Director, Revenue Cycle Business Partner
Director, Revenue Cycle Business Partner
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Job Description
We are so glad you are interested in joining Sutter Health!
Organization:
SHSOSutter Health System OfficeValleyPosition Overview:
*The Director positions will be filled in locations throughout the Sutter Health California footprint.*Eligible to work from home with 50% travel within our California network.
Serves as the primary contact for Sutter Health revenue and revenue cycle related matters. This role will function as a vital integration leader of both revenue & revenue cycle initiatives necessary to maintain an effective and highperforming financial & revenue cycle program for each of the entities within the accountable division. This role will scope and execute specific highimpact projects related to Sutter Healths enterprisewide revenue & revenue cycle functions using internal and thirdparty vendor analytics. High impact areas include front end operations aged receivables denials leadership development net revenue monthend close impact and other key performance indicators. The role will also be responsible for providing education and support to staff in both the care centers and finance & revenue cycle on system processes registration billing insurance setup charge entry and rejection resolution.
Responsible for developing preparing and distributing vital dashboard and operational reports to support effective revenue capture billing and collections.
Works across all levels and departments within Sutter Health supporting specific projects and daytoday operations including oversite of corrective action plans plan accountabilities deliverables and deadlines across corporate local and Sutter Healths thirdparty vendor operations.
Interacts with key departments and leaders across the organization to ensure open communication between the facilities and revenue cycle departments.
Provides assurance of the optimization of accounts receivable metrics the reduction of avoidable denials and writeoffs at each facility payment variance review while ensuring best practices are implemented.
Leads designated committees and task forces to support the revenue cycle initiatives for the assigned divisions and partners with local Ateams and patient facing operators to help implement operational changes at the local levels.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma
Bachelors degree in business administration or related healthcare.
TYPICAL EXPERIENCE:
8 years recent relevant experience
SKILLS AND KNOWLEDGE:
- Able to effectively communicate in both writing and verbally with all levels of staff.
- Able to make autonomous decisions involved in implementing coding and billing policies effecting revenue and operations.
- In depth knowledge of thirdparty billing rules for Medicare MediCal Government Managed Care Health Maintenance Organization (HMO) Preferred Provider Organization (PPO) Workers Compensation.
- In depth knowledge of thirdparty reimbursement contract terms and adjudication state and federal billing and collections regulations compliance claims processing methods Current Procedure Terminology (CPT) coding and patient accounting management practices.
- Proficiency in knowledge and use of the electronic health systems (specifically Epic).
- Proficiency in various PC software programs such as spreadsheets and word processors and other statistical tools. Able to effectively utilize the Microsoft Office suite of products.
- Organizational skills problem analysis skills time management skills and effective verbal and written communication skills.
- Skilled in interpreting billing regulations and reimbursement formulas.
- Demonstrated leadership and training skills.
- Must remain flexible and be able to be involved in and prioritize multiple projects in a rapidly changing environment.
- Must have a positive attitude and be willing to learn new things; ability to maintain a high level of energy and work independently.
Job Shift:
DaysSchedule:
Full TimeDays of the Week:
Monday FridayWeekend Requirements:
As NeededBenefits:
YesUnions:
NoPosition Status:
ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $75.45 to $120.73 / hour. Sacramento Valley Area Pay Range is $75.45 to $120.73 / hour. San Francisco Bay Area Pay Range is $85.74 to $137.19 / hour.The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications department equity training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Required Experience:
Director
Employment Type
Full-Time
