System Director Revenue Cycle Operations - Flagstaff, AZ
System Director Revenue Cycle Operations - Flagstaff, AZ
Posted on :
11-05-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
11-05-2025
Job Description
Overview
The System Director NAH Revenue Cycle Operations is responsible for the organization and overall management of the departmental workflows and technology optimization efforts within the Revenue Cycle; including but not limited to: Patient Access Insurance Verification Unit Central Business Office the NAH Provider Medical Group Denials Management and any other potential entities under the purview of the Vice President of Revenue Cycle Operation. This also includes the management of the Revenue Cycle IT team and collaboration with other ancillary department directors. The Director also provides organizational support and expertise around primarily the technical support; but also possesses operational knowledge around processes related to throughput workflow labor management optimization and overall ancillary department structure where applicable. The Director is expected to work independently and in partnership with the VP RCO & all Departmental Directors to better scope strategize prioritize resourcebroker rootcause analyze solve inefficiencies identify and define work across all campuses and business lines. The Director Revenue Cycle Operations must be patientcentric and willing to challenge inefficiency and nonpatient satisfying practices.
Responsibilities
Department Management
* Oversees all vendor partnerships; including management of performance expectations.
* Supports the Revenue Cycle departments and the RCO as it relates to organizational strategies and initiatives around: Population Health Pathfinder Health/ACO Community EMR Strategic pricing Licensure etc.
* Provide leadership management coaching and strategy expertise to the VP RCO and key leaders within Revenue Cycle and the service line leaders.
*Cultivates and maintains strong working relationships with Revenue Cycle leadership team; helping to assure technical resources are appropriately allocated to accomplish organizational and Revenue Cycle objectives. .
* Manage and monitor KPIs for maintained improvement. .
* Review and monitor monthly/weekly reports for trends and performance. .
* Lead and mentor project teams to drive quality improvements through interdepartmental partnership. .
*Responsible for vetting and implementation of system enhancements for RCO areas.
* Proactively identifies areas for improvement within the department and collaborates with direct reports to implement comprehensive plans of action for improvement that includes consistent monitoring. .
* Builds maintains and enhances the Revenue Cycle relationship with IT and Informatics; helping establish the technical strategy for the organization with the Clinical Informatics team Cerner & NAH architects Director of IT services CMIO CNIO CIO etc. .
* Supports the Revenue Cycle departments and the RCO as it relates to organizational strategies and initiatives around: Population Health Pathfinder Health/ACO Community EMR Strategic pricing Licensure etc.
* Provide leadership management coaching and strategy expertise to the VP RCO and key leaders within Revenue Cycle and the service line leaders.
*Cultivates and maintains strong working relationships with Revenue Cycle leadership team; helping to assure technical resources are appropriately allocated to accomplish organizational and Revenue Cycle objectives. .
* Manage and monitor KPIs for maintained improvement. .
* Review and monitor monthly/weekly reports for trends and performance. .
* Lead and mentor project teams to drive quality improvements through interdepartmental partnership. .
*Responsible for vetting and implementation of system enhancements for RCO areas.
* Proactively identifies areas for improvement within the department and collaborates with direct reports to implement comprehensive plans of action for improvement that includes consistent monitoring. .
* Builds maintains and enhances the Revenue Cycle relationship with IT and Informatics; helping establish the technical strategy for the organization with the Clinical Informatics team Cerner & NAH architects Director of IT services CMIO CNIO CIO etc. .
Financial Management
* Achieves departmental goals/objectives; namely Cashtogoal A/R Agings Credit balances DNFB and AR Days.
* Responsible for the oversight of payor credentialing functions for Northern Arizona Healthcare; including clinic practices.
* Maintains applicable NAH payer contracts and credentialing criteria. Also maintains knowledge related to hospital clinic ASC and specialty provider licensure; and the corresponding impact to reimbursement and patient outofpocket responsibility.
* Evaluates and negotiates vendor contracts as appropriate.
* Assists VP RCO in annual budgeting process.
* Ensures that project/department milestones and goals are met in adherence to approved budget.
* Establish monitor and disseminate yearly KPI metrics for RCO.
* Responsible for the oversight of payor credentialing functions for Northern Arizona Healthcare; including clinic practices.
* Maintains applicable NAH payer contracts and credentialing criteria. Also maintains knowledge related to hospital clinic ASC and specialty provider licensure; and the corresponding impact to reimbursement and patient outofpocket responsibility.
* Evaluates and negotiates vendor contracts as appropriate.
* Assists VP RCO in annual budgeting process.
* Ensures that project/department milestones and goals are met in adherence to approved budget.
* Establish monitor and disseminate yearly KPI metrics for RCO.
People Management
* Participates in administrative staff meetings and is prepared to provide payer information updates accounts receivable performance data and patient financial service trends.
* Hires provides performance assessments and feedback and develops staff.
* Conducts timely performance reviews and provides ongoing feedback. .
