System Director, Medical Group Revenue Cycle Leadership

5 days ago

Warrenville, South Carolina, United States NorthShore University HealthSystem Full time
Job Summary

The Revenue Cycle Director is responsible for leading the operations, financial, and technical activities of the Medical Group Revenue Cycle. This includes provider charge capture, claims submission, denial management, insurance reimbursement, fee schedule structure, credit balances, and self-pay management. The Director establishes, meets, and continuously monitors Revenue Cycle goals and objectives, working closely with Medical Group operations and system stakeholders both internally and externally.

Key Responsibilities
  • Plans, organizes, and directs the daily operations of the Medical Group's Revenue Cycle
  • Functions as a liaison between Medical Group practices and 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 Medical Group
  • Monitors and analyzes denial reports and revenue cycle metrics to identify trends and opportunities, initiating and implementing processes and training to reduce denials and monitor performance
  • Develops, tracks, and analyzes performance metrics related to Physician Revenue Cycle and shares data with key stakeholders to drive improvement
  • Ensures compliance with relevant billing and coding regulations, staying updated with changes and implementing necessary modifications to billing practices
  • Works closely with 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 new initiatives and contracts are accurately implemented, monitored, and followed
  • Interviews, hires, onboards, and manages performance of staff, regularly evaluating staff performance according to the performance management system and maintaining accurate personnel and payroll records
Requirements
  • Bachelor's degree in a business-related field or extensive background in Revenue Cycle and Physician Operations
  • 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.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Diversity, equity, and inclusion are at the core of who we are; being there for our patients and each other with compassion, respect, and empathy.

We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

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

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