Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Site Director Revenue Cycle

Expired Job

Mercy Health Mason , OH 45040

Posted 2 months ago

Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Site Revenue Cycle Director will support the Market Director in the direction of facility revenue cycle, and will report to the Market Director of Revenue Cycle within the corporate office as well as to the local C-suite leaders at the facility. The primary function of this position will be the oversight and management of the revenue cycle at the hospital facility, ensuring all aspects of revenue cycle at the facility are delivered on.

The Director will be responsible for assisting in training departmental leadership in process improvement, implementing policies, and reporting results to client leaders. Position duties include managing the daily work-flow of the facility, managing eligibility services, monitoring progress to identify trending issues and develop training or processes to address these issues. The Director will also hold huddles to efficiently cover new or evolving training focuses to encourage and develop team members.

The Director will be responsible for overseeing progress on Key Performance Indicators and monitoring the worked accounts for quality assurance. The Director will further be involved in the selection, direction and development of new team members.

The Director is the hospital specific liaison to local leadership.

An integral part of the role is to work with hospital departments on DNFB, Charge Entry, late charges and Denials Management. This position will expedite the implementation of root cause solutions and ensure backend operation and front-end are synced.

Participate in hospital operations representing revenue cycle with C-suite leaders, Health Information Management and case management

Coordinate revenue cycle operations and improvement initiatives with Corporate Revenue Cycle Team Members

Patient Access / Scheduling Coordination


Leads monthly Denials meetings

Oversee Inhouse and Inaudit reviews

Manage Onsite Vendor Management (Eligibility Services, etc.)

Qualifications - Minimum

Required Education:
4 Yr. Bachelors Degree

Major in Finance, Business, Accounting or Healthcare related field.

Preferred Education:

Graduate Degree (Masters)

Required Certifications:

Must pass the Certified Revenue Cycle Representative Examination offered through Healthcare Financial Management Association within 6 months, unless already certified.


Minimum 5-7 years in Healthcare insurance and hospital revenue cycle required.

Required: 3-5 years of previous management or supervisory experience, preferably in a healthcare environment.

Required: Excellent working knowledge of revenue cycle of the hospital revenue cycle.

Shift and Job Schedule

This role will be based out of our Mason, OH office and will require travel to our acute care sites. Relocation may be offered.


Equal Employment Opportunity

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

Equal Employment Opportunity

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

Recruiter Contact Information

Anna Strizak

About Us

This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health. Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results. Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Pharmacy Account Director (Multiple Anthem Locations) (Ps8472)

Anthem, Inc.

Posted 5 days ago

VIEW JOBS 9/14/2018 12:00:00 AM 2018-12-13T00:00 Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company. The Pharmacy Account Director is responsible for developing and maintaining relationships with external clients and prospects, and reaching internal health plan penetration goals through the use of strong consultative skills. Pharmacy Account Director - (multiple Anthem locations) (PS8472) Primary duties may include, but are not limited to: * Execute strategic sales and tactical plans by consulting with key decision makers and operational stakeholders in the region. * Directs and manages the administration of contractual requirements and obligations. * Provides ongoing support to regional decision makers and supports Pharmacy Services Sales and Account Management teams during RFP and Renewal processes. * Supports the new and renewal implementation process for accounts to ensure client retention and high levels of account satisfaction. * Supports individual state health plans as well as clients. * Assists in the development of recommendations for outcome-based savings and revenue opportunities. Assists operations in developing key therapeutic programs based on earnings potential. * Assists in meeting internal health plan penetration goals. * Hires, trains, coaches, counsels and evaluates performance of direct reports. * Interfaces with operations to ensure smooth delivery of services. * Maintains ongoing account relationships at multiple levels throughout the customers' organization. * Makes clinical recommendations for improvements to meet clients' expectations. * Provides both on-site and off-site customer service, which may include interpreting plan design, researching and resolving phone and written inquiries, resolving claims, benefit and enrollment issues. * Makes routine account visits. * Become an expert on plan contacts for the region. Collaborate and build relationships across business units, advocate for the needs of the region. * Contribute to regional performance goals. * Lead efforts to bring standardization across accounts. * Support the training and development of Account Service Coordinators. * Develop and implement communications to key stakeholders as necessary to improve member and provider experience and reduce cost. * Support strategic discussions with consultants and brokers regarding the medical and pharmacy integration of clinical programs and formularies. Additional Roles and Responsibilities: * Support the development of new web content to improve the member and provider experience * Become an expert on contractual requirements, beneficiary rights and standard benefits in plans throughout the region * Compile information and support pharmacy program updates to leadership, including but not limited to: annual planning meetings, quarterly business reviews, biweekly trend meetings * Perform routine benefit surveillance to assure benefits are working correcting, low claim reject volumes throughout the region * Solve claims issues and complaints with the support of Pharmacy Operations team or Account Management team * Assure successful implementation of programs * Benefit mandates * Program enhancements * Cost of Care programs * System changes * Assure appropriate access for health plan staff to RX tools Qualifications: * Must demonstrate proficiency in policy/benefit communication, ability to communicate messages pertaining to programs and systems in a way key stakeholders can understand. * Must demonstrate proficiency in clinical/technical communication to business leaders, an ability to communicate messages pertaining to programs and systems using data and other details in a way business leaders can understand. * Must demonstrate proficiency as a key participant in program development, where the program seeks to improve clinical outcomes, quality, cost or other measure. * Must demonstrate proficiency in project management, tracking individual performance as well as project performance * Must demonstrate superior organization skills, able to compile a large volume of information and place in an easily understood format for others to access. Requirements: * Requires BA/BS, minimum 5 years of standalone pharmacy experience selling standalone pharmacy business and/or customer relationship; or any combination of education and experience, which would provide an equivalent background. * Minimum 2 years of managed care experience or PBM experience; Government business experience preferred. * Travel required. * Sales license may be required. * Pharmacy License or equivalent service in specialty Rx field preferred. * This individual will support the Midwest region. Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem, Inc. Mason OH

Site Director Revenue Cycle

Expired Job

Mercy Health