Director Business Office - Home Infusion

Director, Business Office - Home Infusion

The Director, Business Office - Home Infusion is a dynamic position that reports to the Vice President and is recognized both organizationally and nationally. This position will attend national conferences and provide a presence representing Fairview Pharmacy Solutions. They will, from time to time, present at conferences or speaking opportunities on topics regarding our successes, partnership, or innovations. In addition, this individual may be asked to write articles in industry publications regarding the business office or some specific topic on Home Infusion Revenue Cycle. This role is responsible for overseeing all aspects of the revenue cycle operations for both in-house and external client claim submissions. This includes intake, cash application, patient call center management, and strategic oversight of reimbursement processes. The director will implement strategies to provide excellent customer experience and help assure the overall health of the revenue cycle. The role is responsible for continuous improvement, performance monitoring through KPIs and dashboards, and the implementation of strategic objectives to ensure operational success. They will align with operations to ensure continuity and the management of the overall business. This is a strategic and evolving role, where ideation and implementation will be critical, including evaluating and integrating AI tools to enhance process efficiency and effectiveness. For external customers, they will provide consulting, and subject matter expertise. For external partnerships, where Fairview is performing RCM services, they will communicate and present both findings, area of improvement, and periodic business review sessions.

Responsibilities

• Accountable for the performance of the Business Office - Monitor and analyze key performance indicators (KPIs) and dashboards to assess revenue cycle performance. - Communicate performance metrics and trends to executive leadership (Internally and Externally) and recommend actionable improvements. - Develop strategic objectives and ensure their successful implementation across the department. - Assure development and implementation of key productivity and quality standards for department processes. - Performs environmental scanning to help identify strengths, weaknesses, opportunities and threats to revenue cycle functions. Identifies, evaluates, develops, and implements strategies and tactics to achieve organizational objectives.
• Develop and Partner on Strategic Initiatives Process Improvement & Innovation - Provide subject matter expertise and due diligence on vendors and / or vendor venture partnerships as the efficacy and value is determined - Evaluate and deploy AI automation tools to enhance accuracy, reduce manual work, and improve performance. - Lead initiatives to streamline workflows and focus on specific areas of improvement e.g. clean claim rate, denial rate. - Collaborate with cross-functional teams to align on strategies Transformation Office.
• Oversee the work of the business office unit within the established policies of the organization - Review, develop and recommend strategies and processes related to billing, collection and accounts receivable activity, while maintaining customer focus and regulatory compliance - Provide direct supervision for assigned staff; complete timely goal setting and performance reviews - Promote overall employee engagement - Seeks and implements strategies to meet department goals. - Manage and ensure appropriate billing, collections and AR support with pharmacy operations - Coordinate new processes to ensure appropriate business office support for existing and new business lines.
• Lead and develop teams to manage staff including hiring, orienting, coaching, evaluating and effectively managing performance to ensure staff possess the needed skills to deliver high quality service to customers - Provide ongoing, continuous management oversight, as a coach who supports the growth and development of employees. - Oversee assigned area to ensure appropriate distribution of workload and streamlined workflow. - Recruit / interview / hire staff. Coordinate orientation of new staff, and ensure ongoing education of current staff. - Provide mentoring, leadership and direction to staff - Maintain and monitor the productivity level of the staff to maximize efficiency, assure adequate staffing levels, and control costs; approve timecards. - Complete timely performance reviews of staff according to policy.
• Provide Leadership to effectively engage with system-wide functional experts and process owners within Fairview and with external clients - Interface with revenue cycle functions to ensure that revenue cycle is run efficiently and effectively across the ambulatory operations. - Develop relationships within the hospital and ambulatory operations structure to encourage active, ongoing participation at various levels. - Lead and participate in process improvement efforts.

Required Qualifications

Preferred Qualifications

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more!

Compensation Disclaimer

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO / Vet / Disabled : All qualified applicants will receive consideration without regard to any lawfully protected status