[Hiring] Director, Revenue Cycle Operations @Vail Health Hospital

Role Description

Coordinate and lead the activities of Revenue Cycle Operations, including:

• Hospital billing
• Cash posting
• Claims processing
• Accounts receivable follow-up
• Denial management
• Credit balance resolution
• Reimbursement
• Vendor oversight
• Related patient financial services

Create, maintain, and administer training, workflow standardization, and professional development programs to:

• Increase staff knowledge
• Ensure operational consistency
• Maintain regulatory compliance
• Improve performance against revenue cycle goals

What you will do:

• Identify, implement, and continuously improve revenue cycle and patient account processes across:
• Hospital billing
• Claims management
• Cash posting
• Accounts receivable
• Denial prevention and recovery
• Revenue recovery
• Integrate revenue cycle processes into hospital systems workflows, including:
• Epic Resolute Hospital Billing
• Claims
• Remittance
• Work queues
• Charge review
• Claim edits
• Denial trending
• Productivity monitoring
• Analyze and track volume indicators, financial performance, and operational key performance indicators, including:
• Days in accounts receivable
• Aged accounts receivable
• Collections
• Clean claim rate
• Denial rate
• Denial recovery
• Discharged-not-final-billed or discharged-not-submitted activity
• Productivity and quality metrics
• Maintain thorough knowledge of reimbursement methodologies, payer requirements, and contracts; ensure compliance by the organization and third-party payors as applicable.
• Improve the patient financial experience by supporting clear, compassionate, and accessible billing and financial services communication.
• Oversee selection, training, supervision, performance management, cross-training, and succession planning for the Patient Financial Services team.
• Develop operating and capital budgets for the department and operate within approved financial parameters.
• Provide oversight of outsourced revenue cycle vendors and strategic business partners.
• Role model the principles of a Just Culture and Organizational Values.
• Must be HIPAA compliant.

Qualifications

• 7 or more years of supervisory experience in a health care setting.
• 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.
• Experience with Epic revenue cycle workflows, including Resolute Hospital Billing, claims, remittance, work queues, reporting, or post-implementation optimization.

Requirements

• Epic Resolute Hospital Billing certification preferred.
• Epic Revenue Cycle Administration certification preferred.
• Epic Cogito certification preferred.
• HFMA certification preferred.

Benefits

• Competitive wages
• Parental leave (4 weeks paid)
• Housing programs
• Childcare reimbursement
• Comprehensive Health Benefits:
• Medical
• Dental
• Vision
• Educational Programs:
• Tuition Assistance
• Existing Student Loan Repayment
• Specialty Certification Reimbursement
• Annual Supplemental Educational Funds
• Paid Time Off:
• Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
• 403(b) Retirement plan with immediate matching
• Life insurance
• Short and long-term disability
• Recreation Benefits, Wellness & More:
• Up to $1,000 annual wellbeing reimbursement
• Recreation discounts
• Pet insurance

The posted salary range for this position is the anticipated hiring range in Colorado and will be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions which influence the offer a candidate receives.

Yearly pay: $102,398 - $146,265 USD