Director, Regional, Revenue Site Operations, Medical Group (Michigan) - HYBRID

Trinity Health • Livonia, MI

1d • Hybrid

About The Position

Accountable for the performance, regulatory readiness & results of large, strategic / diverse disciplines cross-functional teams or departments over a large functional domain or multiple domains such as a region or multiple Health Ministries (HM). Enables regional level strategy to address internal or external business & regulatory issues. Provide functional expertise & ensure fulfillment of performance & service standards. Identifies, defines & solves complex problems that impact the management & direction of the business. Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Provides decision support, operations & / or optimization leadership focus. Has responsibility for making decisions & managing risk that impact day-to-day regional or health ministry functional operations, with potential for a short- to mid-term impact on the enterprise. Oversees a direct staff that includes managers with direct reports. Responsible for planning, directing & managing support & day-to-day operational tasks for Trinity Health Medical Group (THMG) Revenue Cycle in regional market with annual net patient revenue greater than or equal to $100M. Manages Medical Group Revenue Cycle Site Operations for the assigned Health Ministries within a region, including proper implementation of system & local goals to ensure standard & top decile operations. Collaborates with providers & ambulatory locations to improve revenue cycle performance by reviewing daily & weekly metrics, performing root cause analyses & developing / implementing action plans to address. Creates a culture that is supportive of personnel, fostering individual motivation, teamwork & high level of performance & accountability utilizing a participative management style to ensure colleague retention. Develops necessary infrastructure to achieve current & future departmental goals including organizational structure, staffing, policies & procedures & implementation plans. Manages in the selection & facilitation of appropriate process & technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance & customer service in revenue cycle areas. Manages the Health Ministries budgets & targets allowing for financial oversight of the THMG Revenue Cycle department functions. Develops capital & operational budgets to meet organizational goals & ensure appropriate allocation of resources to support current & future revenue operations for professional & ambulatory services. Assures compliance to budget, as approved. Works with providers & ambulatory practice leaders to develop accurate, effective, efficient & compliant charge capture & coding processes that ensure revenue is recorded for all services provided & clinical documentation exists to support all charges & coding assigned. Ensures systems & processes comply with federal, state & payer-specific coding, billing & reimbursement guidelines. Establishes the infrastructure needed to prepare & conduct routine & ongoing education to providers & practice leaders based on coding & documentation audit findings, coding updates, changes in managed care billing requirements & changes in state & federal regulations that impact professional & ambulatory revenue services. Ensures the successful integration of new physician practices & / or ambulatory services into the Health Ministries Revenue Site Operations. Ensures consistency in implementation of standard policies & procedures across all locations. Coordinates the technical planning for all new programs, departments or services that directly impact professional revenue site operations ensuring the systems to support are in place prior to implementation, e.g. new patient classes or location build in information systems.

Requirements

• Bachelor’s degree in business or healthcare administration or a related field & progressive experience in revenue cycle operations, revenue metrics & analytics & revenue management or an equivalent combination of education & experience.
• Management experience in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience.
• Solid understanding of ICD-10 & CPT coding & medical terminology.
• Valid Driver’s License where required by assignment.

Nice To Haves

• Epic experience preferred.
• Knowledge of accounting systems & insurance issues, healthcare industry issues & trends, legal issues in field of expertise, required third party & governmental guidelines & work processing.

Responsibilities

• Provides advice, guidance, & leadership to Health Ministries (HM) & Region leaders in developing strategies & in the achievement of performance goals.
• Enables collaboration across & within System Services area, HM & Regions to ensure consistency & integration of strategy & operations.
• Actively guides, trains, mentors & monitors colleagues while contributing to the development & execution of HM, Regional, Service Area & System Office based strategic plans.
• Provides advice, guidance & leadership to System Office, Service Area & HM.
• Leads standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice.
• Oversees Vendor / Contract Labor Management including centralizing strategy & optimizing spend.
• Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives.
• Responsible for supporting regional efforts to comply with functional area priorities.
• Accountable for the selection, evaluation & overall success of the functional leadership teams.
• Serves as organization-wide focal point for establishing functional strategies & governance over financials & staffing.
• Accountable for communication between System Services functional area, Service Area, Regional & HM leaders.
• Responsible for measuring & reporting KPIs / metrics & value delivery.
• Provides advice, guidance & leadership for the colleague life cycle.
• Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
• Manages Medical Group Revenue Cycle Site Operations for the assigned Health Ministries within a region, including proper implementation of system & local goals to ensure standard & top decile operations.
• Collaborates with providers & ambulatory locations to improve revenue cycle performance by reviewing daily & weekly metrics, performing root cause analyses & developing / implementing action plans to address.
• Conducts performance appraisals for team leadership & oversees the cascading goals for the teams.
• Creates a culture that is supportive of personnel, fostering individual motivation, teamwork & high level of performance & accountability utilizing a participative management style to ensure colleague retention.
• Develops necessary infrastructure to achieve current & future departmental goals including organizational structure, staffing, policies & procedures & implementation plans.
• Manages in the selection & facilitation of appropriate process & technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance & customer service in revenue cycle areas.
• Manages the Health Ministries budgets & targets allowing for financial oversight of the THMG Revenue Cycle department functions.
• Develops capital & operational budgets to meet organizational goals & ensure appropriate allocation of resources to support current & future revenue operations for professional & ambulatory services.
• Assures compliance to budget, as approved.
• Works with providers & ambulatory practice leaders to develop accurate, effective, efficient & compliant charge capture & coding processes that ensure revenue is recorded for all services provided & clinical documentation exists to support all charges & coding assigned.
• Ensures systems & processes comply with federal, state & payer-specific coding, billing & reimbursement guidelines.
• Establishes the infrastructure needed to prepare & conduct routine & ongoing education to providers & practice leaders based on coding & documentation audit findings, coding updates, changes in managed care billing requirements & changes in state & federal regulations that impact professional & ambulatory revenue services.
• Ensures the successful integration of new physician practices & / or ambulatory services into the Health Ministries Revenue Site Operations.
• Ensures consistency in implementation of standard policies & procedures across all locations.
• Coordinates the technical planning for all new programs, departments or services that directly impact professional revenue site operations ensuring the systems to support are in place prior to implementation, e.g. new patient classes or location build in information systems.

Benefits

• Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Director