St. Croix Health · 2 days ago
Director - Revenue Cycle
St Croix Falls, WI
Full-time
Onsite
Director/Executive
10+ years expSt. Croix Health is a not-for-profit healthcare system dedicated to helping people live healthier, happier, and longer lives. They are seeking a Director of Revenue Cycle to lead the Revenue Cycle continuum, which includes registration, coding, billing, and medical record management, while ensuring compliance and operational efficiency.
Health CareMedical
Responsibilities
Strategic Planning
Monitors and identifies the evolving factors that affect current/future needs of functional service lines, and recommends strategies/initiatives/programs/projects to prepare for future growth of service lines and program areas in alignment with overall organizational strategy (provision of new services, standardization of policies/practices across the organization, increasing market share, maximizing revenues, cross-selling services, improving efficacy/cost-effectiveness of clinical services provided, enhancing patient outcomes/satisfaction and others of similar complexity and consequence)
Develops formal strategic/tactical plans, to include both short- and long-term business planning, with full accountability for achievement of plan objectives
Operational Accountability
Plans, directs, and evaluates the programs, systems, operations, and resources of the department, to assure the safe and appropriate delivery of best-practice procedures and patient care, achievement of strategic objectives within scope of responsibility, and compliance with regulatory requirements
Develops and implements policies and procedures in accordance with industry standards; assesses and assures staff compliance and competence
Collaborates with other leadership to standardize and integrate practices; participates and contributes to organization-wide evaluation of effectiveness of implemented programs and procedures
Evaluates effectiveness of patient care and promotes continuous quality improvement
Manages registration, billing and collections, coding, revenue integrity, patient account services and medical records, to ensure accurate billing and timely collection of revenue for hospital and clinic services
Staff Management and Development
Plans, directs, and evaluates work of direct reports and facilitates planning, direction, and evaluation of direct report subordinate staff
Ensures adequate staffing levels and coverage based on acuity and need with budgetary and operational objectives
Ensures staff are appropriate trained and competent in performance of assigned duties; assesses competencies of staff on regular basis
Coaches, mentors, and develops staff to promote skill development and leadership capacity
Serves as the primary interface on all revenue cycle related issues including department oversight, technical and governmental issues, billing and collection remediation
Performance and Quality Improvement
Continuously monitors and assesses systems and programs to ensure compliance and achieve quality and performance objectives
Establishes appropriate performance measures for programs and staff; analyzes appropriate data to assess progress, and recommends/implements adjustments as appropriate to maintain progress towards established strategic objectives
Evaluates existing systems/program/priorities, analyzes future potential to make recommendations for growth, expansion, new services and solvency of existing services based on market demographics and volume projection; develops and presents comprehensive recommendations regarding the viability of specific systems/projects
In coordination with Quality program stakeholders, plans and directs quality process improvement initiatives/projects to ensure achievement of business objectives
Budget and Fiscal Administration
Determines financial resources necessary to achieve establish strategic performance objectives; develops recommendations in accordance with internal policies and procedures
Identifies, aligns, and optimizes resources to maintain financial stability of programs and service lines
Exercise effective cost control measures, adjusts resources as needed to maintain budget
Identifies negative variances and develops and implements action plans/recommendations to address issues in a timely manner; keeps Executive leader apprised of all issues with potential for budgetary impact
Oversees the preparation of complete and accurate financial, budget, activity and productivity information, including variance reports, financial projections and other statistical reports for programs and service lines
Regulatory Compliance
Ensures all functional areas are in full compliance with internal and external legal and regulatory standards; regularly assesses and monitors to ensure effective controls are in place and desired outcomes are achieved
Ensures compliance with all record management and retention policies, provisions, and practices
Qualification
Required
Master's in business or related field preferred or
Bachelor's in business or related field required
Minimum of 10 years' experience in related experience in a hospital or health care related environment
Three years' experience in healthcare revenue cycle leadership role or demonstrated leadership capabilities
Strong, collaborative, and effective working relationships with providers, leadership, and staff
Strong interest in clinical quality improvement and innovation
Exhibit an independent drive, and have the ability to lead change
Exhibit excellent communication and organizational skills
Revenue Cycle continuum – registration, coding, billing and medical record management
Prolonged periods of sitting at a desk and working on a computer
Prolonged periods of standing, bending, and reaching
Must be able to lift up to 15 pounds at times
Benefits
Health, vision and dental insurance
403b retirement program with employer match
Paid time off
Short-term disability, long-term disability and life insurance options
Education reimbursement
Employee assistance program (EAP)
Wellbeing incentive program
Free parking
Employee prescription discount program
Company
St. Croix Health
St. Croix Health has been a healing force in the St. Croix Valley since 1919. Our traditions hold true today.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Kimberly Ericson
Chief Financial Officer
Andrea Jerrick, MBA
Chief Administrative Officer
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