Director of Revenue Cycle
Position Overview
The Director of Revenue Cycle serves as the strategic and operational leader for all revenue cycle functions across Winona Health, overseeing the complete patient financial experience from scheduling and authorization through final payment resolution. The Director is responsible for optimizing reimbursement, cash flow, revenue integrity, and patient financial outcomes while ensuring regulatory compliance and a positive patient experience in partnership with clinical leadership.
Essential Duties & Responsibilities
Develops and executes enterprise revenue cycle strategies, establishes organizational performance goals, and drives continuous improvement initiatives designed to maximize net revenue, reduce administrative burden, and improve operational efficiency.
Serves as the organization's subject matter expert on reimbursement, revenue cycle operations, payer requirements, and healthcare payment methodologies while collaborating closely with clinical, operational, and finance leaders.
Led the organization's payer contracting strategy in partnership with the CFO, including contract analysis, negotiation, implementation, monitoring, and optimization. The role evaluates reimbursement methodologies, identifies growth opportunities, manages payer relationships, and develops contracting strategies that support Winona Health's financial sustainability, market position, and long-term strategic objectives.
Accountable for revenue cycle performance across the organization, including key metrics related to patient access, coding quality, clean claims, denial prevention and recovery, accounts receivable management, collections, patient satisfaction, contract performance, and net revenue realization.
Identifies emerging reimbursement risks and opportunities and implements data-driven solutions that improve organizational financial performance and support Winona Health's mission of delivering high-quality, affordable healthcare.
Provides necessary analysis and communications specific to reimbursement performance as reported on interim/annual financial statements and forecasts. Provide management with information vital to the decision-making process.
Skills and Experience
Bachelor’s degree in Finance, Accounting, or Business/Healthcare related field
10+ years of applicable experience in healthcare financial management
Advanced computer skills in Word, Excel, Access or other database, PowerPoint, and Outlook
Knowledge of various data systems used in healthcare
Solid understanding of healthcare revenue cycle, payer contracts, and regulations affecting reimbursement for healthcare services
Ability to effectively manage multiple priorities in a fast-paced environment
Ability to establish and maintain positive working relationships
Preferred:
Master's Degree in Finance, Accounting, or Business/Healthcare related field