Senior Director - Revenue Cycle, Denials Prevention

Mayo Clinic•Rochester, MN

About The Position

Contributes significantly to the Revenue Cycle initiatives of Mayo Clinic and Mayo Clinic Health System. Develops and participates in short-term tactics and long-range planning that result in optimal Revenue Cycle operations and performance. Takes an active Enterprise and site-based leadership role with physician and executive leadership on proactive revenue cycle strategies and addressing daily Revenue Cycle operations including customer relationship management, process and project management. Functions as a mentor and facilitator of professional development opportunities in order to keep the team optimally refined and aligned with the changing healthcare landscape. Manages institutional and system-wide initiatives and responsibilities associated with the revenue cycle, including personnel. Serves as the primary interface on all revenue cycle related issues including department oversight, CPR Liaison, technical and governmental issues, billing and collection remediation. Interface with other finance departments including FAS, CPR and Treasury. Responsible for actively advancing strategies and implementation of strategic priorities, standardization/value analysis process, servicing key stakeholders and providing customer service and appropriate staffing support. Responsible for an operating budget associated with area of accountability, its management and adherence to operating expense targets and plans. Understands and contributes to the adherence to the overall Revenue Cycle budget targets and plans. Maintains appropriate compliance for Federal, State, local regulatory agencies and oversight bodies. The Senior Director Denials Prevention & Management will provide strategic and operational oversight for non-clinical and clinical denials. Utilizing predictive analytics and critical thinking to oversee work. Ensures continuous improvement, looking for root cause and solutions to prevent future denials. Collaborates with multi-disciplinary teams to increase net revenue.

Requirements

Bachelor's degree in business or a related field
A minimum of 10 years of related experience in a hospital or health-care related environment
At least eight years' experience in major healthcare system or Healthcare consulting firm required.
Demonstrated knowledge of revenue cycle accounting processes, cost/benefit analysis and strategic planning.
Must be capable of independent work, with little to no guidance provided exercising good judgment, creating an environment in which people communicate with each other respectfully, solving problems, and growing personally and professionally.
Must be an advocate of change management, effectively communicating and implementing change and managing it proactively in order to minimize disruption to the Practice, patients and revenue cycle operations.
Must be an individual of high integrity, comfortable working in a team environment, possessing vision, solving problems through effective planning and management.
Experience in making and implementing decisions in a complex, consensus-oriented environment required.
Must have excellent negotiation skills with external and internal constituencies and a thorough knowledge of industry best practices to continually enhance and improve revenue cycle processes.
Promotes teamwork and seeks to maximize the potential of all employees.
Demonstrated oral and written communication, interpersonal and customer service skills are essential.
Able to effectively communicate Revenue Cycle strategies and initiatives to internal management groups and business partners, including MC executive leadership and industry and Fortune 100 company leaders.
Must be proficient with software programs (Excel, Word, etc.).
Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future (for example, be a U.S. Citizen, national, or permanent resident, refugee, or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.

Nice To Haves

Preference will be given to individuals with prior experience as a Director, Revenue Cycle.
A Master's degree is strongly preferred.
Advanced certification in healthcare is desirable.
Broad expertise in healthcare management, healthcare operations, change management and systems preferred.
Experience on non-clinical operational efficiency improvements, care process/procedural standardization improvements, and/or improved patient outcome activities are preferred.
Well-disciplined in quality improvement methodology.
Must have significant facilitation skills and persistence in gaining physician leadership and clinical/technical support for the implementation of organizational strategies.
Healthcare Financial Management Association (HFMA) Certification Preferred.

Responsibilities

Develops and participates in short-term tactics and long-range planning that result in optimal Revenue Cycle operations and performance.
Takes an active Enterprise and site-based leadership role with physician and executive leadership on proactive revenue cycle strategies and addressing daily Revenue Cycle operations including customer relationship management, process and project management.
Functions as a mentor and facilitator of professional development opportunities in order to keep the team optimally refined and aligned with the changing healthcare landscape.
Manages institutional and system-wide initiatives and responsibilities associated with the revenue cycle, including personnel.
Serves as the primary interface on all revenue cycle related issues including department oversight, CPR Liaison, technical and governmental issues, billing and collection remediation.
Responsible for actively advancing strategies and implementation of strategic priorities, standardization/value analysis process, servicing key stakeholders and providing customer service and appropriate staffing support.
Responsible for an operating budget associated with area of accountability, its management and adherence to operating expense targets and plans.
Understands and contributes to the adherence to the overall Revenue Cycle budget targets and plans.
Maintains appropriate compliance for Federal, State, local regulatory agencies and oversight bodies.
Provide strategic and operational oversight for non-clinical and clinical denials.
Utilizing predictive analytics and critical thinking to oversee work.
Ensures continuous improvement, looking for root cause and solutions to prevent future denials.
Collaborates with multi-disciplinary teams to increase net revenue.