changes. The role provides critical help to the Vice Presidents of Finance in understanding their business so appropriate and timely decisions can be made. The incumbent provides leadership to a Regional Shared Service Center managing the reimbursement function for up to ten Trinity Health RHMs (with net revenues of $2 billion annually). The position is responsible for managing and mentoring all Shared Service Center managers and staff and is also required to manage the relationships between the Shared Service Center and RHM Vice Presidents of Finance.

This position identifies and manages all financial and compliance risk associated with the reimbursement function, keeping senior leadership apprised of identified risk and tracks progress with risk management plans. It works closely with and supports other revenue functional areas including payer negotiations and contracting, patient financial services, utilization management and coding. It serves in an advisor capacity to RHMs in region and to the Reimbursement and Revenue Integrity Central Operations Team. The role identifies and implements leading practices, processes and technology necessary to achieve objectives and engage key stakeholders by leading effective change management. Responsible for leading and participating in initiatives to improve net revenues, reduce receivables and improve compliance associated with the Southeast Michigan professional (ambulatory) services.

ESSENTIAL FUNCTIONS

1. Knows, understands, incorporates and demonstrates the Trinity Health Mission, Vision and Values in leadership behaviors, practices and decisions.

2. Prepares the department budget and manages use of resources within budget targets.

3. Responsible for hiring, retaining, evaluating, mentoring and firing managers and staff within the department.

4. Responsible for managing all financial and compliance risk associated with the reimbursement function (for acute and professional services), notifying senior leadership of identified risks and tracking and monitoring progress of risk management plans.

5. Directs the preparation of RHM net revenue calculations and reviews with the Vice Presidents of Finance prior to financial statement due date. Directs the preparation of the budgeted net revenue calculation for the RHMs.

6. Manage the overall balance sheet position related to third party contractuals and related reserves. Provide updates to Senior Leadership to avoid any surprises.

7. Directs the preparation of RHM cost reports and other third party filings. Directs the preparation for third party audits and takes a lead role in resolving audit issues and developing appeals. Directs the preparation of reports, position papers, impact analysis and development of recommendations concerning specific reimbursement issues. Participates in developing group appeals for all Trinity Health concerning reimbursement disputes with third party payors.

8. Develops strategic reimbursement planning and analysis for short and long-term operating plans and capital projects (for acute and professional activities).

9. Provides financial planning assistance to Regional Chief Financial Officer and RHM Vice Presidents of Finance and Ambulatory leadership relative to current reimbursement practices and proposed changes in both the public and private sectors and provides the Leadership with the latest updates on changes in reimbursement regulations. Provides direction in the development of reimbursement strategies that reflect changes in the reimbursement environment.

10. Develops and implements policies and procedures to ensure reimbursement procedures, practices and reporting adhere to compliance regulations.

11. Directs reporting process and reconciliation of general ledger accounting for third party payments and settlements, including third party payor receivables, payables and reserves. Responsible for matters which include areas of policy development and ongoing reporting.

12. Provides education and consultation to staff to ensure accuracy of third party reporting. Maintains expertise in reimbursement strategies through appropriate educational and organization activities.

13. Directs year end audit preparation for reimbursement issues ensuring the continued integrity of financial records through the design and implementation of appropriate controls.

14. Participates in RHM management and staff meetings to provide reimbursement support.

15. Represents RHMs when reporting to and dealing with external agencies such as the Centers for Medicare and Medicaid Services (CMS), third party payors, federal regulatory agencies and other health care entities regarding reimbursement practices, policies and regulations.

16. Promotes change in public and private sector policies and procedures in order to optimize the performance of RHMs while maintaining consistency with the Trinity Health mission and values. Involvement in various association task forces that develop policy recommendations, such as the Michigan Hospital Association.

17. Participates in the negotiation, implementation and ongoing review and monitoring of contracts with third party payors and managed care entities.

18. Maintains functional accountability to the Trinity Health Vice President of Reimbursement to ensure accurate and timely reporting, consistency of methodology, adherence to compliance programs and sharing of best practices across Trinity Health.

19. Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

LEADERSHIP COMPETENCIES

As a Trinity Health Leader, the incumbent is expected to demonstrate leadership traits which support our Mission Statement and Core Values as identified below:

Mission Statement: We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Core Values:

• Reverence: We honor the sacredness and dignity of every person.

• Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.

• Justice: We foster right relationships to promote the common good, including sustainability of Earth.

• Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.

• Integrity: We are faithful to those we say we are.

MINIMUM QUALIFICATIONS

1. Bachelor’s degree in Business Administration, Accounting or Finance or an equivalent combination of education and experience. Master’s degree is preferred.

2. Certification as a Certified Public Accountant (CPA) preferred.

3. Over ten (10) years of progressively more responsible experience in health care reimbursement management. Experience managing multiple facilities preferred.

4. Ability to develop and interpret financial statements and reports.

5. Working knowledge of generally accepted accounting principles and a thorough understanding of third party reimbursement mechanisms and contracting strategies.

6. Ability to communicate in clear, concise terms with management and governance at all levels, including communication with C-Suite executives.

7. Ability to work effectively in a matrix organizational structure and influence others.

8. Well-developed conceptual and analytical skills.

9. High level of interpersonal, management and organizational skills are necessary with special focus on customer service orientation skills.

10. Must be able to operate effectively in a collaborative, shared leadership environment.

11. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

1. Flexibility to work with a multitude of customers and issues and willingness to take on new responsibilities.

2. Ability to develop constructive alternatives and analyze situations and information.

3. Ability to work well in a fast-paced setting that warrants varied and/or extended hours, with frequently changing workload and priorities in order to keep pace with the environment and advance strategic priorities.

4. Operates in an office environment free from hazards and barriers. Manual dexterity is needed to operate a computer and calculator.

5. Must be able to set and organize own work priorities, and adapt to them as they change frequently.

6. Must be able to adapt to frequently changing work priorities, and be able to prioritize and balance the requirements of working with the System Office and Regional Health Ministries (RHMs).

7. Must be able to travel to the various Trinity Health sites (20%) as needed (may or may not apply).

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.

https://jobs.trinity-health.org/search/jobdetails/regional-director-of-reimbursement—ohio/8eab5827-698c-417c-a6d0-41907b1c64cd

AULTMAN JOB TITLE: Treasury and External Financial Reporting Manager
DEPARTMENT: Corporate Finance
PURPOSE OF POSITION The Treasury and External Reporting Manager reports to the Director of Decision Support and is responsible for treasury functions, banking relationships, debt management, covenant compliance, and other duties as assigned by leadership.

RESPONSIBILITIES & EXPECTATIONS
• Treasury Management
• Maintain Banking and Financial Relationships
• Comprehensively analyze and manage taxable and tax-exempt debt
• Analyze and respond to the questions and needs of outside financial institutions.
• Calculate key financial metrics and ratios.
• Prepare periodic debt covenant compliance documents and supporting documentation, including summaries of financial performance and in-depth variance analyses.
• Work collaboratively with co-workers, other departments, and outside parties.
• Other duties and responsibilities as assigned by leadership.

Job Requirements
• Bachelor’s Degree in Business Related Field Required
• Requires a minimum of three years banking or healthcare finance experience
• Excellent mathematical and analysis skills required, including sound knowledge of banking financial calculations and key financial ratios (i.e. amortizations, interest rate and payment calculations, debt service coverage ratio, days cash on hand, etc.)
• Working knowledge and understanding of commercial loan principles and public debt financing
• Excellent communication and presentation skills, both written and verbal
• Excellent analytical skills with the ability to perform independent in-depth analysis with minimal supervision
• Excellent organizational skills and attention to detail
• Ability to provide high level of customer service and professionalism with internal and external customers
• Ability to multi-task and prioritize
• Must possess the ability to handle a fast-paced changing environment, while maintaining a focus on accuracy

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, or veteran status.

