The Revenue Cycle Director of Revenue Enhancement and Acquisitions, under indirect supervision, is responsible for leading cross-functional teams to identify and implement best practices to reduce avoidable write-offs and improve margin. Provides oversight thru completion of acquisition projects for revenue cycle, ensuring adherence to quality standards and reviewing project deliverables. The Revenue Enhancement and Acquisition Director works with Revenue Cycle Leadership and Health System leadership to ensure that policies and procedures optimize Revenue Cycle efficiencies and Health System Reimbursement. The director maintains strong relationships with Clinical Departments, Charge Integrity Unit, Coding Unit, A/R Units, Patient Business Services, Payer Representatives and other Health System departments that are affiliated with and impact the Revenue Cycle process.
- Oversee and direct cross-functional teams as the senior internal consultant associated with revenue enhancement and new acquisitions for multiple clinical specialties
- Oversee Reimbursement Specialists within professional billing
- Represent Revenue Cycle and participate in institutional committees on strategic business development and acquisition discussions.
- Recommend and develop goals and objectives, establish priorities and monitor outcomes of project team work.
- Develop and implement recommendations for policies, procedures and system improvements, as well as ensure compliance with regulations and requirements
- Establish a Lean Thinking environment and lead teams in Lean Thinking initiatives (i.e. Lean Thinking in Daily Work, structured problem solving, GEMBA walks, value metrics, and visual management.)
- Develop and implement strategies with other Revenue Cycle units
- Stay current on changes to legislative and insurance regulations associated with revenue enhancement
- Analyze, evaluate, monitor and advise Senior Professional Billing Director, Chief Revenue Cycle Officer, Health System Leadership on pertinent high-level issues regarding revenue optimization
- Act as a liaison with Health System departments, external agencies, customers, and vendors
- Develop, model and support a culture of service excellence to patients and families, internal colleagues and external customers
- Be an active member of the Revenue Cycle leadership team and model behavior that is consistent with servant leadership principles
- Provide revenue cycle leadership to acquisition project teams to ensure charge capture and billing needs are met
- Provide high-level administrative guidance to Reimbursement Specialists; conduct, selection, evaluation, and counseling for Reimbursement Specialists
- Provide and maintain career development initiatives for the unit
- Issue monthly reports and analysis to review the performance of the unit
- Plan and implement programs that will develop personnel and enhance their ability to contribute to departmental goals
- Act as a representative in departmental and institutional committees with authority to make decisions for the unit
- Demonstrate personal integrity, enthusiasm and empathy to internal and external customers
- Commit to team development, communication and quality improvement throughout the Revenue Cycle process
- Demonstrate knowledge of UMHS System HIPAA privacy standards and ensure compliance with system PHI privacy practices by self and staff
- Bachelor’s degree in Health Administration, Business Administration, or an equivalent combination of education and experience
- 5 years of high-level administrative experience in revenue cycle project management
- Demonstrated expertise in cross-departmental hospital and physician billing policies, third-party payer processes, and regulatory and accreditation requirements
- 3-5 years of progressive management experience.
- Familiarity with Lean practices, quality improvement initiatives, and work planning procedures
- Able to effectively manage team composed of direct and indirect reporting relationships
- Able to communicate effectively with team members and management
- Detail-oriented, good organizational skills, analytical, strong problem solving/investigative skills, and ability to be self-directed
- Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency & financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect)
- Able to understand and resolve complex payer issues
- Master’s degree in Health Administration, Business Administration, or equivalent field
- Possess advanced hands-on knowledge and understanding of project management principles, methodologies, tools and techniques.
- Ability to think conceptually and analytically, conduct effective, thorough reviews of customer project requirements and deliverables, and manage projects and team resources of considerable size and complexity through to successful completion.
- Strong analytical, problem solving, organizational and time management skills
- Knowledge of insurance contracts. Experience with payer reimbursement methodologies (Commercial and Government) preferred.
- Knowledge of MiChart (Epic)
- Knowledge of University policies and procedures
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.