Director of Revenue Integrity

Wilson Health is seeking a Director of Revenue Integrity. The position has the option for an onsite, hybrid, or remote schedule.

Key Perks and Benefits:

• Access to Employer Direct Care Clinic. Free medical care and pharmacy services for eligible employees and dependents covered by Wilson Health's medical insurance plan.
• Generous paid time off program beginning day one.
• Medical Insurance: Your Choice of Two High Deductible Health Plan Options or a PPO, Dental and Vision Insurance- Coverage Begins Day One of Employment.
• H S A with employer contribution for eligible health plans, FSA for medical and dependent care expenses
• Company Paid Life Insurance and Long Term Disability Insurance, Salary Continuation/paid sick time benefit beginning day one.
• Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance.
• Industry leading retirement plan- employer contributions begin day one, no waiting period for participation.
• Tuition Assistance Program.

The Director of Revenue Integrity's primary responsibility is the leadership and oversight of both the hospital and physician enterprise revenue cycle for the entire Wilson Health system. The Revenue Cycle is a critical component of the overall financial performance of Wilson Health. It is essential that it operates with efficiency, effectiveness, a positive patient experience and employee engagement. Oversight and direction of the revenue cycle includes third party payer relations, charge master, coding, patient accounting and planning performance improvement initiatives for billing processes to increase claim efficiencies and lower denials.

The Value You Bring:

• Leads the system wide development and implementation of revenue cycle strategies that are optimal and consistent with healthcare industry best practice and processes.
• Establish best practices and operationalize standard work within Patient Financial Services and Coding.
• Executes data-mining and in-depth accounts receivable analysis to identify revenue opportunities and design and operationalize improvements.
• Assesses and responds to current and future internal and external healthcare trends in order to establish necessary direction.
• Ensures that revenue cycle goals including A/R days, DFNB, cash, and bad debt are delivered.
• Monitors department staff productivity with key metrics and makes timely adjustments when/where needed.
• Responsible for accurately and timely submitting claims.
• Analyzes and reviews billing requirements to maintain and improve clean claim submission and acceptance, bad debt reduction, and other key indicators.
• Monitors Accounts Receivable aging reports and keeping collection percentages within standards.
• Responsible for Accounts Receivable and denials management including reporting/accountability and resolution.
• Responsible for charge master and charge capture.
• Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.
• Maintains a collaborative supporting relationship with management across the system that encourages optimal patient and financial outcomes.
• Plans and prepares year end audit, cost report schedules, and payer audits as it relates to A/R operations.
• Accountable for complete, timely and accurate delivery of reporting functions.

Education/Experience:

• Bachelor's degree required.
• Minimum of 5-7 years successful experience in healthcare revenue cycle operations with demonstration of progressive responsibility.
• Demonstrated leadership skills related to relationship building, ability to build and lead high performing teams while balanced with financial profitability. Self-starter who is result oriented with a willingness and desire to work with and through others to accomplish organizational goals.
• Possess excellent knowledge of healthcare finance and revenue cycle operations as well as communication and presentation skills.
• Strong business and financial acumen and capabilities to analyze and interpret data.
• Epic experience required.

Equal Opportunity Employer