Director Hospital and Physician Business Services- Revenue Cycle
Location: Denver, Colorado
Internal Number: 8094
We are recruiting for a Director Hospital and Physician Business Services- Revenue Cycle to join our team!
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Billing and CollectionsJob Summary
The Director of Hospital and Physician Business Services manages the activities of Receivable Management and Billing for Denver Health facility and professional claims. The Director oversees accounts receivable functions of the organization which include, but are not limited to billing, insurance follow-up, denial management, collections, cash posting, customer service, charge entry/corrections, supervision of vendors and legal collections. This position assists the Associate CFO of Revenue Cycle in meeting strategic goals and providing analytical analysis . The Director develops and implements accounts receivable strategies for maximizing collections and reducing accounts receivable days as well as improving other metrics in a compliant, cost-effective manner. Analytical, verbal and written communication skills are required to create written guidelines, policies, and procedures to develop metrics based on industry standards and measure improvement against those metrics.
Accounts Receivable ManagementOversees management of accounts receivable days to an industry best practice benchmark and keeps up to date on developments in billing regulations and understand how changes apply to Denver Health. Develops, defines and tracks key performance indicators for measuring performance including AR days, cash collections, CFB days, denials days and other applicable metrics. Troubleshoots and resolves complex issues related to receivables management. (30%)
Revenue Cycle ManagementMaximizes collections by implementing revenue cycle strategies and reducing accounts receivable (AR) days as well as improving other metrics in a compliant manner. Implements and sustains best practices for all Revenue Cycle activities under area of responsibility. (25%)
Strategy and PlanningDevelops strategic plans and programs for hospital and physician business services and ensures that goals and objectives of the unit are properly defined and clearly established. Participates in the development of new organization initiatives to insure issues related to accounts receivable management are identified and resolved. (20%)
ComplianceDevelops, implements and maintains compliance to policies and procedures aimed at ensuring compliance with all applicable rules and regulations. (10%)
Staff ManagementOversee the activities of the staff which includes but is not limited to sourcing, hiring, and training new team members, creating and managing schedules, evaluating performance, and providing coaching to engage and motivate team members, identifying and applying career advancement opportunities for team members, and helping to resolve employee issues and disputes. (10%)
Education and TrainingOversees development of robust quality assurance and training programs. (5%)
Bachelor's Degree Required
10+ years Related experience Required and
4-6 years Managerial experience Required
Successful Revenue Cycle experience
Knowledge, Skills and Abilities:
Strong knowledge of hospital and professional billing and compliance related to payer specific guidelines.
Strong background in financial management and knowledgeable of federal/state laws and requirements relating to healthcare financial management.
Strong analytical skills and adept in interpreting strategic vision into an operational model.
An effective communicator at all levels in the organization, with strong oral, written and persuasive skills.
Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills with a proven track record in building and developing high performing teams.
Superior judgement, negotiation and decision making skills.
Strong ethics and a high level of personal and professional integrity.
Working knowledge of various billing/collections systems (Epic preferred)
Proficiency in Microsoft Office Suite
Experience with claims submission system (Experian preferred)
Problem solving - the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action.
$125,900.00 - $195,200.00 / yr
Shared leadership and advancement opportunity
Immediate retirement plan matching
Professional clinical advancement program
Participation in evidence-based projects
Public Service Loan Forgiveness (PSLF) eligible employer
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Excellence- We are better every day
Compassion- We care for everyone
Relentlessness- We fight for everyone
Stewardship- We use resources responsibly
Learning- We educate the next generation
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.