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    Director, Net Patient Revenue - Atlanta, United States - Emory Healthcare/Emory University

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    Description

    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.

    Connect With Us
    Connect with us for general consideration


    Division _Emory Healthcare Inc._


    Campus Location _Atlanta, GA, 30345_


    Campus Location _US-GA-Atlanta_


    Department _EHI Hospitals Finance_


    Job Type _Regular Full-Time_


    Job Number _128894_


    Job Category _Business Operations_


    Schedule _8:30a-5p_


    Standard Hours _40 Hours_


    Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions.

    Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.



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