What are the responsibilities and job description for the Director of Revenue Integrity position at Wilson Memorial Hospital?
Wilson Health is seeking a Director of Revenue Integrity for our Sidney, Ohio location. 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.
- 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.
- 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.
