System Director, Medical Group Revenue Cycle & Per

at NorthShore University Health System in Warrenville, Illinois, United States

Job Description

Position Highlights:
Position: System Director, Medical Group Revenue Cycle and Performance Management
Location: Warrenville, IL
Full Time
Hours: Monday-Friday, standard business hours
Required Travel:

Job Summary:
The Revenue Cycle Director is responsible for the direction and leadership of the operations, financial and technical activities of the Endeavor Health Medical Group Revenue Cycle. This includes provider charge capture, claims submission, denial management, insurance reimbursement, fee schedule structure, credit balances and self-pay management. This includes establishing, meeting and continuously monitoring of Revenue Cycle goals and objectives. The range of duties and responsibilities is broad and may vary, from day-to-day operations management to third party vendor performance management. The Director works closely with Endeavor Health Medical Group operations and system stakeholders both internally and externally. This position also evaluates vendor and workforce management in collaboration with medical group and revenue cycle leaders.

What you will do:
Plans, organizes, and directs the daily operations of the Endeavor Health Medical Group's Revenue Cycle
Functions as a liaison between the Medical Group practices and the outsourced professional billing companies, identifying areas of opportunity and facilitating improvement strategies.
Utilizes process improvement methodologies and change management strategies to create, review, analyze and optimize revenue cycle workflows and processes across the MG. Identifies areas that present challenges and opportunities; makes recommendations that provide practical options and solutions while considering the impact on processes, workforce, culture, and technology.
Monitors and analyzes denial reports and revenue cycle metrics to identify trends and opportunities. Initiates and implements processes and training to reduce denials and monitors performance to ensure complete resolution.
Develops, tracks and analyzes performance metrics related to Physician Revenue Cycle and shares data with key stakeholders to drive improvement.
Compliance and regulations: Ensure compliance with relevant billing and coding regulations, such as those set by governmental agencies and industry standards. Stay updated with changes in regulations and implement necessary modifications to billing practices.
Works closely with our external partners and internal Operations teams to optimize revenue collection while ensuring a seamless billing experience for patients.
Acts as a liaison to clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored, and followed.
Interviews, hires, onboards, and manages performance of staff. Regularly evaluates staff performance according to the performance management system and maintains accurate personnel and payroll records. Prepares and delivers introductory and annual performance appraisals.
Conducts regular discussions with team leads to obtain updates and provide coaching, feedback, and career development. Leads regular staffing meeting with leads and staff.
This position provides leadership, mentoring and management for 2 - 5 direct leaders and an estimated total of 60 employees.

What you will need:
Education: Bachelor's degree in business related field or (extensive background in Revenue Cycle and Physician Operations)
Experience: Previous experience in a supervisory or managerial role in the Physician Revenue Cycle and 8 to 10 years of Physician Revenue Cycle Experience, preferably in patient access services or healthcare registration

Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career... For full info follow application link.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.