Mayo Clinic Director, Revenue Cycle - Payer Relations in Rochester, Minnesota
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Position description The Director of Payer Relations:
Provides leadership and oversight to the Revenue Cycle Insurance Payer Liaisons in the collection of aged or escalated outstanding accounts receivable of our clinics and hospitals visits. This includes both technical and professional insurance claims. In addition, securing timely resolution of outstanding issues through payer meetings and/or formal communication.
Through the collaboration of Contracting and Payer Relations, understand contract renewal terms and represent Revenue Cycle interests by providing meaningful data, presenting those most impactful to operations to be considered to be addressed upon renews.
Oversee the process of identifying and understanding payer policy changes that may impact our ability to be paid at the appropriate rate timely as well as implementing necessary process changes that may be needed. Inform leadership and those most closely impacted timely through various communications via presentation, emails and/or meetings.
Drive payer performance by addressing timely with payers the needed action plan and holding them accountable to appropriate timelines. Escalating issues both internally and at the payer timely.
Enforce revenue cycle operational policies and procedures. Introduce new to address gaps as well as modify those necessary to optimize performance.
Delivers successful results with industry KPI and benchmark metrics.
Maintains fiduciary responsibility to the organization by utilizing resources in an efficient manner.
Ensures strict adherence to internal controls are maintained.
The Director reports to the Revenue Cycle Chair and may have Revenue Cycle Managers and other Revenue Cycle staff as direct reports in a multi-site, multi-specialty academic medical center Assures the integrity and stability of revenue and billing data and provides direction for complex business decision making for operations. Provides direction for complex business decision making for operations. Identifies, establishes and implements internal controls to ensure a compliant environment. Provides leadership in a team environment, teams functional and technical activities and changes.. Participates in establishing the strategic direction of work teams or service lines incorporating an awareness of the internal and external environment. Provides direction and interprets revenue cycle key performance indicators with significant institutional impact Is recognized and relied upon to synthesize various subject matter expert inputs to formulate solutions and implement change for multi-disciplinary or complex technical issues. Coordinates the development of programs and processes for Revenue Cycle operational areas. Interprets and implements billing rules, regulatory compliance, policies and regulations. Stays abreast of emerging issues and risks and plans accordingly. Identify strategies that lead to improved financial performance and follow through on their implementation while preserving Mayo standards and minimizing the financial and legal risks to Mayo. Directs managers, reviews and interprets results of variable-sensitive business models and/or compliance or business operations. Participates in establishing an environment that leads to efficient Revenue Cycle operations and adheres to complicated and ambiguous billing rules and regulations (all payers). Responsible for recruitment, development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results. Spearheads change and leads others in implementation. Promotes effective change management practices. Initiates, leads and facilitates institutional workgroups or complex projects. Manages and prioritizes limited resources across multi-disciplinary, multi-site teams to maximize efficiency. Handles ambiguous situations in a productive and professional manner and leads others through such situations successfully. Travel required as assignments warrant.
Qualifications Bachelor degree with 10 years’ experience which includes at least 7 years in general leadership required. Master’s degree preferred.
Additional qualifications Broad expertise in healthcare management, healthcare operations, change management and systems preferred. Possesses and applies knowledge of healthcare clinical and administrative systems and processes to achieve organizational priorities. Has solid knowledge of Microsoft applications including Word, Excel, PowerPoint and Outlook. Possess ability to apply broad knowledge to new circumstances to add value and perspective. Exhibits a customer-service orientation; anticipates, understands and addresses customer needs in a timely manner. Working knowledge of large revenue cycle systems preferred and medical record systems. Ability to establish a productive team-based work environment and collaborate effectively across multiple sites and functions. Demonstrated communication and presentation skills. Ability to lead or direct multiple complex projects and activities in an ambiguous environment. Participates in establishing an environment that promotes initiative, creativity and a high level of productivity.
License or certification Exemption status Exempt
Compensation Detail Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $4818.40, based on a full-time position.
Benefits eligible Yes
Schedule Full Time
Hours / Pay period 80
Schedule details M-F, day shift. This position will work remotely, with occasional (quarterly) travel to a Mayo Clinic campus required.
Weekend schedule As needed
Site description Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Category Administration, Business, Finance
Job posting number 148529BR
Recruiter Jessica Gartner
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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