Revenue Integrity Regional Director

Overview

We are seeking a Regional Director of Revenue Integrity to join our team at UnityPoint Health! The position is a key member of the Revenue Cycle Leadership Team reporting directly to the Executive Director of Revenue Integrity. This position is responsible for organizing, leading, and improving revenue cycle performance at all facilities within their region. The Regional Director will focus on implementing and supporting continuous improvement in key revenue cycle department/functions, and maintain a good working relationship with all facilities in their region to ensure clear communication and a collaborative approach to implementing best practice processes. The Regional Revenue Integrity Director will act as the liaison between System Revenue Cycle leadership and facilities within their region providing any support needed to optimize Revenue Cycle performance.

Hours: Monday-Friday, standard business hours 

Location: Hybrid - Candidates preferably reside in Madison, WI, Quad Cities, Dubuque, IA, Fort Dodge, IA, or Sioux City, IA 

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Revenue Cycle Improvement: 

• Deliver financial results through process improvement initiatives in line with the comprehensive organizational strategy
• Lead and manage complex Revenue Cycle projects, working with key stakeholders across UnityPoint Health
• Coordinates and implements revenue cycle initiatives, including identifying and assembling resources when necessary
• Develop, influence and maintain the reputation for exceptional quality for the Revenue Cycle department
• Identify opportunities for process improvement, and implements them by engaging stakeholders throughout the organization
• Works in partnership with local and regional leaders of operating units to identify new ways to enhance financial products and services
• Implement 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

Performance Monitoring:

• Establish and maintain ongoing performance monitoring, liaising with relevant stakeholders in developing priority projects and providing expert advice on best practice processes
• 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
• Ensures revenue cycle data quality monitoring and related training
• Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses

Denials Prevention (Cross Functional Teams)

• Support and guide cross functional teams of department leaders for ongoing revenue cycle improvement and mitigating the risk of denials 
• Responsible for evaluating processes to ensure efficiency as well as developing and overseeing the implementation of new processes 
• Develop and manage initiatives to ensure the operations of the denials prevention team is in line with organizational goals
• Interpret and oversee the implementation of complex rules and regulations governing insurance, appeal activities, trends, etc. and will make recommendations 
• Maintain a strong, collaborative relationship and provide clear communication with all facilitates

Revenue Integrity & Compliance:

• Responsible for ensuring all reimbursement is captured and processes are put in place to minimize revenue leakage
• Interfacing with regional CFO’s as the “onsite” face of the revenue cycle through operational performance reviews and ad-hoc troubleshooting 
• Ensure that organizational integrity and regulatory standards are maintained in all Revenue Cycle policies, procedures and processes and that all team members know and understand their role related to regulatory compliance
• Facilitate compliance with administrative/legal requirements and governmental regulations as they relate to Revenue Cycle operations
• Collaborate with key stakeholders throughout UnityPoint Health to ensure that revenue and reimbursement are properly reported and support the services provided
• Maintain strong executive presence with regional CFO’s and acts as the “onsite” face of the revenue cycle
• Oversee and guides revenue integrity of clinical departments providing education, training and tools for departments to successfully capture charges

Qualifications

Education:

• Required: Bachelor’s degree in Accounting, Business, Finance, Health Information Management or other related field 
• Preferred: Master’s Degree in Business Administration or Healthcare Administration preferred

Experience: 

• Required: 5 years of related experience in the revenue cycle or finance  
• Required: 5 years of management experience 

Licenses/Certifications:

• Required: Valid driver’s license when driving any vehicle for work-related reasons
• Preferred: HFMA, MGMA or AHIMA certification desirable