Market Director of Revenue Cycle NV

Dignity Health Market Director of Revenue Cycle NV

As the community’s only not-for-profit faith-based healthcare system, Dignity Health Nevada has been guided by the vision and core values of the Adrian Dominican Sisters for more than 70 years.

Dignity Health-St. Rose Dominican facilities and its more than 3400 employees continue the Sisters’ mission of serving people in need.

St. Rose Dominican is a member of Dignity Health, one of the nation’s largest healthcare systems, a 22-state network of more than 9000 physicians, 60000 employees, and 400 care centers including hospitals, urgent and occupational care, imaging, and surgery centers, home health, and primary care clinics.

Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved.

Apply promptly! A high volume of applicants is expected for the role as detailed below, do not wait to send your CV.

Responsibilities

Job Summary :

The Market Director of Revenue Cycle reports directly to the Region Vice President of Revenue Cycle and works collaboratively with Market and Region stakeholders to develop revenue cycle strategies and integration and implementation plans for the assigned market(s).

The position is responsible for ensuring optimal revenue operations across the market(s) by driving revenue cycle opportunity identification, project management, vendor accountability, performance tracking, and partnership between clinical, operational, and financial stakeholders and departments.

The Market Director of Revenue Cycle works in conjunction with internal and external (Vendor) teams on the coordination of the Revenue Cycle Department, maintaining current accounts receivable records to ensure compliance with billing and collecting requirements.

Coordinates with IT, CI team, and EHR system to optimize revenue cycle operations by solving technology / build issues, interface issues, and workflow / process issues that prevent efficient and effective patient billing, coding, and payment of claims.

Leads and directs a variety of work queue and process-oriented teams encompassing staff from CommonSpirit and Vendor. Responsible for planning, directing, coordinating, and evaluating the operations and services of multiple departments responsible for the hospital revenue cycle for the assigned market in accordance with business objectives, professional standards, and regulatory requirements.

Provides daily management, mentoring, and oversight for the Revenue Cycle Administration team.

Job Responsibilities :

• Manages and evaluates the operations / services of the assigned function, acute revenue cycle to ensure timely and cost-effective activities in accordance with organizational values, professional standards, and applicable regulatory requirements.
• Monitors revenue cycle and executive dashboards to identify performance deficiencies within the assigned market; drives systemic feedback for corrective action throughout the market.
• Reviews operations data, budgets, audits, forecasts, accounts receivable, third-party billing, and collection processes to improve operational performance and align with industry best practices.
• Responsible for the Hospital-wide denial management program, requiring cooperation with the Vendor team. Develops and implements denial tracking, trending, and root cause analysis reports.
• Works collaboratively with hospital departments to reduce and prevent denials and addresses issues with third-party payers.
• Responsible for all revenue cycle functions including patient access, system billing, reporting, and support.
• Enforces performance, accountability, and communication standards with Revenue Cycle vendors.
• Functions as liaison between Revenue Cycle partners / vendors, Finance, Revenue Generating Departments, and Compliance Departments for patient experience and revenue-related issues and resolutions.
• Oversees preparation and maintenance of Medicare Bad Debt Log and Medicare Part A and traditional Medicaid enrollment / revalidation.
• Coordinates meetings with revenue cycle, clinical, IT, and financial key stakeholders to analyze and implement changes to the revenue cycle billing system.
• Keeps VP of Finance & Chief Financial Officer informed of the status of the Revenue Cycle Department.

Qualifications

Minimum : Education :

Education :

Bachelor’s Degree in related discipline; Master’s Degree strongly preferred.

Experience :

Experience with third-party claim resolution processes including denials and appeals management, adjudication of claims required;

3+ years of acute care experience in a hospital setting preferred; Knowledge of ICD-10 methodology.

Knowledge / Skills :

Language Ability : Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.

Excellent written, oral, and interpersonal communication skills.

• Math Ability : Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
• Reasoning Ability : Ability to define problems, collect data, establish facts, and draw valid conclusions. Must be a strategic thinker with demonstrated leadership skills.
• Computer Skills : Proficient in Microsoft Office software, including Excel. Experience with databases required.

Pay Range :

$65.63 - $95.17 / hour

We are an equal opportunity / affirmative action employer.

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