Support locations throughout the Sutter Health California footprint
Collaborate across Revenue Cycle Operations, Healthcare Finance, Managed Care Contracting, and Executive Leadership
Connect finance metrics to underlying revenue cycle drivers and translate strategy into operational performance
Analyze data to identify opportunities, develop compelling content, and present findings clearly to senior leaders
Provide education, guidance, and operational support to clinical care setting leaders, finance and revenue cycle teams
Oversight of corrective action plans, accountability structures, deliverables, and timelines across corporate, facility, and third-party vendor environments
Collaborate to ensure optimization of accounts receivable performance, reduction of avoidable denials and write-offs, and consistent implementation of best practices

Bachelor’s degree in business administration or related healthcare
8 years recent relevant experience
In depth knowledge of third-party billing rules for Medicare, Medi-Cal, Government Managed Care, Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Worker's Compensation.
In depth knowledge of third-party reimbursement contract terms and adjudication, state and federal billing and collections regulations, compliance, claims processing methods, Current Procedure Terminology (CPT) coding, and patient accounting management practices.
Proficiency in knowledge and use of the electronic health systems (specifically Epic).
Proficiency in various PC software programs such as spreadsheets and word processors, and other statistical tools.
Able to effectively communicate in both writing and verbally with all levels of staff.
Allowed to make autonomous decisions involved in implementing coding and billing policies affecting revenue and operations.
Organizational skills, problem analysis skills, time management skills, and effective verbal and written communication skills.
Skilled in interpreting billing regulations and reimbursement formulas.
Demonstrated leadership and training skills.
Must remain flexible and be able to be involved in and prioritize multiple projects in a rapidly changing environment.
Must have a positive attitude and be willing to learn new things; ability to maintain a high level of energy and work independently.

Director, Revenue Division

Key skills