Director, Revenue Site Operations Medical Group (HYBRID, at least 1 day per week onsite)

Employment Type:

Full time

Shift:

Description:

Purpose

Accountable for the performance, regulatory readiness & results of large, strategic / diverse disciplines cross-functional teams or departments over a large functional domain or multiple HMs. Enables HM level strategy to address internal or external business & regulatory issues. Provide functional expertise & ensure fulfillment of performance & service standards. Identifies, defines & solves complex problems that impact the management & direction of the business; Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Provides decision support, operations & / or optimization leadership focus. Responsible for making decisions & managing risk that impact day-to-day health ministry functional operations, with potential for a short- to mid-term impact on the enterprise. Oversees a direct staff that includes managers with direct reports

Note: “patients” refers to patients, clients, residents, participants, customers, members

Essential Functions

Our Trinity Health Culture : Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Leadership: Providing advice, guidance & leadership to HM & Region leaders in developing strategies & in the achievement of performance goals. Enable collaboration across & within service area, HM & Regions to ensure consistency & integration of strategy & operations.

Direction & Growth: Providing advice, guidance & leadership to service area, functional area, HM & Regions. Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice. Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.

Strategic Support & Accountability: Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives. Responsible for supporting regional efforts to comply with functional area priorities. Accountable for the selection, evaluation & overall success of the functional leadership teams. Organization-wide focal point for establishing functional strategies & governance over financials & staffing. Accountable for communication between service area functional area, RHM & Region leaders.

Operational Delivery : Responsible for measuring & reporting KPIs / metrics & value delivery. Providing advice, guidance & leadership for the colleague life cycle.

Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Functional Role (not inclusive of titles or advancement career progression)

• Directs & provides strategic leadership & oversight for continuous optimization & performance improvement of Medical Group Revenue Cycle operations, including, registration, insurance Verification, point of service collections, authorizations, charge capture & charge controls, revenue integrity & optimization, coding & general practice revenue cycle operations; May have oversight for payer enrollment & credentialing & other practice related functions.

• Directs the implementation of current & future best practices for revenue cycle functions to allow all practices to be efficient & market relevant, including overseeing the implementation & monitoring of adherence to payer contracts & procedures.

• Directs in the selection & facilitation of appropriate process & technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance & customer service in revenue cycle areas; Oversees budgets & targets allowing for financial oversight of the revenue cycle department functions.

Minimum Qualifications

• Bachelor’s degree in business or healthcare administration or an equivalent combination of education & experience.

• Minimum of five (5) to seven (7) years of management experience in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience.

• Solid understanding of ICD-10 & CPT coding & medical terminology.

Additional Qualifications (nice to have)

Epic experience preferred.

Knowledge of accounting systems & insurance issues, healthcare industry issues and trends, legal issues in field of expertise, required third party & governmental guidelines & work processing.

Physical & Mental Requirements & Working Conditions (General Summary)

Direct Healthcare Services / Indirect Healthcare / Support Services:

• Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional

• Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.).    Occasional

• Exposure to or subject to noise, infectious waste, diseases & conditions.     Occasional

• Exposure to interruptions, shifting priorities & stressful situations.      Frequent

• Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects.     Continuous

• Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise.   Frequent

• Perform manual dexterity activities & / or grasping / handling.     Occasional

• Ability to climb, kneel, crouch & / or operate foot controls.     Occasional

• Use a computer / other technology.     Frequent

• Sit with the ability to vary / adjust physical position or activity.     Continuous

• Maintain a safe working environment & use available personal protective equipment (PPE).     Continuous

• Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines.     Continuous

• Ability to provide assistance in the event of an emergency. Occasional

Indirect Healthcare / Support Services:

• Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.     Occasional

• Lift a maximum of 30 pounds unassisted.     Occasional

• Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing.   Occasional

• Encounter a clinical / patient facing / hands on interactive work environment.     Occasional

• Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions.     Continuous

• Work outdoors with variable external environmental conditions.     Occasional

Average Workday Activity: Occasional - O (1% - 33%), Frequent - F (34% - 66%), Continuous - C (67% - 100%)

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran