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:

• 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:

• 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.

Summary of Benefits at Winona Health:

At Winona Health, we are dedicated to offering a comprehensive and affordable benefits package for our employees and their families. While benefits may vary based on employment classification and job status, the following key benefits are available:

Health Insurance: Options for medical, dental, and vision coverage, as well as mental health support and wellness incentives Income Protection: Short and long-term disability, plus additional benefits like accident, critical illness, hospital indemnity, legal assistance, and identity protection plans Retirement Planning: Access to a 403(b) retirement plan with employer contributions once eligibility requirements are met Work/Life Balance: Flexible scheduling, paid time off, and earned sick time to support personal well-being Education & Development: Paid training, tuition reimbursement, scholarships, and sponsored seminars to foster both personal and professional growth Employee Discounts: Special offers with local businesses, including the YMCA and cell phone providers

For more details or specific information, visit our website or contact Human Resources

Internal Applicant Policy:

It is the policy of Winona Health to work with employees in an equitable fashion regarding promotions, transfers, and position reclassifications. Any employee wishing to apply for another available position at Winona Health must submit an application for consideration through the internal application portal. Employees requesting to change positions should have successfully completed at least six (6) months in their current position. Employees currently in the formal disciplinary process may be required to meet with the Director of Human Resources to determine eligibility to request transfer. The employee's past performance, experience, training and qualifications will be considered in transfer/hiring decisions. Consideration for transfer or promotion is not a guarantee of transfer or promotion. Employees may be given a chance to interview for a position when they meet the minimum position qualifications.

Disclaimer:

Winona Health is an equal opportunity employer. Winona Health does not refuse to hire, discharge, or discriminate against a person with respect to tenure, compensation, terms, upgrading, conditions, facilities, or privileges of employment because of race, color, creed, religion, sex, age, national origin, marital status, genetic information, status with regard to public assistance, membership in a local discrimination commission, sexual orientation, disability, veteran status, or any other prohibited basis of discrimination under applicable local, state, or federal law. Winona Health does not tolerate retaliation against any employee, patient/resident, physician, or other individuals pursuing concerns regarding Civil Rights issues. Winona Health adheres to ALL pertinent governmental policies and legislation including the Civil Rights Act of 1964, Title VII, as amended, and the Minnesota Human Rights Act.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.