WORKING CONDITIONS:
• 8:00am – 5:00pm M-F or hours as required by the job. Occasional weekends and off -shifts
• Subject to frequent interruptions and changes in priority of duties throughout the day
• Sitting/standing/moving about during working hours

Forward Applications are accepted through Aultman’s website. https://aultman.org/home/about/aultman-hospital/employment/#/

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Company Overview: University Hospitals (UH) is a community-based healthcare system which serves patients at more than 150 locations throughout Northern Ohio. Committed to advanced care and advanced caring, UH encompasses the region’s largest network of primary care physicians, outpatient centers and hospitals. The network also offers specialty care physicians to treat almost every disease and condition, skilled nursing, elder health, rehabilitation and home care services, and occupational health and wellness. University Hospitals is the second largest private sector employer in Northeast Ohio and is within the top five largest private sector employers in the state of Ohio. Position Summary: Sets, formalizes and executes corporate strategy for revenue cycle business function, controls, transactions and team accountability including Central Business Office (CBO) post claim revenue recovery for technical and professional insurance and patient collections ensuring compliant, accurate, timely and optimized collections and system cash flow of estimated $2.9B. Ensures cost controls meets or exceeds corporate objectives for cost containment. Plans, organizes, controls, standardizes and directs CBO post claim /revenue recovery functions including insurance follow-up, cash application and credit management, denials management, post payment review, customer service and Remote Hospital Business Office functions. Drives leaders and staff to achieve performance targets and revenue optimization goals for responsible area and enterprise initiatives. Sets and assesses business metrics and challenges status quo driving continuous process improvement. This position oversees 340+ FTEs. Drives analysis needed to remain current with revenue and reimbursement trends and creates agile work environment needed to achieve established targets and works to exceed industry benchmarks. Drives standard /effective reporting and relationship management for UH facility and UHPS departments related to RCM outcomes, issues and recommendations for process improvement. Actively monitors performance and supports team ensuring optimal RCM outcomes and service. Develops, formalizes and enforces standard operating procedures, policies and guidelines governing compliant management of transactions and processes within areas including adherence to internal and external policies and protocols. Remains current with governmental, payer and organizational policy changes. The role provides daily senior leadership, direction, decision making, and supports management and staff in day including coordination with other Corporate and Operations departments including Finance, UHPS, Patient Access, HIS and other areas as required to establish metrics, enable appropriate standards and requirements and sustain strong working relationships. The role will work closely to support Central Business Office (CBO) leadership to coordinate support and hand offs between Remote Offices Financial Counselors and Self Pay Collections to optimize patient experience and collections. Leads, promotes and executes in system integration and unification of RCM functions and governance process regarding corporate RCM functions including workflow, policy, physical and cultural integration. Drives, communicates and ensures RCM workflow result in patient centric outcomes optimizing patient access, communication and experience. Works directly with Finance as the appointed leader for RCM and active member in preliminary and final monthly closing transactions and procedures. Owns and manages vendor relationships and solutions for designated functions and transactions. Ensures software and integration is current, efficient and staff and leaders are properly trained on usage and reporting. Oversees Revenue Cycle Management department budget process in concert with RCM senior team. Establishes, enforces and ensures standards of performance and behaviors, monitors and analyzes departmental service standards for areas of responsibility including setting and administering training standards, timely service and achieving performance goals. The position is responsible for adhering and creating Insurance and Patient Collection policy and guidelines in coordination with CBO leaders, as well as driving collection strategy, analysis, payment options, financial assistance as well as oversight of patient friendly billing, on line and other technology solutions as well as pre collect, collection and other vendors contracted to optimize patient collections. Understands and supports internal and external relationships including I.T., Legal, Compliance, Internal Audit as well as vendor relationships to ensure compliant revenue transactions for each remote business office. Essential Duties: Directs corporate department activities and ensures compliant services and operations including ensuring timely, accurate and patient friendly service including setting goals using industry benchmarks to drive best practice performance, cash collections, denials management, post payment review, credit management and customer service. 