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Mayo Clinic Senior Director, Revenue Cycle - HB Billing & Follow-up in Rochester, Minnesota

Why Mayo Clinic

Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2021-2022) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!

Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits (https://jobs.mayoclinic.org/benefits/) . Eligibility may vary.

Position description

The Sr. Director, Revenue Cycle - HB Billing & Follow-up position:

  • Provides leadership and oversight to the hospital, specialty, embassy, and transplant accounts receivable collections, i.e., pre/post service billings and collections. Work collaboratively with Hospital billing and collections team as well as other revenue stream stakeholders, i.e., registration, coding, revenue integrity, patient account services, etc., to ensure timely billing of hospital services. In addition, timely resolution and escalation with outstanding hospital, specialty, embassy, and transplant billing claims with payers, including escalation through payer liaison team in securing timely payments.

  • Staying informed of regulatory compliance as well as payer policy changes and contract changes that impact and/or influence billing policies and procedures, Epic system changes, communicating impact to executive leaders timely and appropriately.

  • Understands and is astute to international accounts receivable collections, i.e., middle eastern countries cultures.

  • Through the use of the Epic Revenue Cycle system, continually evaluate automation and process improvement opportunities for efficient timely billing, collections and evaluation of reimbursement for the hospital services in accordance with the contracts and government regulations.

  • Delivers successful collection results with industry KPI and benchmark metrics

  • Enforces revenue cycle operational policies and procedures. Evaluates and modifies as necessary to optimize performance.

  • Drives team performance to meet productivity expectations

  • Lead collaborative discussions with key stakeholders internal and external to Mayo Clinic, including clinicians, leaders, administrative staff, insurance payers, and employers.

  • Maintains fiduciary responsibility to the organization by utilizing resources in an efficient manner

  • Ensures strict adherence to internal controls are maintained

Contributes significantly to the Revenue Cycle initiatives of Mayo Clinic and Mayo Clinic Health System. Develops and participates in short-term tactics and long range planning that result in optimal Revenue Cycle operations and performance. Takes an active Enterprise and site based leadership role with physician and executive leadership on proactive revenue cycle strategies and addressing daily Revenue Cycle operations including customer relationship management, process and project management. Functions as a mentor and facilitator of professional development opportunities in order to keep the team optimally refined and aligned with the changing healthcare landscape. Manages institutional and system-wide initiatives and responsibilities associated with the revenue cycle, including personnel. Serves as the primary interface on all revenue cycle related issues including: department oversight, CPR Liaison, technical and governmental issues, billing and collection remediation. Interface with other finance departments including FAS, CPR and Treasury. Responsible for actively advancing strategies and implementation of strategic priorities, standardization/value analysis process, servicing key stakeholders and providing customer service and appropriate staffing support. Responsible for an operating budget associated with area of accountability, its management and adherence to operating expense targets and plans. Understands and contributes to the adherence to the overall Revenue Cycle budget targets and plans. Maintains appropriate compliance for Federal, State, local regulatory agencies and oversight bodies.

Qualifications

Bachelor's degree in business or a related field and a minimum of 10 years of related experience in a hospital or health-care related environment, which includes at least eight years' experience in major healthcare system or Healthcare consulting firm required. Preference will be given to individuals with prior experience as a Director, Revenue Cycle.

Additional qualifications

A Master's degree is strongly preferred. Advanced certification in healthcare is desirable. Broad expertise in healthcare management, healthcare operations, change management and systems preferred. Experience on non-clinical operational efficiency improvements, care process/procedural standardization improvements, and/or improved patient outcome activities are preferred. Well-disciplined in quality improvement methodology. Demonstrated ability to relate to, gain support of, and drive consensus with clinicians and administrators for the purpose of operational efficiency improvements related to patient experience, financial results and care process improvement. Must have significant facilitation skills and persistence in gaining physician leadership and clinical/technical support for the implementation of organizational strategies. Demonstrated knowledge of revenue cycle accounting processes, cost/benefit analysis and strategic planning. Must be capable of independent work, with little to no guidance provided exercising good judgment, creating an environment in which people communicate with each other respectfully, solving problems, and growing personally and professionally. Must be an advocate of change management, effectively communicating and implementing change and managing it proactively in order to minimize disruption to the Practice, patients and revenue cycle operations. Must be an individual of high integrity, comfortable working in a team environment, possessing vision, solving problems through effective planning and management. Experience in making and implementing decisions in a complex, consensus-oriented environment required. Must have excellent negotiation skills with external and internal constituencies and a thorough knowledge of industry best practices to continually enhance and improve revenue cycle processes. Promotes teamwork and seeks to maximize the potential of all employees. Demonstrated oral and written communication, interpersonal and customer service skills are essential. Able to effectively communicate Revenue Cycle strategies and initiatives to internal management groups and business partners, including MC executive leadership and industry and Fortune 100 company leaders. Must be proficient with software programs (Excel, Word, etc.).

Exemption status

Exempt

Compensation Detail

$185,036 - $277,576 / year

Benefits eligible

Yes

Schedule

Full Time

Hours / Pay period

80

Schedule details

M-F, business hours. This position may work remotely from any location within the U.S.

Weekend schedule

As needed

Remote

Yes

International Assignment

No

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.

Recruiter

Jessica Gartner

EOE

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.

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.

Equal opportunity

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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