As a Director, Revenue Cycle Services, your work at Tegria will focus on the direction and leadership of operational, financial, programmatic, and personnel activities for the Tegria Revenue Cycle Services team, including claims, payments, credit balance, insurance reimbursement, denials, coding, systems, third-party management, and self-pay management. You will establish, meet, and continuously monitor goals and objectives in alignment with Tegria's strategic goals, with primary responsibility for directing day-to-day operations, budgeting and forecasting, financial management of clients, and human resource management. You will work closely with a variety of stakeholders and other Tegria leaders, coordinating the activities of the Revenue Cycle team for Tegria clients.
THE ROLE YOU PLAY
- Living our Tegria values: Respect Every Person, Act with Integrity, Strive for Better, Embrace Change, Deliver as a Team
- Leads Operations, Client Engagement, and Business Development for Revenue Cycle Services, setting performance targets and driving continuous improvement.
- Develops and manages operational initiatives with clear, measurable outcomes.
- Builds and leads an energetic, collaborative team by fostering strong morale, celebrating wins, and defining success collectively.
- Ensures the development and retention of a successful, satisfied customer base.
- Maintains a strong partnership with MEDITECH to support future enhancements, consulting engagements, implementations, and billing-as-a-service.
- Collaborates with executives to define goals and strategic plans, and makes informed strategic decisions aligned with company objectives.
- Engages with and presents to executives across Tegria, partner organizations, and healthcare clients to ensure programs remain innovative, relevant, and well understood.
- Partners with Tegria's sales team to attract new clients and expand services with current clients to meet revenue goals, including an assigned revenue target.
- Drives business development efforts aligned with regional needs and creates strategies to support business growth by reducing development timelines, enabling decision-making, improving productivity, and enhancing customer service.
- Leads product innovation by guiding the development, delivery, and operations of the product and services roadmap.
- Evaluates all services continuously, identifies issues, analyzes data, and implements innovative solutions; engages staff and stakeholders in ongoing process improvements and allocates resources to support participation.
- Stays current on regulatory changes, industry trends, and best practices, and integrates them into Revenue Cycle programs.
- Aligns team goals with client objectives and uses data to measure and communicate success.
- Safeguards the integrity of business-critical information, enforces compliance with standardized procedures, implements contingency plans, and maintains guidelines, processes, and procedures to ensure compliance with company policies.
- Allocates budget and personnel resources effectively.
- Hires, retains, trains, and coaches team members; conducts performance appraisals and pay reviews; and documents action plans and provides corrective coaching/action when necessary.
- Performs other generally related duties as assigned.
WHAT WE'RE LOOKING FOR
- Bachelor's degree in healthcare administration, business administration, or a related field, or an equivalent combination of education and experience
- Extensive experience with direct accountability for P&L management, strategic planning, operations, financial oversight, and team leadership and development
- Broad expertise in IT governance, change management, service delivery, and customer support
- Proven track record of successfully selling products and services to clients, with a background in business development, client services, or business operations
- More than five years of experience working with electronic health record (EHR) applications
- Extensive business knowledge with a comprehensive understanding of revenue cycle performance, including multiple types of billing, coding, and reimbursement models
- Thorough understanding of applicable laws and regulations, including HIPAA, False Claims Act (FCA), Anti-Kickback Statute (AKS), Stark Law, Affordable Care Act (ACA), Fair Debt Collection Practices Act (FDCPA) and state collection laws, EMTALA, IRS regulations (for non-profit hospitals), and state-specific regulations
- Advanced leadership skills, including the ability to build a high-performing organization in a remote environment, foster employee engagement and a culture of excellence, accountability, and respectful behaviors, and mentor and coach team members and peers
- Ability to develop and execute strategic plans that drive measurable business outcomes and align with organizational goals, and to innovate and lead continuous improvement initiat