* Establishes and monitors individual and team goals and objectives. .
* Approves time and PTO on a weekly basis. .
* Creates opportunities to celebrate the accomplishments of staff providers and peers. .
* Challenges people ideas and opinions to develop the best possible support. .
* Provide and support the opportunity for continual education to team. .
* Ensures optimum costeffective staffing levels adhering to staffing guidelines and budgeted FTEs within the areas of responsibility.
* Develops and maintains adequate and appropriately trained staff to support NAHPG coding charge entry billing and collections activities; responds to patients and other customers in a manner that conveys willingness to support patients in resolving account or insurance issues.
* Hires provides performance assessments and feedback and develops staff.
* Conducts timely performance reviews and provides ongoing feedback. .
* Establishes and monitors individual and team goals and objectives. .
* Approves time and PTO on a weekly basis. .
* Creates opportunities to celebrate the accomplishments of staff providers and peers. .
* Challenges people ideas and opinions to develop the best possible support. .
* Provide and support the opportunity for continual education to team. .
* Ensures optimum costeffective staffing levels adhering to staffing guidelines and budgeted FTEs within the areas of responsibility.
* Develops and maintains adequate and appropriately trained staff to support NAHPG coding charge entry billing and collections activities; responds to patients and other customers in a manner that conveys willingness to support patients in resolving account or insurance issues.
Process Improvement
* Seeks opportunities to increase automation of work processes and optimize use of billing system functionality as well as available interfaces and collateral information systems through collaboration with Physician IT billing vendor representatives and other software vendors.
* Utilizes data from the billing system to identify trends in user performance that warrant attention among practice and RCM staff to both accomplishments and improvement opportunities.
* Supports and/or coordinates plans with the Director of Operations and Practice Managers to respond as needed to favorable and negative trends. Owns the oversight of the Cerner BOS partnership.
* Collaborates with Practice Operations Finance and outsourced and corporate service function areas to implement and evaluate operational programs processes and initiatives pertaining to the capture and reimbursement of patient revenue.
*Create and maintain patient centric revenue cycle with efficient workflows.
*Help the organization achieve costcutting goals by presenting expertise and opinions of alternatives when appropriate.
*May assist the VP RCO from a project management standpoint on key strategic initiatives.
* While reporting to the VP Revenue Cycle the Director should be in consistent contact with key organizational leaders and decision makers; ensuring that appropriate understanding of strategy and decisions is known before timelines are set.
* Utilizes data from the billing system to identify trends in user performance that warrant attention among practice and RCM staff to both accomplishments and improvement opportunities.
* Supports and/or coordinates plans with the Director of Operations and Practice Managers to respond as needed to favorable and negative trends. Owns the oversight of the Cerner BOS partnership.
* Collaborates with Practice Operations Finance and outsourced and corporate service function areas to implement and evaluate operational programs processes and initiatives pertaining to the capture and reimbursement of patient revenue.
*Create and maintain patient centric revenue cycle with efficient workflows.
*Help the organization achieve costcutting goals by presenting expertise and opinions of alternatives when appropriate.
*May assist the VP RCO from a project management standpoint on key strategic initiatives.
* While reporting to the VP Revenue Cycle the Director should be in consistent contact with key organizational leaders and decision makers; ensuring that appropriate understanding of strategy and decisions is known before timelines are set.
Compliance/Safety
* Responsible for reporting any safetyrelated incident in a timely fashion through the Midas/RDE tool; attends all safetyrelated training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
* If required for the position ensures all certifications and/or licenses are uptodate and valid prior to expiration dates.
* Completes all company mandatory modules and required jobspecific training in the specified time frame.
* Responsible for the maintenance of applicable policies and procedures that are consistent with Northern Arizona Healthcare and Northern Arizona Healthcare Physician Group LLC systemwide patient financial policies and procedures.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
* If required for the position ensures all certifications and/or licenses are uptodate and valid prior to expiration dates.
* Completes all company mandatory modules and required jobspecific training in the specified time frame.
* Responsible for the maintenance of applicable policies and procedures that are consistent with Northern Arizona Healthcare and Northern Arizona Healthcare Physician Group LLC systemwide patient financial policies and procedures.
Qualifications
Bachelors degree Required
Minimum of five years of experience in health care revenue cycle and/or revenue cycle IT management with operational knowledge of provider billing and coding claims process insurance patient access and self pay follow up Required
Minimum of three (3) years experience working with public and private health care payers and reimbursement. Required
Previous experience in business process redesign and change management. Required
5 years of progressive experience in healthcare IT Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers and competence in using computers and basic software programs.
Minimum of three (3) years experience working with public and private health care payers and reimbursement. Required
Previous experience in business process redesign and change management. Required
5 years of progressive experience in healthcare IT Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers and competence in using computers and basic software programs.
CPC Preferred
Required Experience:
Director
Employment Type
Unclear
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