Director, Patient Accounts

About the role

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. Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.

Responsibilities

• Coordinate and lead the activities of Revenue Cycle Operations, including hospital billing, cash posting, claims processing, accounts receivable follow up, denial management, credit balance resolution, reimbursement, vendor oversight, and related patient financial services.
• Create, maintain, and administer training, workflow standardization, and professional development programs to increase staff knowledge, operational consistency, regulatory compliance, and performance against revenue cycle goals.
• Identify, implement, and continuously improve revenue cycle and patient account processes across hospital billing, claims management, cash posting, accounts receivable, denial prevention and recovery, revenue recovery, and related workflows.
• Integrate revenue cycle processes into hospital systems workflows, including Epic Resolute Hospital Billing, claims, remittance, work queues, charge review, claim edits, denial trending, and productivity monitoring.
• Analyze and track volume indicators, financial performance, and operational key performance indicators, including days in accounts receivable, aged accounts receivable, collections, clean claim rate, denial rate, denial recovery, discharged-not-final-billed or discharged-not-submitted activity, productivity, and quality metrics.
• Maintain thorough knowledge of Medicare, Medicaid, governmental, managed care, and commercial reimbursement methodologies, payer requirements, and contracts; ensure compliance by the organization and third-party payors as applicable.
• Improve the patient financial experience by supporting clear, compassionate, and accessible billing and financial services communication, including financial assistance, patient satisfaction opportunities, and point-of-service collection practices where applicable.
• Oversee selection, training, supervision, performance management, cross-training, and succession planning for the Patient Financial Services team in accordance with approved staffing plans, budgets, and organizational policies.
• Develop operating and capital budgets for the department and operate within approved financial parameters; protect organizational assets by monitoring cash, adjustments,