Executive Director of Medical Revenue Cycle

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OtherExecutive Director

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Quick Summary

Key Responsibilities

Scope of Responsibility: Responsible for reviewing and authorizing inpatient days and the evaluation of inpatient utilization patterns within service areas to identify areas of improvement,

Requirements Summary

Working knowledge of Microsoft PowerPoint EDUCATION REQUIRE

Technical Tools

OtherExecutive Director

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs, and advises members of the Case Management, Revenue Cycle, Patient Financial Services, Patient Access, AHS Managed Care departments and applicable Medical Staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. This position supports the CMO capacities at the facilities within the Central Florida Division – North by ensuring the delivery of high-quality, efficient healthcare services throughout the continuum of care for the membership served by contracted medical group provider networks. The Medical Director is an important contact for clinicians, external providers, contracted health insurance payers, and regulatory agencies. It also serves as subject matter expert, providing clinical expertise and business direction in support of medical management programs, promoting the delivery of high quality, patient focused and cost effective medical care. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Responsibilities

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Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
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Paid Time Off from Day One
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403-B Retirement Plan
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4 Weeks 100% Paid Parental Leave
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Career Development
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Whole Person Well-being Resources
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Mental Health Resources and Support
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Pet Benefits

Schedule:

Full time

Day-Weekend (United States of America)

900 WINDERLEY PL

MAITLAND

Florida

32751

Requirements

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Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.