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Oversees and manages technology and vendor performance, outcomes and relationship ensuring expected outcomes are met and /or real time decisions to ensure best practice performance. Directs leadership for Remote Business Office human resource objectives by leading and guiding on recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining leaders and employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures. Meets UH RCM insurance and patient collections financial objectives by forecasting requirements; preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective actions. Continuously improves Insurance and patient collection quality results by studying, evaluating, and re-designing processes; establishing and communicating service metrics; monitoring and analyzing results; implementing changes. Updates job knowledge of self and team, by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations. Works with leadership team to establish staff assessment, training and post training validation programs and ensures adherence requirements. Identifies and executes on opportunities for process improvement and automation by recognizing issues based on changes in patient inquiry trends. Provides timely feedback to peers in operational areas and leadership to improve Revenue cycle processes based on patient experiences. Participates in process improvement initiatives throughout the entire revenue cycle operation. Ensures leadership enables staff members are properly addressing cases where patients needing services have no medical insurance (referred to as self-pay). Coordinates staff members and external agencies in assisting patients with obtaining coverage via government programs and the evaluation of charity assistance where applicable. Ensures leadership and staff members are properly handling all customer service/billing issues and questions, and works with priority patients, insurance companies and/or clinicians to ensure resolution. Ensures that self and department ensures in-depth knowledge of policies, procedures and laws relating to medical insurance/patient billing and collections. Ensures that self and department maintains in-depth knowledge of government assistance programs and resolves payment discrepancies that are escalated from the staff. Acts as Revenue Cycle Management senior leader and liaison to organization and vendors that interact with patients. 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Strong understanding financial transactions including accounting processes. • Must be customer, provider, and employee focused with exceptional people and service skills. • Experience with managing escalated customer complaints, and executive level inquiries required. • Must be detail-oriented and organized, with good analytical and problem solving ability. • Notable client service, communication, presentation and relationship building skills required. • Ability to function independently and as a team player in a fast-paced environment required. • Must have exceptional written and verbal communication skills. • Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e., printers, copy machine, FAX machine, etc.) required. • Oracle, Kronos, Soarian, CSC Papers, META, and/or IDX, experience preferred. *Please send all expressions of interest along with your CV to Rebecca.Pelfrey@UHhospitals.org
Position Summary/Functional areas and services: Under the supervision of the Director of Revenue Cycle this position oversees the functionality, work flow, and day-to-day activity of the assigned CBO department and associated benchmarks and goals. Provides strategic direction to facilitate the maximization of revenue and assists the Patient Accounting Corporate Director with other associated revenue activities. Assist Patient Accounting Department with the development and maintenance of departmental productivity reports and internal auditing compliance. Monitor the accuracy of journal entries and reconciliation of suspense/hold accounts prepared by Cash Application. Essential Functions of the Position 1. Identifies problem areas and develops plan of action to ensure benchmark standards are obtained and maintained. 2. Establishes service goals to be achieved and manages work quality; monitors compliance. 3. Evaluates performance and recommends promotions and disciplinary actions. Identifies areas needing additional training. 4. Assists Supervisors in handling various personnel matters as required and assists in resolving work problems to ensure quality. Works with HR to resolve employee issues such as performance/attendance issues, FMLA, and terminations. 5. Interviews and hires all open positions for assigned department. 6. Meets regularly with Supervisors to ensure productivity and accuracy and to ensure consistency in quality and quantity while meeting departmental goals. Reports any discrepancies or issues to Director. 7. Conducts regular department staff meetings. 8. Adjusts goals as needed to help increase staff performance and maintain quality. 9. Oversees the distribution of work assignments among staff and assists in determining work priorities. 10. Encourages employee participation in process improvement by listing and giving feedback with respect to departmental needs. 11. Monitors all billing and coding Trends for issues. Works with internal departments and medical offices to offer solutions and assist in meeting revenue benchmarks. 12. Assists in the development of new procedures that focus on improvement in quality and quantity of work performed. 13. Assists Supervisors as needed in the training of new employees within the department. Assesses the technical competence of current employees and suggests additional training when needed. 