Executive Director, Business Services (Revenue Cycle)

About Us - Values Overview

Department Summary

UNT Health Clinical Practice Group is the academic clinical practice for UNT Health. Focused on improving health outcomes to build a healthier community. Clinical Practice Group primary and multispecialty care clinics are located on the UNT Health campus in Fort Worth. Our care teams extend to local hospitals surgery centers long-term and continuing care centers and mobile and in-home care. The Clinical Practice Groups interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians nurse practitioners physician assistants physical therapists pharmacists social workers psychologists specialized technicians and nurses work together while intentionally integrating health care students residents and fellows to deliver care to our community.

Position Overview

The Executive Director provides leadership and oversight for revenue cycle operations patient financial services electronic health record operations and related business applications. This position drives financial performance reimbursement regulatory compliance technology optimization and improvements in the patient financial experience. The role collaborates with clinical operational finance compliance and technology leaders to establish performance standards lead process improvement initiatives manage vendor relationships and support the long-term goals of the Clinical Practice Group. This position serves as a member of the Clinical Practice Leadership Team and reports to the Senior Vice President/Chief Operating Officer.

Minimum Qualifications

Bachelors degree in Business Administration or Public Administration and seven (7) years related experience; or any equivalent combination of education and experience.

Knowledge Skills and Abilities

• Knowledge of healthcare revenue cycle reimbursement billing compliance and electronic health record systems.
• Skill in strategic planning financial and operational analysis process improvement and vendor management.
• Strong leadership communication collaboration and change-management skills.
• Ability to interpret performance data establish priorities manage complex initiatives and drive accountability and results.

Preferred Qualifications

Masters degree and/or professional certification such as CHFP CRCR or FHFMA. Equivalent combinations of education and relevant experience may be considered.

Job Duties

• Provides executive leadership direction and oversight of revenue cycle operations through the Directors and Managers responsible for these functions including charge capture coding claims submission payment posting denial management accounts receivable patient billing collections and resolution of patient balances. Collaborates with clinic operations and clinical leaders to improve front-end revenue cycle processes including registration eligibility verification point-of-service collections encounter closure and other workflows that affect reimbursement and the patient financial experience.
• Develops and executes a comprehensive revenue cycle and revenue integrity strategy aligned with organizational financial clinical access compliance and patient experience goals. Establishes long-range plans operational priorities and performance expectations that support sustainable net revenue cash acceleration regulatory compliance and patient-centered financial services. Ensures accounts receivable and patient financial records are maintained confidentially and in accordance with applicable accounting privacy billing and regulatory requirements.
• Establishes and delegates implementation of goals objectives policies procedures workflows internal controls and systems for assigned revenue cycle functions within UNT Health Clinical Practice Group. Consults with Directors and Managers and evaluates departmental goals performance trends operational barriers staffing needs funding limitations timelines and resource allocation to accomplish organizational objectives.
• Establishes monitors analyzes and reports key revenue cycle performance indicators to assess operational effectiveness identify trends prioritize improvement opportunities and support executive decision-making. Metrics may include but are not limited to eligibility verification point-of-service collections charge capture accuracy coding quality encounter closure timeliness clean claim rate denial rates appeal outcomes days in accounts receivable net collection rate net revenue realization bad debt write-offs contractual adjustments cost-to-collect and patient billing performance. Works with clinic operations leaders to address front-end performance measures.
• Oversees revenue integrity and reimbursement optimization activities to support accurate charge capture compliant documentation and coding appropriate reimbursement and timely identification and resolution of revenue leakage. Leads denial prevention and management initiatives through root-cause analysis payer trend monitoring corrective action planning and collaboration with operational clinical compliance and finance leaders to reduce avoidable denials and improve reimbursement outcomes.
• Provides executive oversight of electronic health record operations business applications and revenue cycle technology platforms. Directs the strategic planning governance optimization implementation and ongoing support of the UNT Health Clinical Practice Groups electronic health record and practice management systems clearinghouse tools billing platforms reporting dashboards automation and related business applications. Ensures system integrity data quality user adoption workflow optimization reporting capabilities and alignment with clinical operational financial and compliance objectives. Oversees system performance configuration priorities vendor relationships technology contracts and related investment recommendations in coordination with information technology leadership.
• Partners with managed care finance legal compliance and operational leaders on third-party payer negotiations reimbursement methodologies contract implementation and payer performance management. Coordinates payer contract provisions reimbursement terms and operational requirements with billing collections finance and clinical operations. Partners with the teams responsible for credentialing payer enrollment and clinic operations to support timely provider enrollment effective dates and reimbursement readiness for new providers services and payer relationships.
• Drives cash acceleration appropriate net revenue performance and long-range revenue cycle planning by improving assigned mid-cycle and back-end functions and partnering with clinic operations on front-end processes. Identifies opportunities to improve reimbursement reduce avoidable accounts receivable prevent denials strengthen appeals improve collections reduce write-offs and resolve patient balances in a timely and compliant manner.
• Implements and maintains standardized revenue cycle policies controls and procedures consistent with federal and state regulations payer requirements CMS guidance HIPAA coding and billing standards price transparency requirements patient financial protection regulations and applicable audit standards. Partners with compliance legal finance clinical operations and provider leadership on audits investigations corrective action plans policy updates documentation improvement coding integrity charge capture accuracy and patient financial communication standards. Establishes quality assurance audit readiness and internal monitoring processes to support accurate billing compliant documentation appropriate reimbursement data integrity and adherence to payer and regulatory requirements.
• Provides executive-level reporting analysis and strategic recommendations to senior leadership regarding revenue cycle performance net revenue trends payer performance operational risks compliance matters technology priorities workforce needs vendor effectiveness improvement initiatives and progress toward organizational goals. Manages third-party vendors including billing partners clearinghouses collection agencies payment processors and revenue cycle technology vendors and monitors service expectations compliance contract outcomes and performance. Serves as the executive business owner for revenue cycle patient financial services electronic health record operations and related business applications. Provides governance and strategic oversight for technology enhancements system implementations workflow redesign data analytics and operational transformation efforts that support clinical financial compliance and patient experience objectives.

Physical Requirements

• Repeating motions that may include the wrists hands and/or fingers.
• Sedentary work that primarily involves sitting/standing.
• Moving about to accomplish tasks or moving from one worksite to another.
• Moving self in various positions to perform tasks in tight and confined spaces.
• Lifting and Moving objects up to 20 pounds.
• Communicating with others to exchange information.

Environmental Hazards

• No adverse environmental conditions expected.
• Exposure to fumes or airborne particles.

Work Schedule

M-F 8-5

Driving University Vehicle

No

Security Sensitive

This is a Security Sensitive Position.

Special Instructions

Applicants must submit a minimum of two professional references as part of their application. If needed additional references can be added after the application has been submitted.

Benefits

For information regarding our Benefits click here.

EEO Statement

The University of North Texas System is firmly committed to equal opportunity and does not permit and takes actions to prevent discrimination harassment (including sexual violence domestic violence dating violence and stalking) and retaliation on the basis of race color religion national origin sex age disability genetic information or veteran status in its application employment practices and facilities; nor permits race color national origin religion age disability veteran status or sex discrimination and harassment in its admissions processes and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination harassment and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice file a charge or report or testify assist or participate in a related investigation or proceeding.