Director of Revenue Cycle

Revenue Cycle Director

At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for themselves and their families. We envision a world where every person has the opportunity to achieve their optimal health and we're here to support that journey with personalized, culturally competent care and knowledge.

The Revenue Cycle Director is responsible for leading and aligning revenue cycle strategy and operations across all functions to maximize reimbursement in a cost-effective and compliant manner, consistent with federal, state, and payer requirements and aligned with WHA's mission, vision, and values. This role builds strong cross-functional partnerships to optimize the patient financial experience and drive systemwide efficiency throughout the care continuum.

Essential Job Duties

• Leads, directs, manages, and optimizes revenue cycle :
• Leads the development and execution of revenue cycle strategies that align with organizational goals and drive financial performance. Creates and modifies plans to execute strategies, including policy and procedure development.
• Establishes and monitors internal controls for the revenue cycle, including batch reconciliations, charge capture, claims processing, insurance and patient refunds, and information security.
• Establishes, monitors, and holds department staff accountable to Key Performance Indicators (KPI's) within their respective roles. Leads a continuous improvement approach to KPI's including recognition of meeting goals.
• Strengthens team capability through coaching, performance management, and ongoing professional development.
• Directs patient financial counseling and related customer service in a manner that maximizes upfront patient collections and patient satisfaction.
• Manages billing and coding functions.
• Monitors claims submission and claims remittance to confirm prompt and accurate recording of transactions.
• Guides insurance claims follow up; makes sure that claims are paid and / or resolved in a timely and accurate manner.
• Oversees patient statement processing and patient collections in accordance with WHA's credit and collections policy.
• Supervises and recommends structure of credentialing work group for prompt, accurate, and continuous credentialing.
• Manages facilitation of timely, accurate, and relevant revenue cycle reporting.

Collaborates outside of the revenue cycle department to resolve issues :

Other

Qualifications

Salary Range / Equity Pay Analysis : Please note per the Oregon State Pay Equity Law your salary is determined based on the experience and education listed in your resume / application. It is strongly encouraged to include any transferable experience to ensure your offer is reflective of all directly related and equivalent experience. Please be specific with dates of positions, skills, and educational experiences related to the job you are applying for within your application materials.

WHA is 2023's #1 Largest Women-Owned Business in Oregon and Clark and Skamania Counties from the Washington-Portland Business Journal. Women's Healthcare Associates, LLC is an equal opportunity employer.

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