Director, Project Management & Reconciliation Job at Guthrie in Sayre

The Senior Director, Revenue Integrity is responsible for developing and executing the strategic vision for The Guthrie Clinic and revenue integrity program. The Senior Director is responsible for the oversight of the standard workflows/processes that impact the Revenue Integrity functions: chargemaster, Federal, State & managed care contract rule development and charge capture and reconciliation interacting with providers and business owners. Works closely with RAC and Finance leadership to prepare and analyze forecast and actual expense data to support leadership. This role serves as the Revenue Cycle Revenue Integrity leader for The Guthrie Clinic to internal and external organizations, including government agencies, payor organizations, vendors, external auditors, and business partners. Bachelor's degree from a recognized college or university or 7-10 years-experience senior level revenue cycle leadership in lieu of degree At least seven (7) years of management experience patient access-related functions, clinical operational, and/or project management within a progressive healthcare environment. - Deep expertise in Epic EHR, particularly in charge capture, proration, and billing modules. - Time management and organizational skills - Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders - Proficiency with Microsoft Office (Word, PowerPoint, & Excel) Leader or member of a revenue cycle transformation effort where key functions were reviewed for standardization and centralization - Oversee configuration and optimization of Epic modules related to charge capture, proration, and billing workflows. Oversee the loading, validation, and maintenance of payer reimbursement rates in the hospital electronic health record System (EPIC HB) for Federal, State, and Commercial plans following the build approval process. Collaborate with IT and clinical informatics to ensure Epic supports compliant and efficient revenue processes. Lead initiatives to automate and streamline proration logic and workflows within Epic. Direct the maintenance and integrity of the chargemaster, ensuring alignment with coding, billing, and reimbursement guidelines. Partner with finance and compliance to ensure pricing transparency and regulatory adherence. Facilitate regular meetings with clinical business owners to review performance metr ics and identify improvement opportunities.