UnityPoint Health Regional Director Revenue Integrity - Cedar Rapids Region in Cedar Rapids, Iowa

This position is for the Cedar Rapids, IA region. Position MUST sit in either Cedar Rapids, Waterloo, or Dubuque, IA.

The Regional Director of Revenue Integrity is a key member of the Revenue Cycle Leadership Team reporting directly to the Executive Director of Revenue Integrity. This position is responsible for organizing, leading, and improving revenue cycle performance at all facilities within their region. This individual will focus on implementing and supporting continuous improvement in key revenue cycle department/functions. The Regional Director will maintain a good working relationship with all facilities in their region to ensure clear communication and a collaborative approach to implementing best practice processes. The Regional Revenue Integrity Director will act as the liaison between System Revenue Cycle leadership and facilities within their region providing any support needed to optimize Revenue Cycle performance.

Revenue Cycle Improvement

  • Deliver financial results through process improvement initiatives in line with the comprehensive organizational strategy.

  • Lead and manage complex Revenue Cycle projects, working with key stakeholders across UnityPoint Health. Coordinates and implements revenue cycle initiatives, including identifying and assembling resources when necessary.

  • Develop, influence and maintain the reputation for exceptional quality for the Revenue Cycle department.

  • Identify opportunities for process improvement, and implements them by engaging stakeholders throughout the organization. Works in partnership with local and regional leaders of operating units to identify new ways to enhance financial products and services.

  • Implement changes in work products and processes that will improve functional area efficiencies and effectiveness. Partners with organizational leaders to ensure that operations and processes remain consistent and emulate best practices.

Performance Monitoring

  • Establish and maintain ongoing performance monitoring, liaising with relevant stakeholders in developing priority projects and providing expert advice on best practice processes.

  • Actively monitors operational performance to anticipate and meet the needs of leadership. Maintains revenue cycle KPI’s within established industry and/or UnityPoint Health standards and instills accountability and ownership at the appropriate level.

  • Meet with department leaders to review and interpret revenue cycle reports to drive accountability and transparency in performance.

  • Ensures revenue cycle data quality monitoring and related training. Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.

Denials Prevention (Cross Functional Teams)

  • Support and guide cross functional teams of department leaders for ongoing revenue cycle improvement and mitigating the risk of denials.

  • Responsible for evaluating processes to ensure efficiency as well as developing and overseeing the implementation of new processes.

  • Develop and manage initiatives to ensure the operations of the denials prevention team is in line with organizational goals.

  • Interpret and oversee the implementation of complex rules and regulations governing insurance, appeal activities, trends, etc. and will make recommendations.

  • Maintain a strong, collaborative relationship and provide clear communication with all facilitates.

Revenue Integrity and Compliance

  • Responsible for ensuring all reimbursement is captured and processes are put in place to minimize revenue leakage. Also, Interfacing with regional CFO’s as the “onsite” face of the revenue cycle through operational performance reviews and ad-hoc troubleshooting

  • Ensure that organizational integrity and regulatory standards are maintained in all Revenue Cycle policies, procedures and processes. Ensure that all team members know and understand their role related to regulatory compliance.

  • Facilitate compliance with administrative/legal requirements and governmental regulations as they relate to Revenue Cycle operations.

  • Collaborate with key stakeholders throughout UnityPoint Health to ensure that revenue and reimbursement are properly reported and support the services provided.

  • Maintain strong executive presence with regional CFO’s and acts as the “onsite” face of the revenue cycle.

  • Oversee and guides revenue integrity of clinical departments providing education, training and tools for departments to successfully capture charges.

Education:

  • Bachelor’s degree in Accounting, Business, Finance, Health Information Management or other related field required.

  • Master’s Degree in Business Administration or Healthcare Administration preferred.

  • HFMA, MGMA or AHIMA certification desirable

Experience:

  • 5 years of related experience in the revenue cycle or finance.

  • 5 years of management experience required.

Skills:

  • Demonstrates a strong understanding of all payer contracts to ensure accounts are billed appropriately.

  • Strong leadership skills including professionalism, interpersonal skills, ability to communicate and negotiate effectively through written and verbal method with varied audiences.

  • Demonstrated process improvement skills

  • Fluent with Epic and Microsoft office programs. Ability to manipulate large amounts of data.

  • Knowledge of change management concepts.

  • Ability to lead cross functional teams.

  • Demonstrate and promote system thinking, including strong understanding of interrelationships of departmental delivery systems and the ability to collaborate across service lines and affiliates to ensure integrated delivery of services.

  • Demonstrated ability to lead by influence.

  • Possesses excellent writing and verbal communications skills and the ability to understand and communicate concepts to technical and non-technical individuals.

  • Project management skills.

  • Knowledge of regulatory and accreditation requirements.

Requisition ID: 2018-54169

Street: 1111 First Ave SE

Name: 9010 Administration

FTE (Numeric Only; Ex. 0.01): 1.0

FLSA Status: Exempt

Scheduled Hours/Shift: Days; Business Hours

External Company URL: http://www.unitypoint.org