NorthShore
System Director, Medical Group Revenue Cycle & Performance Management
NorthShore, Warrenville, IL
Position Highlights:
Job Summary:
The Revenue Cycle Director is responsible for the direction and leadership of the operations, financial and technical activities of the Endeavor Health Medical Group Revenue Cycle. This includes provider charge capture, claims submission, denial management, insurance reimbursement, fee schedule structure, credit balances and self-pay management. This includes establishing, meeting and continuously monitoring of Revenue Cycle goals and objectives. The range of duties and responsibilities is broad and may vary, from day-to-day operations management to third party vendor performance management. The Director works closely with Endeavor Health Medical Group operations and system stakeholders both internally and externally. This position also evaluates vendor and workforce management in collaboration with medical group and revenue cycle leaders.
What you will do:
What you will need:
Benefits:
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
- Position: System Director, Medical Group Revenue Cycle and Performance Management
- Location: Warrenville, IL
- Full Time
- Hours: Monday-Friday, standard business hours
- Required Travel:
Job Summary:
The Revenue Cycle Director is responsible for the direction and leadership of the operations, financial and technical activities of the Endeavor Health Medical Group Revenue Cycle. This includes provider charge capture, claims submission, denial management, insurance reimbursement, fee schedule structure, credit balances and self-pay management. This includes establishing, meeting and continuously monitoring of Revenue Cycle goals and objectives. The range of duties and responsibilities is broad and may vary, from day-to-day operations management to third party vendor performance management. The Director works closely with Endeavor Health Medical Group operations and system stakeholders both internally and externally. This position also evaluates vendor and workforce management in collaboration with medical group and revenue cycle leaders.
What you will do:
- Plans, organizes, and directs the daily operations of the Endeavor Health Medical Group's Revenue Cycle
- Functions as a liaison between the Medical Group practices and the outsourced professional billing companies, identifying areas of opportunity and facilitating improvement strategies.
- Utilizes process improvement methodologies and change management strategies to create, review, analyze and optimize revenue cycle workflows and processes across the MG. Identifies areas that present challenges and opportunities; makes recommendations that provide practical options and solutions while considering the impact on processes, workforce, culture, and technology.
- Monitors and analyzes denial reports and revenue cycle metrics to identify trends and opportunities. Initiates and implements processes and training to reduce denials and monitors performance to ensure complete resolution.
- Develops, tracks and analyzes performance metrics related to Physician Revenue Cycle and shares data with key stakeholders to drive improvement.
- Compliance and regulations: Ensure compliance with relevant billing and coding regulations, such as those set by governmental agencies and industry standards. Stay updated with changes in regulations and implement necessary modifications to billing practices.
- Works closely with our external partners and internal Operations teams to optimize revenue collection while ensuring a seamless billing experience for patients.
- Acts as a liaison to clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored, and followed.
- Interviews, hires, onboards, and manages performance of staff. Regularly evaluates staff performance according to the performance management system and maintains accurate personnel and payroll records. Prepares and delivers introductory and annual performance appraisals.
- Conducts regular discussions with team leads to obtain updates and provide coaching, feedback, and career development. Leads regular staffing meeting with leads and staff.
- This position provides leadership, mentoring and management for 2 - 5 direct leaders and an estimated total of 60 employees.
What you will need:
- Education: Bachelor's degree in business related field or (extensive background in Revenue Cycle and Physician Operations)
- Experience: Previous experience in a supervisory or managerial role in the Physician Revenue Cycle and 8 to 10 years of Physician Revenue Cycle Experience, preferably in patient access services or healthcare registration
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.