Director, Revenue Cycle Operations

Location: Remote

Department: 8221 Patient Financial Services

• Identify, implement, and continuously improve revenue cycle and patient account processes across hospital billing, claims management, cash posting, accounts receivable, denial prevention and recovery, revenue recovery, and related workflows. 

• Integrate revenue cycle processes into hospital systems workflows, including Epic Resolute Hospital Billing, claims, remittance, work queues, charge review, claim edits, denial trending, and productivity monitoring. 

• Analyze and track volume indicators, financial performance, and operational key performance indicators, including days in accounts receivable, aged accounts receivable, collections, clean claim rate, denial rate, denial recovery, discharged-not-final-billed or discharged-not-submitted activity, productivity, and quality metrics. 

• Maintain thorough knowledge of Medicare, Medicaid, governmental, managed care, and commercial reimbursement methodologies, payer requirements, and contracts; ensure compliance by the organization and third-party payors as applicable. 

• Improve the patient financial experience by supporting clear, compassionate, and accessible billing and financial services communication, including financial assistance, patient satisfaction opportunities, and point-of-service collection practices where applicable. 

• Oversee selection, training, supervision, performance management, cross-training, and succession planning for the Patient Financial Services team in accordance with approved staffing plans, budgets, and organizational policies. 

• Develop operating and capital budgets for the department and operate within approved financial parameters; protect organizational assets by monitoring cash, adjustments, credit balances, reconciliation activity, vendor performance, and applicable controls. 

• Provide oversight of outsourced revenue cycle vendors and strategic business partners, including service level expectations, productivity and quality benchmarks, performance review, scorecards, return on investment, and corrective action planning. 

• Role model the principles of a Just Culture and Organizational Values. 

• Must be HIPAA compliant. 

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement 
• Comprehensive Health Benefits: 
  • Medical
  • Dental 
  • Vision
• Educational Programs: 
  • Tuition Assistance 
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching 
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance