Impekkable, an award-winning healthcare consulting and hospital management firm is looking for an
interim or permanent Revenue Cycle Director to work with a hospital in Pinedale, WY.

• Interim or Full-time, permanent position
• Onsite in Pinedale, WY
• Amazing team and leadership!
• Pay: Based on Experience (will provide more detail on compensation)
• Benefits (Permanent Only):o Health, Dental, and Vision Insurance
• HAS (Health Savings Account)
• HRA (Health Reimbursement Agreement)
• Retirement program through Wyoming Retirement System
• Short- and Long-Term Disability
• Employee Discounts
• Life Insurance
• Generous PTO

SUMMARY
This key position is responsible for all aspects of the revenue cycle including patient registrations, cash
posting, coding, billing, collections, auditing, and Health Information Management (HIM). The Revenue
Cycle Director also works with other departments to enhance the efficiency of the revenue cycle
process, the charge master, and develops efficiencies to manage denials and reimbursement issues.
Reports directly to the CFO.

RESPONSIBILITIES

• Maintains a clear understanding and fully adheres to the Corporate Compliance Program/Policies.
• Develops and implements revenue cycle policies and procedures to ensure efficient, effective processes for revenue cycle management.
• Plans and directs the functionality of the Practice Management system to ensure correct patient insurance information, correct coding, billing, collections and optimizes use of HIM to ensure maximum revenue collection.
• Establishes and manages relationships with Insurance payors through contract negotiation.
• Creates and maintains a system of internal controls for the entire revenue cycle that successfully resolves payor payment delays, credit balance resolution, exceptions, probable bad debt and any identified trends that caused delays in payments.
• Demonstrates exceptional customer service and ensures that patients are treated courteously by the billing staff. In coordination with other departments, develops and maintains policies and procedures to successfully resolve patient billing complaints.
• Conducts regular audits of data to improve performance/processes and implements changes as appropriate to maximize efficiency.
• Works with Medical staff and Clinical staff leadership to ensure the understanding of the charging process to enhance reimbursement and decrease denials.
• Reviews claims for accuracy and completeness for procedural and diagnostic codes and makes coverage decisions based on Insurance Company and District guidelines.
• Prepares and maintains department budget.
• Participates in strategic planning, identifying opportunities for revenue cycle growth and cost reduction and develops goals and objectives for revenue cycle improvement.
• Instrumental in selection of coding and charge capture tools that aid billing staff in correct coding and claim submission.
• Directs and participates in committees dealing with the revenue cycle process.
• Works closely with Information Technology (IT) and HIM to maintain high quality data integrity and ensures that information systems support current and future needs of the department.
• Works with Compliance, Quality Management, Risk Management, legal counsel, and Administration to ensure that the hospital maintains appropriate compliance regarding patient information privacy, security, and confidentiality.
• Develops policies, procedures, forms, information notices and materials that accurately reflect current organizational practices and regulatory requirements.
• Reviews revenue cycle statements and reports to ensure accuracy.
• Willingness to visit off site facilitate as needed to facilitate education, identify deficiencies, and implement plans for revenue cycle improvement if needed.
• Performs other duties as needs arise and or as assigned.

QUALIFICATIONS

• Bachelor’s degree in Healthcare or Business related required.
• 5 years’ experience with billing and collections, preferably knowledge of principles and systems associated with healthcare revenue management and medical coding (CPT and ICD-10).
• 5 years’ experience with leadership and management.
• KNOWLEDGE, SKILLS, ABILITIES
• Knowledge of Medical collections related to group insurance, Medicare and Medicaid, Worker’s Compensation, and self-pay accounts.
• Strong leadership and decision-making skills and comfort in dealing with executive leadership.
• Strong analytical and problem-solving skills.
• Professional verbal and written communication skills.
• Skills in planning, participating in and facilitating group meetings.
• Knowledge of medical practices; terminology and reimbursement policies.
• Financial knowledge for forecasting revenues, managing budgets, and analyzing financial data.
• Proficient with Microsoft Office products and internet use.

ABOUT PINEDALE

Nestled at 7,175 feet in a scenic alpine valley, Pinedale is surrounded by three majestic mountain ranges – the Wind River, Wyoming, and Gros Ventre Mountains. As part of the Greater Yellowstone Ecosystem, the Bridger-Teton National Forest offers endless outdoor activities, with stunning landscapes and abundant wildlife.
Rich in history, Pinedale was shaped by the Rocky Mountain Fur Trade and is home to the nation’s oldest cattle drive, the Green River Drift. Here, cowboys still guide cattle through town in June and October! The Green River Rendezvous was an annual event in the 1830s. Mountain Men, Trappers, Travelers, and Indians all gathered in a valley “below the Green River” and bartered, traded, sold, and swapped various items such as skins, pelts, guns, jewelry, and whatever else they needed. It continues to this day with people coming from all over to see the hometown parade, experience the pageant, see how the people who shaped the rugges west made their lasting impression and mark on our town.

Nature lovers will appreciate the nearby alpine lakes, which are perfect for fishing, water sports, and relaxation. Pinedale is also on the Path of the Pronghorn, where you can witness one of the last great animal migrations in the Western Hemisphere. In town, you’ll find a warm community, local shops, restaurants, and attractions like the Museum of the Mountain Man and the Pinedale Aquatic Center. With its blend of outdoor adventure, rich history, and friendly locals, it’s easy to see why we call Pinedale home.

Please send your resume or questions in confidence to:
Amy Lowe
Senior Recruiting Director
Impekkable
amy.lowe@impekkable.net
Mobile – (972) 921.1864 (call or text)