Director of Revenue Cycle

Director Of Revenue Cycle

The Director Of Revenue Cycle Serves As The Strategic And Operational Leader For All Revenue Cycle Functions Across Winona Health, Overseeing The Complete Patient Financial Experience From Scheduling And Authorization Through Final Payment Resolution. The Director Is Responsible For Optimizing Reimbursement, Cash Flow, Revenue Integrity, And Patient Financial Outcomes While Ensuring Regulatory Compliance And A Positive Patient Experience In Partnership With Clinical Leadership. This Role Provides Leadership For Patient Access, Pre-Authorization, Revenue Integrity, Health Information Management/Coding, Billing, Collections, Denial Management, And Related Revenue Cycle Operations.

Essential Duties & Responsibilities Include:

• Develops And Executes Enterprise Revenue Cycle Strategies, Establishes Organizational Performance Goals, And Drives Continuous Improvement Initiatives Designed To Maximize Net Revenue, Reduce Administrative Burden, And Improve Operational Efficiency.
• Serves As The Organization's Subject Matter Expert On Reimbursement, Revenue Cycle Operations, Payer Requirements, And Healthcare Payment Methodologies While Collaborating Closely With Clinical, Operational, And Finance Leaders.
• Leads The Organization's Payer Contracting Strategy In Partnership With The CFO, Including Contract Analysis, Negotiation, Implementation, Monitoring, And Optimization. The Role Evaluates Reimbursement Methodologies, Identifies Growth Opportunities, Manages Payer Relationships, And Develops Contracting Strategies That Support Winona Health's Financial Sustainability, Market Position, And Long-Term Strategic Objectives.
• Accountable For Revenue Cycle Performance Across The Organization, Including Key Metrics Related To Patient Access, Coding Quality, Clean Claims, Denial Prevention And Recovery, Accounts Receivable Management, Collections, Patient Satisfaction, Contract Performance, And Net Revenue Realization.
• Identifies Emerging Reimbursement Risks And Opportunities And Implements Data-Driven Solutions That Improve Organizational Financial Performance And Support Winona Health's Mission Of Delivering High-Quality, Affordable Healthcare.
• Provides Necessary Analysis And Communications Specific To Reimbursement Performance As Reported On Interim/Annual Financial Statements And Forecasts. Provide Management With Information Vital To The Decision-Making Process.
• Other Duties As Assigned.

Skills And Experience Required Include:

• Bachelor's Degree In Finance, Accounting, Or Business/Healthcare Related Field
• 10+ Years Of Applicable Experience In Healthcare Financial Management
• Advanced Computer Skills In Word, Excel, Access Or Other Database, PowerPoint, And Outlook
• Ability To Research, Plan, Organize, And Oversee Short- And Long-Term Projects, Programs, And Initiatives
• Knowledge Of Various Data Systems Used In Healthcare
• Ability To Effectively Manage Multiple Priorities In A Fast-Paced Environment
• Solid Understanding Of Healthcare Revenue Cycle, Payer Contracts, And Regulations Affecting Reimbursement For Healthcare Services
• Ability To Effectively Interact With Customers To Understand Their Needs And Explain Data
• Ability To Train, Supervise, And Mentor Staff
• Ability To Establish And Maintain Positive Working Relationships

Preferred:

• Master's Degree In Finance, Accounting, Or Business/Healthcare Related Field

Work Environment:

Fast-Paced And Challenging Environment With Constantly Changing Reimbursement Rules And Regulations. Multi-Tasking Ability Required Due To The Wide Variety Of Assigned Duties. Not Unusual To Deal With Upset Customers/Staff.

Required Work Schedule:

Regular Business Hours Are Between 7:00 A.M. And 5:00 P.M., Monday Through Friday. Must Be Flexible For Occasional Meetings Outside Of Standard Business Hours, Including Weekends.