Are you a strategic, executive leader with extensive experience in healthcare Revenue Cycle? Are you looking to join an organization that is transforming Revenue Cycle in the healthcare industry?
If so, UnityPoint Health has an amazing opportunity! UnityPoint Health, the largest health system in Iowa with services also supporting providers, hospitals, and clinics throughout Wisconsin and Illinois, is building its Revenue Cycle Executive Leadership team and is looking for an experienced Revenue Cycle leader who will bring a passion for healthcare and a drive for excellence to our effective common leadership structure.
The Executive Director of Patient Financial Services is the operational leader responsible for effectively managing accounts receivable according to UnityPoint Health’s policies, goals and objectives. This includes the billing, collections, denials resolution, payment posting, and customer service of all Hospital and Professional accounts receivable. The Executive Director is responsible for the day-to-day operations ensuring all departmental policies and procedures are executed timely and effectively.
The Executive Director of Patient Financial Services will establish strong relationships across the organization, maintain visibility and fostering a culture focused on quality, operational improvement and accountability. This position will work closely with other Revenue Cycle Executive Directors and regional senior leadership to collaborate on advancing strategic direction and efficiency determined by established goals and outcomes related to business office metrics for regions, affiliates, and clinics. This position will maintain close and strategic working relationships throughout the organization to ensure clear and concise communication. Collaboration with regions, affiliates, and clinics will be imperative to the success of this role and department.
Preferred office location is in West Des Moines, Iowa.
Responsible for directing and overseeing all accounts receivable management staff to include; AR follow up, claims/billing and cash collections with the goal of meeting and/or exceeding cash budget, industry and organizational benchmarks while managing cost and efficiency.
Develop and implement innovative long-range strategy to achieve initiatives, priorities and goals of Patient Financial Services departments. Ensure the strategy aligns with the overall mission and vision of UnityPoint Health and its affiliates.
Drive execution and transformational change with in Patient Financial Services teams to ensure effective, efficient, sustainable, compliant, and leading edge operations to contribute to the financial success of UnityPoint Health.
Build and maintain relationships with stakeholders, regions, and team members creating an environment where UnityPoint Health values are continuously exceeded.
Oversee new systems, products, and business implementations for Patient Financial Services. Assess organizational strengths and weaknesses to recommend enhanced operational model.
Lead standardizing, creating and sustaining a common culture and high performing operation aligned with UnityPoint Health-System Services priorities and serving the needs of our regions and patients.
Motivate, facilitate, mentor, and coach team to deliver high quality, cost effective services. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility, and mentoring.
Evaluate performance of direct reports and teams. Make recommendations for personnel actions and motivate employees to achieve peak productivity and performance.
Develop and ensure metrics, goals, and projects are executed, tracked and accomplished for the department.
Develop procedures and policies for the operation of department, process and team members.
Develop department budgets for staffing, operations, and capital resources. Manage actual costs to budget and proactively address any unfavorable budget variances.
Maintain a strong, collaborative relationship and provide clear communication with all facilities.
Present data, strategies, and progress toward goals in various governance management forums.
Direct and monitor processes related to accurate and timely billing submission, handling of denials, and accounts receivable follow-up; within or better than established departmental and industry benchmarks.
Establish processes to ensure timely processing of adjustments to accounts receivable including bad debt and charity.
Actively participates in payor meetings and communicates potential issues affecting revenue to upper management in addition to communicating any changes in payer requirements to appropriate staff.
Manage contractual relationships with third party vendors that are integral to the success of the CBO including negotiating new vendor statements of work (SOWs) and monitoring vendor productivity and quality performance.
Collaborate with the Revenue Integrity and Reimbursement departments on issues pertaining to provider payer enrollment and any Medicare Administrative Contractor and CMS notifications and reporting required.
Establishes and maintains ongoing performance monitoring, liaising with relevant stakeholders in developing priority projects and providing expert advice on best practice processes.
Actively monitors operational performance to anticipate and meet the needs of leadership. Maintains revenue cycle KPI’s within established industry and/or UnityPoint Health standards and instills accountability and ownership at the appropriate level.
Drive results by ensuring all staff are consistently meeting their productivity and quality targets.
Meet with department leaders to review and interpret revenue cycle reports to drive accountability and transparency in performance.
Ensure revenue cycle data quality monitoring and related training. Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.
Develop, implement, and monitor appropriate and measurable CBO performance metrics and annual goals along with comparison to industry benchmarks and connect to organizations strategy.
Lead billing office leadership by focusing on ongoing revenue cycle improvement and mitigating the risk of revenue leakage.
Ensure the organization maintains a high level of integrity through comprehensive understanding of regulatory and accreditation standards including Medicare, Medicaid, and commercial and contracted insurance billing procedures, regulations, and contracts.
Contribute to Epic optimization to enhance system performance by creating, maintaining, and enforcing written CBO related policies and procedures.
Improve and promote quality and performance improvement. This includes knowledge of best practices, prompt identification and resolution of staff concerns or problems, providing prompt service recovery and soliciting customer feedback to improve care and service
Bachelor’s degree in business, Healthcare Administration, or other similar filed required.
Master’s Degree in Business Administration, Healthcare Administration, or similar field preferred.
10 years of related experience in the healthcare revenue cycle or finance.
10 years of management experience required.
HFMA, MGMA or AHIMA certification preferred.
Demonstrates a strong understanding of all payer contracts to ensure accounts are billed appropriately.
Strong leadership skills including professionalism, interpersonal skills, ability to communicate and negotiate effectively through written and verbal method with varied audiences.
Demonstrated process improvement skills.
Fluent with Epic and Microsoft office programs. Ability to manipulate large amounts of data.
Knowledge of change management concepts.
Ability to lead cross functional teams.
Demonstrate and promote system thinking, including strong understanding of interrelationships of departmental delivery systems and the ability to collaborate across service lines and affiliates to ensure integrated delivery of services.
Demonstrated ability to lead by influence.
Possesses excellent writing and verbal communications skills and the ability to understand and communicate concepts to technical and non-technical individuals.
Project management skills.
Knowledge of regulatory and accreditation requirements.
Employer will assist with relocation costs.
Additional Salary Information: Executive level bonus up to 30% of annual salary
Internal Number: 2018-48963
About UnityPoint Health
To us, people are more than patients. We work together as a team to champion high-quality, low-cost care. With annual revenues of $4.4 billion, our providers and services span hospitals, clinics and at home settings across Iowa, Illinois and Wisconsin. Our presence in metropolitan and rural communities allows us to innovate through partnerships organizations outside of healthcare, and our family of more than 30,000 team members remains dedicated to shared values that put our people first.
Because you matter to this world, and we'll show you just how much.