14. Maintains strict confidentiality in regard to patient’s personal, medical and financial information. 15. Acts as a role model for professionalism through appropriate conduct and demeanor at all times. 16. Acts as a liaison between the Central Billing Office, physicians and staff. Effectively communicates issues relative to claims processing difficulties and/or patient complaints. 17. Offers and implements suggestions to increase work flow as appropriate. 18. Manages operating expenses and FTE budget to meet department goals. 19. Leads department Gallup initiative and promotes employee engagement. 20. Updates and creates new policies as needed in conjunction with Director. 20. Maintains communication between Central Billing Office and Billing Services to resolve issues with provider numbers, system issues, and carrier issues. 21. Performs additional duties as assigned. Education: o Bachelor’s degree required o Accounting, Finance, Health Administration or related field. MBA, CPA or CPAM preferred. Experience & Knowledge: o Minimum 5 years of progressive experience in healthcare revenue cycle operations required. o Minimum 3 years supervisory experience required, which includes experience hiring, training, evaluating, disciplining, developing and engaging staff members required. o Must have excellent working knowledge of claim submission (UB04/HCFA 1500) and third party payers. o Knowledge of Federal Billing Regulations required. o Must be detail-oriented and organized, with good analytical and problem solving ability. o Notable client service, communication, presentation and relationship building skills required. o Ability to function independently and as a team player in a fast-paced environment required. o Must have strong written and verbal communication skills. o High tolerance level for a potentially stressful environment. o Excellent knowledge of ICD-10 and CPT coding as well as reimbursement. Special Skills & Equipment Knowledge: o Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.) required. o Oracle, Kronos, Soarian, Athena, and/or claim scrubber experience preferred.
Chief Financial Officer Allegheny Clinic Allegheny Health Network Pittsburgh, PA Allegheny Health Network is seeking a Chief Financial Officer for its physician organization, Allegheny Clinic. Allegheny Health Network is a transformative organization in the midst of major revitalization where the physician enterprise is the foundation for future financial strength. This is an outstanding opportunity for a dynamic and talented operational finance executive to join the Allegheny Clinic, which will serve as the centerpiece to a system-wide growth and population health strategy. Position description The Chief Financial Officer of Allegheny Clinic will provide financial and operational leadership and vision for the Allegheny Clinic. S/he will be responsible for the efficient and effective development and operation of the practice management finance functions. The CFO will be responsible for ensuring the financial sustainability of the physician enterprise and will support the strategic vision of the Allegheny Health Network. As a member of the senior management team, s/he will participate in the strategic decision-making processes. Qualifications The ideal candidate will be a highly intelligent financial executive who possesses strong analytical and strategic-thinking ability, as well as a strong command of medical group practice financial operations and related financial principles. An advanced degree with a concentration in finance, business, or healthcare finance administration and/or a CPA is required. A minimum of ten years’ of increasingly responsible senior health care, financial operations management experience, ideally as the CFO, in a large, multi-site provider group setting, preferably within an integrated delivery system. The Organization Allegheny Health Network (AHN) is a $2.5 billion integrated delivery healthcare system that includes eight hospitals with 2,300+ beds; six surgery centers; 1,300 employed physicians, 1,700 aligned physicians, 200 primary care and specialty care practices. AHN includes service delivery models in four regions with 200 locations. ANH is a subsidiary of Highmark Health, a national health and wellness enterprise that ranks as the third largest integrated health care delivery and financing system in the United States, with consolidated revenues of $16.8 billion and $30 billion in assets. Allegheny Clinic is comprised of nearly 1,300 employed physicians with diverse clinical service lines and senior leadership at each hospital. The Clinic employs approximately 4,700 people and over 450 mid-level providers. With over 412 clinic locations, the experienced clinicians of Allegheny Clinic generated more than $500 million in net revenues for FYE 2016. Location Pittsburgh, the seat of Allegheny County with a population of 306,211 is the second-largest city in Pennsylvania. Historically known for steel, Pittsburgh’s industrial legacy left the region with a plethora of internationally regarded museums, medical centers, parks, research infrastructure, libraries, a vibrantly diverse cultural district, and the most bars per capita in the US. This legacy has earned Pittsburgh the title of America’s “most livable city” by Places Rated Almanac, Forbes, and The Economist while inspiring National Geographic and Today to name the city a top world destination. Since 2004, the area has added over 3,000 hotel rooms with higher occupancy than 11 comparable cities. Today, Apple, Google, and Intel are among 1,600 technology firms generating $10.8 billion in annual Pittsburgh payrolls, with the area serving as the