Senior Director Patient Financial Services

Revenue Cycle Manager

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed minimum pay reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Position Overview

Minimum salary: $154,000 annualized

Essential Functions

• Develops and implement revenue cycle strategies to improve financial and revenue cycle performance, including optimizing billing processes, reducing denials, and accelerating cash flow to ensure financial success of the organization.
• Oversees and manages specific aspects of revenue cycle operations, including billing, collections, denials and reimbursement.
• Monitors and analyzes key revenue cycle metrics (including but not limited to discharged not final billed, clean claim rates, days in accounts receivable, staff productivity and assignment levels, etc.) to identify areas for improvement and present to stakeholder groups to report on performance improvement.
• Leads and mentor professional and hospital billing teams, providing guidance, performance management, and fostering collaboration.
• Identifies and implement process improvements to enhance efficiency, reduce errors, and improve patient satisfaction while fostering innovation within the professional and hospital billing areas.
• Ensure compliance with all applicable laws, regulations, guidelines and standards related to billing and collection processes and practices.
• Develops and manage relationships with payers and other vendors, including billing, denials, collections services and other external stakeholders to optimize performance and cost. Oversee vendor performance and provide periodic updates to senior leadership.
• Serves as a subject matter expert on revenue cycle management and provide guidance and support to other departments as needed while assessing industry trends and best practices.
• Stays current on industry trends and best practices in billing, collections and denial management and make recommendations for improvement.
• Collaborates with other departments to ensure a seamless and efficient revenue cycle and efficient organizational operations including finance to develop and manage revenue cycle budgets, forecasting and cash flow.
• Participates in organizational and external industry committees and initiatives related to revenue cycle and business operations.

Minimum Requirements

• Education: Bachelor's degree in Accounting, Finance or related field required. Master's degree preferred.
• Experience: Ten years of progressive healthcare revenue cycle management experience required.
• Other Credentials:
• Knowledge and Skills: Understanding of the revenue cycle including billing, collections, denials and reimbursement processes. Strong leadership and management skills experience leading and developing high-performing teams. Ability to analyze financial data, identify trends, and develop strategies to improve financial performance. Knowledge of healthcare regulations and payer guidelines including Medicare, Medicaid, and commercial insurance regulations Excellent communication and interpersonal skills Strategic thinking and problem-solving skills. Ability to multi-task using organizational skills to manage multiple ongoing projects.
• Special Training: Knowledge of Financial systems, Proficient in Microsoft Office software. Proficient in Microsoft Suite, including Excel, Word and PowerPoint.
• Mental, Behavioral and Emotional Abilities:
• Usual Work Day: Exempt Hours

Physical Demands and Work Environment

• Frequent physical demands include: Sitting, Standing, Walking, Keyboard use/repetitive motion, Talk or Hear
• Occasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities
• Continuous physical demands include:
• Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing
• Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens, Chemical, Airborne Communicable Disease, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations, Extreme Noise Levels, Dust/Particulate Matter

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft.

For benefit eligible roles, in addition to cash compensation, we provide a comprehensive and highly competitive benefits package, with a variety of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, robust PTO plan, overtime to eligible roles, and other benefits, including "elective" benefits employees may select to best fit the needs and personal situations of our diverse workforce.

The pay rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.