Experience Inc. Jobs

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

*The Director positions will be filled in locations throughout the Sutter Health California footprint.

*Eligible to work from home with 50% travel within our California network.

Serves as the primary contact for Sutter Health revenue and revenue cycle related matters. This role will function as a vital integration leader of both revenue & revenue cycle initiatives necessary to maintain an effective and high-performing financial & revenue cycle program for each of the entities within the accountable division. This role will scope and execute specific, high-impact projects related to Sutter Health’s enterprise-wide revenue & revenue cycle functions, using internal and third-party vendor analytics. High impact areas include front end operations, aged receivables, denials, leadership development, net revenue, month-end close impact, and other key performance indicators. The role will also be responsible for providing education and support to staff in both the care centers and finance & revenue cycle on system processes, registration, billing, insurance set-up, charge entry, and rejection resolution.

Responsible for developing, preparing, and distributing vital dashboard and operational reports to support effective revenue capture, billing, and collections.

Works across all levels and departments within Sutter Health supporting specific projects and day-to-day operations including oversite of corrective action plans, plan accountabilities, deliverables, and deadlines across corporate, local and Sutter Health’s third-party vendor operations.

Interacts with key departments and leaders across the organization to ensure open communication between the facilities and revenue cycle departments.

Provides assurance of the optimization of accounts receivable metrics, the reduction of avoidable denials and write-offs at each facility, payment variance review, while ensuring best practices are implemented.

Leads designated committees and task forces to support the revenue cycle initiatives for the assigned divisions and partners with local A-teams and patient facing operators to help implement operational changes at the local levels.

Job Description :

EDUCATION:

Equivalent experience will be accepted in lieu of the required degree or diploma

Bachelor’s degree in business administration or related healthcare.

TYPICAL EXPERIENCE:

8 years recent relevant experience

SKILLS AND KNOWLEDGE :

• Able to effectively communicate in both writing and verbally with all levels of staff.

• Able to make autonomous decisions involved in implementing coding and billing policies effecting revenue and operations.

• In depth knowledge of third-party billing rules for Medicare, Medi-Cal, Government Managed Care, Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Worker's Compensation.

• In depth knowledge of third-party reimbursement contract terms and adjudication, state and federal billing and collections regulations, compliance, claims processing methods, Current Procedure Terminology (CPT) coding, and patient accounting management practices.

• Proficiency in knowledge and use of the electronic health systems (specifically Epic).

• Proficiency in various PC software programs such as spreadsheets and word processors, and other statistical tools. Able to effectively utilize the Microsoft Office suite of products.

• Organizational skills, problem analysis skills, time management skills, and effective verbal and written communication skills.

• Skilled in interpreting billing regulations and reimbursement formulas.

• Demonstrated leadership and training skills.

• Must remain flexible and be able to be involved in and prioritize multiple projects in a rapidly changing environment.

• Must have a positive attitude and be willing to learn new things; ability to maintain a high level of energy and work independently.

PHYSICAL ACTIVITIES AND REQUIREMENTS:

See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements (https://sutterhealth.sharepoint.com/:b:/s/JobAnalysisLibrary/ETcsrLLlDj5MlmKbw2ZsPB4BlHLH2296OimmwO58T7i_Ig?e=4cI5mO)

Job Shift :

Days

Schedule :

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

6

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $75.45 to $120.73 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.