Director, Revenue Site Operations Medical Group (HYBRID, at least 1 day per week onsite)

Trinity Health•Columbus, OH

8d•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 HMs. Enables HM 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. Responsible for making decisions & managing risk that impact day-to-day 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. Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Leadership: Providing advice, guidance & leadership to HM & Region leaders in developing strategies & in the achievement of performance goals. Enable collaboration across & within service area, HM & Regions to ensure consistency & integration of strategy & operations. Direction & Growth: Providing advice, guidance & leadership to service area, functional area, HM & Regions. Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice. Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend. Strategic Support & Accountability: 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. Organization-wide focal point for establishing functional strategies & governance over financials & staffing. Accountable for communication between service area functional area, RHM & Region leaders. Operational Delivery: Responsible for measuring & reporting KPIs / metrics & value delivery. Providing 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 to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Functional Role (not inclusive of titles or advancement career progression) Directs & provides strategic leadership & oversight for continuous optimization & performance improvement of Medical Group Revenue Cycle operations, including, registration, insurance Verification, point of service collections, authorizations, charge capture & charge controls, revenue integrity & optimization, coding & general practice revenue cycle operations; May have oversight for payer enrollment & credentialing & other practice related functions. Directs the implementation of current & future best practices for revenue cycle functions to allow all practices to be efficient & market relevant, including overseeing the implementation & monitoring of adherence to payer contracts & procedures. Directs in the selection & facilitation of appropriate process & technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance & customer service in revenue cycle areas; Oversees budgets & targets allowing for financial oversight of the revenue cycle department functions.

Requirements

Bachelor’s degree in business or healthcare administration or an equivalent combination of education & experience.
Minimum of five (5) to seven (7) years of 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.

Nice To Haves

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

Responsibilities

Provide functional expertise & ensure fulfillment of performance & service standards.
Identify, define & solve complex problems that impact the management & direction of the business.
Collaborate with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations.
Provide decision support, operations & / or optimization leadership focus.
Make decisions & manage risk that impact day-to-day health ministry functional operations.
Oversee a direct staff that includes managers with direct reports.
Provide advice, guidance & leadership to HM & Region leaders in developing strategies & in the achievement of performance goals.
Enable collaboration across & within service area, HM & Regions to ensure consistency & integration of strategy & operations.
Provide advice, guidance & leadership to service area, functional area, HM & Regions.
Lead standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice.
Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.
Collaborate in system-wide strategy development & deployment of functional area priorities & initiatives.
Support regional efforts to comply with functional area priorities.
Be accountable for the selection, evaluation & overall success of the functional leadership teams.
Act as organization-wide focal point for establishing functional strategies & governance over financials & staffing.
Be accountable for communication between service area functional area, RHM & Region leaders.
Measure & report KPIs / metrics & value delivery.
Provide advice, guidance & leadership for the colleague life cycle.
Maintain 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 to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Direct & provide strategic leadership & oversight for continuous optimization & performance improvement of Medical Group Revenue Cycle operations, including, registration, insurance Verification, point of service collections, authorizations, charge capture & charge controls, revenue integrity & optimization, coding & general practice revenue cycle operations.
May have oversight for payer enrollment & credentialing & other practice related functions.
Direct the implementation of current & future best practices for revenue cycle functions to allow all practices to be efficient & market relevant, including overseeing the implementation & monitoring of adherence to payer contracts & procedures.
Direct in the selection & facilitation of appropriate process & technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance & customer service in revenue cycle areas.
Oversee budgets & targets allowing for financial oversight of the revenue cycle department functions.