What are the responsibilities and job description for the Director of Revenue Cycle Operations position at Gritman?
Job Duties and Responsibilities:
• Provides strategic direction and oversight of Revenue Cycle processes, including Patient Access, charge
master description, revenue cycle reporting, charge capture process, denial management and related functions
through quality data, policies and efficient procedures.
• Leads and manages Revenue Cycle projects, working with key stakeholders. Coordinates and implements
revenue cycle initiatives, including identifying and assembling resources when necessary.
• Actively monitors operational performance to anticipate and meet the needs of leadership. Maintains
revenue cycle KPI’s within established industry standards and instill accountability and ownership at the appropriate
level.
• Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of
quality, customer service, innovation and team work.
• Motivates, facilitates, mentors and coaches 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.
• Ensures that organizational integrity and regulatory standards are maintained in all Revenue Cycle policies,
procedures and processes. Ensures that all team members know and understand their role related to regulatory
compliance.
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• Identifies opportunities for process improvement, and implements them by engaging stakeholders
throughout the organization. Manages assigned departmental budget oversight. Includes routine monitoring,
adjustment and annual budget development process.
• Works collaboratively with key stakeholders throughout Gritman to ensure that revenue and reimbursement
properly report and support the services provided.
• Drives for changes in work products and processes that will improve functional area efficiencies and
effectiveness.
• Partners with organizational leaders to ensure that operations and processes remain consistent and emulate
best practices.
• Supports payor contract analysis, review and negotiations.
• Other duties as assigned.
Required Skills:
• Demonstrated ability to deliver financial results and solid process improvement experience.
• Experience with Charge Description Master (CDM) and denial management.
• Thorough knowledge and understanding of accounting and financial reporting policies and procedures in a
healthcare environment.
• Ability to coordinate and monitor audits when necessary.
• Ability to deliver financial results for areas of accountability.
• Solid processes improvement skills.
• Excellent verbal, written, and presentation skills.
• Excellent interpersonal skills and ability to connect with all levels within the organization and external vendors.
• Strong analytical and negotiating skills.
• Ability to develop and present concise information.
• Must have working knowledge of Revenue Cycle tools.
• Must be detail-oriented and well organized.
• Proficient computer skills including MS Office applications.
Job Requirements:
Minimum education
Bachelor's Degree required OR a combination of education and professional experience that provides the director
with the requisite knowledge, skills, and abilities to successfully perform the job required.
Minimum Work Experience
Minimum five (5) years of related experience in the healthcare revenue cycle.
Minimum three (3) years of management experience required.
Critical Access Hospital experience desirable.
Required Licenses
Certification for Healthcare Financial Management Association (HFMA), Medical Group Management Association
(MFMA), and/or American Health Information Management Association (AHIMA) desirable.