long-time federal agency headquarters for cyber defense, software engineering, robotics, energy research, and the nuclear navy. R&D leaders Carnegie Mellon University and the University of Pittsburgh annually produce multiple startups as the city has earned the top rank as “America’s smartest” with a total of 68 area colleges and universities, 38 of them non-profit. The nation’s fifth largest bank, nine Fortune 500 companies, and six of the top 300 US law firms make their global headquarters in the Pittsburgh area, while RAND, BNY Mellon, Nova, Bayer, FedEx, GSK and NIOSH have large regional bases that helped Pittsburgh become the sixth-best metro area for US job growth. Contact Please forward resume or referrals (email preferred) to: Beth Ross bethsross@yahoo.com 781-934-8111 www.PhillipsDipisa.com About Phillips DiPisa Phillips DiPisa is a retained executive search firm serving the healthcare and life sciences industries. Ranked as one of the top healthcare recruiting firms in the country, Phillips DiPisa is known for leading healthcare into the future by its growing base of clients across the country, drawing on a national pool of candidates. For more information, please visit their website at www.phillipsdipisa.com.
Job ID 2016-1690 # of Openings 1 Job Locations US-OH-Cincinnati Category Audit Information about this job: Overview: We are looking for an Audit Senior Manager with Revenue Cycle experience who is self-motivated and wants to be part of an organization that focuses on adding client value. In this consultative position, you will work with and lead a team that partners with senior staff, including the CEO, CFO and Governance, to identify and evaluate risk, as well as develop and execute the internal audit function. As a CHAN Healthcare Senior Manager, you will manage a team, experience challenging assignments, and grow and develop your leadership and technical skills. At CHAN Healthcare you and your team will receive industry-leading support and technology. Working on-site provides you the ability to witness and experience the impact that your recommendations have on your client’s day-to-day healthcare operations. CHAN Healthcare is the market leader in providing Internal Audit and Consulting Services to the healthcare industry. We deliver innovative solutions to today’s complex healthcare issues. As a values-based company, we assist in advancing the missions of our clients. If you have a passion for success and want to add client value, apply today! Qualifications: A minimum of 7 years of audit and/or healthcare finance experience Experience in healthcare revenue cycle is required Demonstrated ability to successfully communicate with people at all levels Strong written and verbal communication skills, solid executive presence Supervisory/leadership experience A professional certification (CIA, CPA, CISA) is preferred We offer solid relocation packages, so qualified professionals from all geographies are encouraged to apply. What you can expect from a career with CHAN: At CHAN Healthcare, you will have a competitive compensation and benefits package with PTO, holidays, a focus on continuous learning, industry leading technology and a collaborative and supportive culture. EOE M/F/D/V
Job Locations US-OH-Various Cities (ex: Cincinnati, Lima, Cleveland, etc.) Overview: Audit Manager Are you looking to grow your career?  We are looking for an experienced Audit Manager with Physician Practices experience who can provide the level and quality of service for which we have become known. The successful candidate will work with senior staff to develop the internal audit program, perform various audits/projects and execute the organization’s internal audit function. Working on-site provides you the ability to witness and experience the impact that your recommendations have on your client’s day-to-day healthcare operations. We offer challenging work and the ability to make a difference every day! At CHAN Healthcare you will work independently while receiving industry-leading support and technology. CHAN offers a robust knowledge management center where you can develop your career as well as create and share leading practices with other CHAN Associates and our clients. CHAN Healthcare is the market leader in providing Internal Audit and Consulting Services to the healthcare industry. We deliver innovative solutions to today’s complex healthcare issues. As a values-based company, we assist in advancing the missions of our clients. If you have a passion for success and want to add client value, apply today! Qualifications: A Bachelor’s Degree in a related concentration A minimum of 5 years of internal audit and/or healthcare finance experience Experience with physician contract arrangements and physician compensation models is required A demonstrated history of success in similar positions Self-motivation, high standards, executive presence and excellent communication skills Certification as a CPA, CIA or CISA preferred This position can be located in a variety of Ohio cities. Also, we offer solid relocation packages, so qualified professionals from all geographies are encouraged to apply. https://careers-chanllc.icims.com/jobs/1674/audit-manager/job What you can expect from a career with CHAN: At CHAN Healthcare, you will have a competitive compensation and benefits package with PTO, holidays, industry leading technology, focus on continuous learning and a collaborative and supportive culture. EOE M/F/D/V
Regional Positions
Witt/Kieffer is proud to announce we are partnering with BayCare Health System in launching a national search to recruit a Vice President, Finance. BayCare is a leading not-for-profit health care system that has been growing rapidly, connecting individuals and families to a wide range of services at 14 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions. Located in BayCare’s Clearwater, FL headquarters, this VP, Finance will inherit a high performing team (100+) of financial professionals spread across multiple sites and activities. With BayCare’s growth and the recent promotion of Janice Polo to the role of Executive Vice President and Chief Financial Officer, this is an outstanding opportunity for an exceptional financial executive to step into a key leadership role with one of the region’s top performing health system. Given Janice’s tenure with BayCare and the trust, collaboration and quality of service she established as the VP Finance, this new executive must be a proven finance leader, providing the same grasp of details and management expertise. Key areas of responsibility for the position include Financial Systems, Financial Accounting and Reporting (the position also has responsibility for construction and supply chain financial management), Payroll, Accounts Payable, Capital Asset Management, Accounting Operations Center and Financial Planning. A holistic view of the health system’s finances is crucial. She/he must also continually look for process improvements and innovation opportunities that will strengthen BayCare’s market leadership position. The VP Finance will be a proven health system finance leader. She/he will have had prior experience within a multi-site operation and managed/mentored a high-performing team of accomplished finance professionals. The VP Finance will be a proactive leader who holds themselves and others accountable. The ability to work in a highly matrixed environment and build highly collaborative relationships across functions, levels and facilities is a must. This individual will need to immerse themselves into the finance operation, understand the strategic direction of BayCare and quickly develop credibility by having accurate information readily available for the CFO and other members of the executive leadership team. A full Leadership Profile detailing the opportunity can be found at www.wittkieffer.com Please direct all nominations, expressions of interest and applications via email to the Witt/Kieffer executive search consultants supporting BayCare in this search to: BayCareVPFinance@wittkieffer.com .
Senior Director, Revenue Cycle – Regional CBO in Sacramento, CA Sutter Physician Services (SPS), located in Sacramento, California, is looking for a Senior Director, Revenue Cycle. SPS is an affiliate of Sutter Health that provides revenue cycle/patient financial services, patient access, and accountable care solutions to Sutter Health affiliated physician practices and other services (such as home health/hospice services, ambulatory surgery centers, reference laboratories, and clinical trials). Sutter has 24 hospitals, 33 surgery centers and several thousand affiliated providers throughout California. The Senior Director of Revenue Cycle is responsible for the overall operating performance of Revenue Cycle Solutions service line to all SPS’s clients (last year there were in excess of $3.4B in collections). This multi-dimensional and complex operation will include claims submission/billing, follow-up, payment posting, denial management, self-pay A/R, and bad debt programs utilizing EPIC for all their revenue cycle management. To be part of this exciting opportunity with this growing organization please send an email to SutterSDRevCycle@wkadvisors.com to request a detailed job description or visit our website at www.wkadvisors.com. An impressive compensation and relocation package is available. April Allen or Ben Haden WK Advisors 2000 Warrington Way, Suite 200 Louisville, Kentucky 40222 Phone: 502-228-4030 Toll Free: 877-228-4030 Email: SutterSDRevCycle@wkadvisors.com
A Northeast Florida independent community healthcare system, has retained Witt/Kieffer to aid in the recruitment of its Chief Financial Officer (CFO). The 335 bed not-for-profit acute care center is consistently recognized nationally for overall clinical excellence, consistently ranks among the top 5% in the nation for clinical excellence and patient safety and was Northeast Florida’s first hospital to receive the ANCC Magnet designation. Reporting directly to the President and Chief Executive Officer, the CFO will provide overall financial leadership and direction, coordination, development and evaluation of financial programs to ensure funding for new and continuing operations to maximize returns on investments, increase productivity and attain objectives consistent with the stated mission/vision of the hospital. He/she will be responsible for conducting a thorough ongoing analysis of the financial health of the hospital and continually advising leadership on the most effective ways to support the growing complexity of the organization. He/she will also understand the effect that politics and economic trends will have on the organization’s plans and make logical decisions and recommendations accordingly. A bachelor’s degree is required and a CPA is preferred. Candidates will have a minimum of three to five years experience in a senior financial management position with an acute healthcare system with a demonstrated track record of success. The ability to effectively deal with all kinds of people ranging from civic leaders to employees and from legislators to the general public will be essential. Interested parties should direct all nominations and resumes to John McFarland at jmcfarland@wittkieffer.com or by calling 678-302-1565.