Director, Revenue Cycle Operations

🔥 16 hours ago

🌵 Arizona, Colorado, +20 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $102.4k - $146.3k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

👻 Ghost score 0%

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Vail Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1965

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Vail Health is a nonprofit, community health care system located in Eagle and Summit counties. It offers a comprehensive range of medical services including a 56-bed hospital, 24/7 emergency care, urgent care clinics, cancer care, breast centers, cardiovascular services, surgery, childbirth, and more. Vail Health is committed to improving health care access and quality for the communities it serves, and offers additional services such as physical therapy, internal medicine, endocrinology, and behavioral health. The organization is also involved in community engagement and health education initiatives.

📋 Description

• Coordinate and lead Revenue Cycle Operations, including hospital billing, cash posting, claims processing, accounts receivable follow up, denial management, credit balance resolution, reimbursement, vendor oversight, and related patient financial services • Create, maintain, and administer training, workflow standardization, and professional development programs • Identify, implement, and continuously improve revenue cycle and patient account processes • Integrate revenue cycle processes into hospital systems workflows, including Epic Resolute Hospital Billing, claims, remittance, work queues, charge review, claim edits, denial trending, and productivity monitoring • Analyze and track volume indicators, financial performance, and operational KPIs • Maintain knowledge of reimbursement methodologies, payer requirements, and contracts and ensure compliance • Improve the patient financial experience through billing communication, financial assistance, patient satisfaction initiatives, and point-of-service collection practices • Oversee selection, training, supervision, performance management, cross-training, and succession planning for the Patient Financial Services team • Develop operating and capital budgets and monitor cash, adjustments, credit balances, reconciliation activity, vendor performance, and controls • Oversee outsourced revenue cycle vendors and strategic business partners • Model Just Culture principles and Organizational Values

🎯 Requirements

• 7 or more years of supervisory experience in a health care setting is required • Progressive revenue cycle leadership experience within an acute care hospital or integrated delivery system is preferred • Demonstrated experience managing or overseeing patient accounts, billing, accounts receivable follow up, denials, cash posting, claims processing, revenue recovery, vendor relationships, and operational improvement initiatives is preferred • Working knowledge of Medicare, Medicaid, Government, managed care, and Commercial Insurance filing regulations and reimbursement methodologies is required • Experience with Epic revenue cycle workflows, including Resolute Hospital Billing, claims, remittance, work queues, reporting, or post-implementation optimization is required • Epic Resolute Hospital Billing, Epic Revenue Cycle Administration, Epic Cogito, or HFMA certification preferred • Must be HIPAA compliant • Must live and work primarily in one of the listed states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, or WI

🏖️ Benefits

• Competitive wages • Parental leave (4 weeks paid) • Housing programs • Childcare reimbursement • Medical insurance • Dental insurance • Vision insurance • Tuition Assistance • Existing Student Loan Repayment • Specialty Certification Reimbursement • Annual Supplemental Educational Funds • Up to five weeks paid time off in the first year, increasing each year • 403(b) Retirement plan with immediate matching • Life insurance • Short and long-term disability • Up to $1,000 annual wellbeing reimbursement • Recreation discounts • Pet insurance