Deputy Head of Revenue Assurance

5 months ago

London, United Kingdom HCA Healthcare UK Full time

**This is your opportunity to become a vital part of the UK’s largest private healthcare provider, specialists in complex care.**

**Job Title**:Deputy Head of Revenue Assurance

**Location**:2 Cavendish Square, London W1 / Travel required to Prestatyn, North Wales

**Employer**:HCA Healthcare UK

**Team**:Revenue Cycle

**Salary**:Competitive with a range of exceptional benefits

**Employment package extras**:We will look after you with a very attractive salary, private healthcare insurance for you and your family, contributory pension scheme and a vast range of additional rewards. Being part of a large, multisite, established healthcare group, we can offer career progression, development, and support to grow internally, in addition to funded courses.

**Shifts/Pattern or work**:37.5 Hours per week / Monday to Friday/ Some Hybrid Working. Monthly travel required to Prestatyn, North Wales.

We have an exception role for you, in the position of** Deputy Head of Revenue Assurance**

You will need to have a proven track record leading multi-disciplinary teams achieving results through sound leadership, process refinement and leveraging technology. you will assist the Head of Department in co-developing HCA’s operational capability, supported by policies and procedures that will allow continuous performance improvement in the following areas:
**Billing, Collections, Shortfalls, Denial Resolution**:You will be overseeing teams focused on billing and liquidation of PMI, Self-Pay and Embassy receivables to include resolution of Unpaid AR, Shortfalls and Denials. In each of these areas, ensuring cash goals are met, Policies and Procedures are developed, understood, and adhered to and that quality measurements are in place.

You will be able to establish productivity measures and processes for coding AR to highlight trends, leveraging existing work-flow systems and evaluating barriers to achieving set targets. Working closely with colleagues to develop and support training programs to empower colleagues to resolve accounts properly and efficiently. Additionally, you must establish strong working networks with insurers and internal stakeholders to bring forth trends and opportunities to improve and reduce the payment cycle.

**Cashiering**: You will oversee the of the team responsible for correctly posting payments to Embassy, PMI and Self Pay accounts. This includes ensuring unallocated cash is resolved timely and colleagues have paths of escalation with insurers when the remittances provided does not offer proper information to allocate correctly. You will ensure your teams are well trained to read and interpret information ensuring timely processing of patient excess, to minimize customer dissatisfaction. Ensuring managers, team leads and colleagues, look for and have an open forum to communicate opportunities that will help refine and automate processes where possible.

**Contract Modelling**: You will oversee the team responsible for ensuring contracts are modelled timely and properly in the system, proper packages are built and audited, contract holds are communicated and escalated and failed claims are evaluated and resolved. This role will work closely with corporate contracting teams and the facilities to communicate, escalate and improve nuances with contracts that are difficult to model, packages that are vague or difficult for hospitals to administer and root causes contributing to delayed billing through claim rejections.

**Pre-Authorisation**: You will oversee a team responsible for the pre-authorisation of day case and inpatient services across the HCA network. You will work with the team manager to identify process improvement and growth opportunities whilst removing barriers to ensure high performance in line with policy compliance.

**Vendor Management**:You will be responsible for managing vendors performance, in accordance with HCA values and expectations. Supporting the Head of Department in monthly operational performance reviews to ensure accounts are reconciled and service level agreements are adhered to.

**Ideally, we are looking for someone who has.**
- Demonstrable, current experience as a Revenue Cycle Leader, leading large (30+ FTEs) multi-disciplined teams.
- Capable of developing a high performance, coaching culture leading on recruiting, developing, and coaching of line leaders, driving maximum contribution in terms of quality, staff engagement, positive behaviours, efficiency, and value.
- Able to develop and support an environment where proactive communication, sharing, challenge and support is the norm.
- highly accountable, goal-oriented, and pro-active, enhancing company value by guiding teams to deliver expected results of key performance indicators while Identifying cost efficiencies, standardizing best practices, and looking for innovative ways to improve.
- Confident in meeting agreed deadlines and communicate risks and concerns with line manager and stakeholders as appr

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