Director of Revenue Cycle Appeals and Denials

Job Responsibilities:

Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent is responsible for providing guidance, leadership and direction to all of those who are involved or responsible for obtaining accurate and timely insurance benefit verification and authorization, and the timely billing and collection of accounts receivables in order to achieve and exceed cash collection goals in the most cost effective manner. Additionally, the incumbent is responsible for mentoring and coaching to produce optimum work habits and achieve highest level of competency of leadership and staff.

This position is responsible for managing components of the Revenue Cycle for multiple entities, and, as such, must establish relationships at all facilities and be familiar with each institution’s computer environment and payer contracts, although they may not be under direct control of the incumbent.

Qualifications:

• Bachelor’s Degree in Accounting, Business Administration, Finance, or a related field. A Master’s Degree in Business Administration, Health Administration, or Information Management is preferred.
• A minimum of ten (10) years of hospital receivables/operations management experience within a large academic medical center or health system, with at least six (6) of those years in a management capacity.
• Prior work experience must include revenue cycle management projects and/or responsibilities, and a significant role in a redesign project and/or management experience working in a highly automated, centralized business office environment.
• Experience in using team building and quality management concepts to positively influence the work environment.
• CRCE/CMPA/CHFP certification preferred, leadership role in industry organizations such as HFMA, AAHAM, or MHA strongly encouraged

Salary Range: $145,000 to $190,000. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.