Revenue Cycle Operations Director - Clinical Denials

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

The Revenue Cycle Operations Director oversees a portfolio of Service Center clients and is responsible for ensuring smooth day-to-day operations, contractual compliance, and revenue cycle performance. Core functions include: Client Relationship Management, Business Analytics, Resource Management, Culture, Staff Engagement, Training and Solution Development.

The RC Operations Director leads the operations management team to execute on core activities related to sustained revenue cycle performance. This position has a pulse on the day-to-day operational needs for existing client engagements, as well as planning for future client opportunities. This leader works directly with HMS Senior Leadership to design and deliver both internal and client facing work.

KEY JOB DUTIES: 

·       Executes the Service Center objectives, responsibilities, and initiatives

·       Makes key operational decisions independently and effectively prioritizes projects

·       Establishes quarterly goals and works with the HMS Service Center Operational Leadership Team to ensure they are achieved

·       Analyzes, interprets, and summarizes pertinent revenue cycle data components, and monitors performance against Key Performance Indicators

·       Identifies issues, risks, barriers, and opportunities for improvement related to Service Center responsibilities, service level agreements, technology, and people

·       Manages a cohort of RC Operations Managers and clients, providing direction and removing barriers

·       Provides coaching, development, and mentorship to direct reports and other subordinates

·       Establishes and maintains strong relationships with both domestic and international service center stakeholders

REQUIRED SKILLS: 

·       Leadership and integrity

·       Strong communication skills and executive presence

·       Strategic decision-making and critical thinking

·       Results-oriented

·       Effective relationship building and networking

·       People development and coaching

·       Mental/physical health sufficient to meet the demands and pressures of the position. 

·       Ability to read and write in the English language

CORE QUALIFICATIONS: 

·       Current permanent U.S. work authorization required 

·       Bachelor's degree required 

·       Limited travel required  

·       Proficient in Microsoft office (Word, PowerPoint, Excel) 

·       Direct Supervisory Experience 

• Back end Epic revenue cycle experience required

·       7+ years of healthcare operations experience with 5+ in managerial positions 

Work Environment:

 • This job operates in a professional office environment.

 • This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands:

• This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.

Position Level

Director

Country

United States of America