Associate Executive Director, Revenue Cycle

Associate Executive Director, Revenue Cycle

26 Nov 2024
Utah, Salt lake city, 84101 Salt lake city USA

Associate Executive Director, Revenue Cycle

OverviewUniversity of Utah Health, Hospitals and Clinics, is seeking an experienced new Associate Executive Director for Revenue Cycle!The Associate Executive Director, Revenue Cycleis responsible forstrategic direction andoverseeing the financial health and operational efficiency of the entire revenue cycle process across the University of Utah Hospitals and Clinics.This roleensures seamless management of patient billing, insurance verification, claims processing, collections, health information, denials management and others.The position mustmaintainfull compliance with increasingly complex external fraud, abuse, and other regulatory and legal risks associated with patient billing and collections. The incumbent acts as a catalyst between departments, faculty,physiciansand staff to ensure continuity and quality of service.This position has noresponsibility for providingcare for patients.Qualified applicants must have completed:

Bachelor degree in Health Care Administration, Business Administration, or related area or equivalency.

Six years of progressive management experience, preferably within an academic medical center or complex healthcare settings.

Additional education and experience that contribute to this role:

Master's degree in Health Care Administration, Business Administration, or related area.

Corporate Overview:University of Utah Health is an integrated academichealthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinicsrepresentsour clinical operations for the larger health system.ResponsibilitiesEssential FunctionsStrategic Leadership

Develop and implement revenue cycle strategies that align with organization’s mission, financial goals, and operational objectives.

Collaborate with senior and local leaders to identify revenue growth opportunities, enhance cash flow, and streamline processes for revenue collection.

Lead initiatives that improve patient financial experience, aligning with the organization’s commitment to patient satisfaction.

Regularly report on financial performance, revenue cycle metrics, and improvement initiatives to senior leadership.

Operational Oversight

Direct the end-to-end revenue cycle operations, including patient registration, insurance verification, coding, billing, collections and denial management.

Implement best practices to improve accuracy and efficiency in claim submission, reduce denials, and optimize reimbursement processes.

Ensure compliance with all federal, state, and local regulations as well as internal policies regarding billing, coding, and reimbursement.

Oversee the collection, analysis, and reporting of key revenue cycle performance indicators, ensuring data-driven decision-making.

Revenue Cycle Project/Program Management

Provides leadership oversight for new market growth, system implementations, conversions, and upgrades for revenue cycle applications.

Investigates and resolves complex problems and coordinates efforts to provide innovative strategies and solutions.

Assesses new technology, performs vendor assessments, creates ROI analyses, and recommends new technology.

Establishes and maintains strong working relationships with Revenue Cycle leaders, key stakeholders, and fosters a strong working relationship with key strategic partners.

Maintains strong understanding of revenue cycle metrics and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.

Maintains strong understanding of health information system functionality and leads team in identifying and implementing functionality that improves revenue cycle performance, streamlines workflow, and reduces cost-to-collect.

Revenue Cycle Risk Management

Directs and/or oversees analysis of issues to identify developing issues/changes/potential risks with the potential to impact the medical center.

Provides oversight to ensure there is active and effective participation in key medical center compliance committees.

Collaborates with the medical center to develop strategies and recommendations to mitigate risk.

Develops, maintains, and ensures compliance with standardized policies, processes, and programs throughout the organization.

Provides oversight to ensure required reports are filed on time and meet the highest levels of accuracy, compliance, and effectiveness.

Oversees activities to ensure communication, coordination, policies/protocols, and audits are monitored and effective.

Team Management

Recruit, mentor, and develop a team of revenue cycle professionals, ensuring staff are trained and well-equipped to handle the demand of a healthcare setting.

Foster a culture of continuous improvement, accountability, and collaboration within the revenue cycle team.

Promote professional development opportunities to ensure team skills in revenue cycle management, regulatory compliance, and technology.

Financial Management

Responsible for developing, monitoring and achieving budget goals.

Manages labor and non-labor expenses to budget or flex budget.

Manages revenue to budget to maximize potential revenue.

EPE/Service

Responsible for patient satisfaction scores within assigned area(s).

Responsible for upholding PROMISE standards of direct reports and team members.

Quality

Responsible to achieve quality goals for assigned area(s).

Manages and promotes continuous process improvements in assigned area(s).

Performance Management

Responsible for providing staff feedback on performance, including on-time appraisals and coaching.

Responsible to deal with conflicts in a proactive manner and to reach resolution in a timely manner.

Building Relationships

Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.

Actively engages staff with updates and news as well as involving staff in decisions and work teams. Provides feedback and recognition when appropriate.

Knowledge & Skills

Financial management skills, including the ability to analyze financial data for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting.

Strong leadership skills to motivate cross-departmental teams’ performance towards excellence using team concepts and consensus-building management styles.

Advanced/effective interpersonal, written/verbal communication, and presentation skills, along with the ability to communicate complex finance concepts to others without a finance background.

Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/or agendas, leading to outcomes that meet identified goals.

Ability to analyze and resolve complex problems necessary to develop and administer multifaceted revenue cycles processes, regardless of whether issues originate in an area under direct or indirect control.

Ability to develop and maintain effective relationships at all levels throughout the organization.

QualificationsRequired Qualifications

Bachelor degree in Health Care Administration, Business Administration, or related area or equivalency.

Six years of progressive management experience, preferably within an academic medical center or complex healthcare settings.

Qualifications (Preferred)

Master's degree in Health Care Administration, Business Administration, or related area.

Physical RequirementsListening, Manual Dexterity, Near Vision, Sitting, Speaking, StandingMulti-lingual Candidates WelcomedTo inquire about this posting, email: careers@hsc.utah.eduEEO StatementUniversity of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action (OEO/AA). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at:www.utah.edu/nondiscrimination/Online reports may be submitted atoeo.utah.edu/The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.This position may require the successful completion of a criminal background check and/or drug screen.Requisition Number 72503

Reg/Temp Regular

Employment Type Full-Time

Shift Day

Work Schedule M-F

Clinical/Non-Clinical Status Non-Clinical

Location Name Business Services Building

Workplace Set Up Hybrid

City SALT LAKE CITY

State UT

Department COR ISC 10A FIN SRVCS ADMIN

Category Finance/Accounting

Workplace Set Up Hybrid

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