Senior Director, Revenue Integrity

Mayo Clinic•Rochester, MN

20h

About The Position

The Senior Director of Revenue Integrity provides strategic leadership and oversight for the organization's revenue integrity program, including charge capture and optimization, charge reconciliation processes, and revenue performance analytics. They act as liaison with leadership across billing, coding, finance and operations to drive efficient, comprehensive and proactive revenue recognition. 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.

Requirements

Bachelor's degree in business or a related field.
Minimum of 10 years of related experience in a hospital or health-care related environment.
At least eight years' experience in a major healthcare system or Healthcare consulting firm.
Progressive experience in revenue cycle including direct experience in Revenue Integrity, charge capture, reimbursement, or charge control functions.
Leadership experience overseeing revenue cycle or revenue integrity functions.
Demonstrated knowledge of revenue cycle accounting processes, cost/benefit analysis, and strategic planning.
Capable of independent work with little to no guidance, exercising good judgment.
Ability to create an environment where people communicate respectfully, solve problems, and grow personally and professionally.
Must be an advocate of change management, effectively communicating and implementing change and managing it proactively.
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.
Excellent negotiation skills with external and internal constituencies.
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.
Able to effectively communicate Revenue Cycle strategies and initiatives to internal management groups and business partners.
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.

Nice To Haves

Prior experience as a Director, Revenue Cycle.
A master's degree.
Advanced certification in healthcare.
Broad expertise in healthcare management, healthcare operations, change management, and systems.
Experience on non-clinical operational efficiency improvements, care process/procedural standardization improvements, and/or improved patient outcome activities.
Well-disciplined in quality improvement methodology.
Demonstrated ability to relate to, gain support of, and drive consensus with clinicians and administrators.
Healthcare Financial Management Association (HFMA) Certification.

Responsibilities

Provides strategic leadership and oversight for the organization's revenue integrity program.
Drives efficient, comprehensive, and proactive revenue recognition by acting as a liaison with leadership across billing, coding, finance, and operations.
Develops and participates in short-term tactics and long-range planning for optimal Revenue Cycle operations and performance.
Takes an active leadership role with physician and executive leadership on proactive revenue cycle strategies and daily operations.
Functions as a mentor and facilitator of professional development for the team.
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.
Interfaces with other finance departments.
Advances strategies and implementation of strategic priorities, standardization/value analysis process, servicing key stakeholders, and providing customer service and staffing support.
Manages an operating budget associated with the area of accountability.
Maintains appropriate compliance for Federal, State, and local regulatory agencies and oversight bodies.