Leadership and Operations

• Oversee cross functional team of department leaders for ongoing revenue cycle improvement and mitigating the risk of revenue leakage.
• Develop and manage all functions of Scheduling, Pre-registration, Insurance Authorization, Verification of insurance benefits, Financial Counseling, Collections of patient payment obligations and associated vendor performance management.
• Oversee new systems, products, and business implementations for Patient Access. Assess organizational strengths and weaknesses to recommend enhanced operational model.
• Lead standardizing, creating and sustaining a common culture and high performing operation aligned with UnityPoint Health-System Services priorities and serving the needs of our regions and patients.
• Motivate, facilitate, mentor, and coach team to deliver high quality, cost effective services. Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility, and mentoring.
• Evaluate performance of direct reports and teams. Make recommendations for personnel actions and motivate employees to achieve peak productivity and performance.
• Develop procedures and policies for the operation of department, process and team members.
• Develop department budgets for staffing, operations, and capital resources. Manage actual costs to budget and proactively address any unfavorable budget variances.
• Maintain a strong, collaborative relationship and provide clear communication with all facilitates.
• Present data, strategies, and progress toward goals in various governance management forums.
• Assist administration through consultation, committee/project, assignment, or other mechanism as deemed necessary.
• Organize Patient Access department hierarchy in a manner that results in efficiency, effectiveness and responsiveness.
• Develop standard workflow utilizing best practices and expert knowledge-based information and experience.
• Develop and design processes with input of process stakeholders for efficient and timely delivery of patient access services. Promote process orientation and teamwork across structural (disciplinary/departmental) boundaries.
• Interprets and oversees the implementation of complex rules and regulations governing insurance, appeal activities, trends, etc. and will make recommendations
• Coordinate and facilitate the Self Pay Strategy cross function team to review and implement innovation, monitor compliance to the UnityPoint Health’s charity care policy, Governmental and Payer Contract requirements.
• Anticipate and predict internal and external changes, trends and influences in order to effectively allocate resources and implement appropriate business initiatives.

Performance Monitoring

• Provides leadership and supervision for each director/manager to implement and monitor results from established strategic goals and action plans.
• Actively monitors operational performance to anticipate and meet the needs of leadership. Maintains revenue cycle KPI’s within established industry and/or UnityPoint Health standards and instills accountability and ownership at the appropriate level.
• Meet with department leaders to review and interpret revenue cycle reports to drive accountability and transparency in performance
• Ensure revenue cycle data quality monitoring and related training. Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.
• Responsible for reducing bad debt and increasing patient cash collections year over year.
• Responsible for meeting or exceeding all metrics relative to Pre-Service Collections and Point of Service Collections.
• Responsible for front end denials prevention.
• Responsible for meeting or exceeding all metrics relative to converting self-pay patients to Medicaid or other alternative coverage's.

Education

• Bachelor’s degree in business, Healthcare Administration or other similar field required.
• Master’s Degree in Business Administration, Healthcare Administration or similar field preferred.

Experience

• 10 years of related experience in the revenue cycle or finance.
• 7 years of management experience required.

Licenses/Certifications

• HFMA, MGMA or AHIMA certification preferred.

Skills/Abilities

• Strong leadership skills including professionalism, interpersonal skills, ability to communicate and negotiate effectively through written and verbal with varied audiences.
• Fluent with Epic and Microsoft office programs. 
• Ability to manipulate large amounts of data.
• Knowledge of change management concepts.
• Ability to lead cross functional teams.
• Demonstrate and promote system thinking, including strong understanding of interrelationships of departmental delivery systems and the ability to collaborate across service lines and affiliates to ensure integrated delivery of services.
• Ability to lead by influence.
• Project Management skills
• Knowledge of regulatory and accreditation requirements.