Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

EXPERIENCE:

Required:

• 5 years of experience in revenue cycle management including revenue cycle management software and financial reporting tools required.
• 2 years of experience in Surgery Center revenue cycle management preferred.
• 3 years in a leadership role, preferably in a multi-location healthcare setting.
• 5 years healthcare billing, coding, and reimbursement processes.
• Ability to analyze complex data and develop actionable strategies.
• Knowledge of healthcare regulations and compliance requirements.
• Experience managing revenue cycle operations across multiple locations is highly desirable.

Preferred:

• HST Pathways Practice Management implementation along with eChart
• Waystar clearinghouse optimized workflow

EDUCATION:

• Bachelor’s degree in finance, business administration, healthcare management, or a related field. Master’s degree preferred.

WHAT YOU WILL DO:

• Oversee the entire revenue cycle process for all surgery centers, including patient registration, scheduling accuracy, insurance verification, billing, coding, collections, payment processing and health information management within the chosen practice management platforms.
• Lead, mentor, and develop the revenue cycle team across all surgery center locations, fostering a culture of excellence and continuous improvement. Set clear performance goals and metrics for the revenue cycle team and monitor their achievement.
• Ensure accurate patient estimate creation is provided timely to every scheduled person along with the collection of all point of service amounts due before the surgery.
• Ensure timely and accurate billing and coding to maximize revenue capture.
• Implement best practices to reduce denials and improve collection rates across all locations. Collaborate with clinical, administrative, and IT departments at each surgery center to optimize revenue cycle workflows within the practice management software.
• Oversee clinical documentation initiatives to support accurate billing and coding. Work closely with physicians and clinical staff to ensure proper documentation practices.
• Develop and implement strategic plans to optimize revenue cycle performance across multiple sites. Communicate effectively with senior management, providing insights and recommendations for revenue cycle improvements aligned with budget including regular audits to identify and mitigate risk.
• Monitor and analyze key performance indicators (KPIs) related to the revenue cycle at each surgery center.
• Prepare and present financial reports to senior management, highlighting trends and areas for improvement.
• Develop and manage the revenue cycle budget, ensuring cost-effective operations across all sites.
• Ensure compliance with federal, state, and local regulations related to documentation, billing and reimbursement.
• Stay updated on changes in healthcare regulations and payer requirements, ensuring all sites are compliant Foster strong relationships with payers and other external stakeholders.
• Role models the principals of a Just Culture and Organizational Values.
• Performs other duties as assigned. Must be HIPAA compliant.