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Job Duties
- Provides executive leadership, direction, and oversight of revenue cycle operations through the Directors and Managers responsible for these functions, including charge capture, coding, claims submission, payment posting, denial management, accounts receivable, patient billing, collections, and resolution of patient balances. Collaborates with clinic operations and clinical leaders to improve front-end revenue cycle processes, including registration, eligibility verification, point-of-service collections, encounter closure, and other workflows that affect reimbursement and the patient financial experience.
- Develops and executes a comprehensive revenue cycle and revenue integrity strategy aligned with organizational financial, clinical, access, compliance, and patient experience goals. Establishes long-range plans, operational priorities, and performance expectations that support sustainable net revenue, cash acceleration, regulatory compliance, and patient-centered financial services. Ensures accounts receivable and patient financial records are maintained confidentially and in accordance with applicable accounting, privacy, billing, and regulatory requirements.
- Establishes and delegates implementation of goals, objectives, policies, procedures, workflows, internal controls, and systems for assigned revenue cycle functions within UNT Health Clinical Practice Group. Consults with Directors and Managers and evaluates departmental goals, performance trends, operational barriers, staffing needs, funding limitations, timelines, and resource allocation to accomplish organizational objectives.
- Establishes, monitors, analyzes, and reports key revenue cycle performance indicators to assess operational effectiveness, identify trends, prioritize improvement opportunities, and support executive decision-making. Metrics may include, but are not limited to, eligibility verification, point-of-service collections, charge capture accuracy, coding quality, encounter closure timeliness, clean claim rate, denial rates, appeal outcomes, days in accounts receivable, net collection rate, net revenue realization, bad debt, write-offs, contractual adjustments, cost-to-collect, and patient billing performance. Works with clinic operations leaders to address front-end performance measures.
- Oversees revenue integrity and reimbursement optimization activities to support accurate charge capture, compliant documentation and coding, appropriate reimbursement, and timely identification and resolution of revenue leakage. Leads denial prevention and management initiatives through root-cause analysis, payer trend monitoring, corrective action planning, and collaboration with operational, clinical, compliance, and finance leaders to reduce avoidable denials and improve reimbursement outcomes.
- Provides executive oversight of electronic health record operations, business applications, and revenue cycle technology platforms. Directs the strategic planning, governance, optimization, implementation, and ongoing support of the UNT Health Clinical Practice Group’s electronic health record and practice management systems, clearinghouse tools, billing platforms, reporting dashboards, automation, and related business applications. Ensures system integrity, data quality, user adoption, workflow optimization, reporting capabilities, and alignment with clinical, operational, financial, and compliance objectives. Oversees system performance, configuration priorities, vendor relationships, technology contracts, and related investment recommendations in coordination with information technology leadership.
- Partners with managed care, finance, legal, compliance, and operational leaders on third-party payer negotiations, reimbursement methodologies, contract implementation, and payer performance management. Coordinates payer contract provisions, reimbursement terms, and operational requirements with billing, collections, finance, and clinical operations. Partners with the teams responsible for credentialing, payer enrollment, and clinic operations to support timely provider enrollment, effective dates, and reimbursement readiness for new providers, services, and payer relationships.
- Drives cash acceleration, appropriate net revenue performance, and long-range revenue cycle planning by improving assigned mid-cycle and back-end functions and partnering with clinic operations on front-end processes. Identifies opportunities to improve reimbursement, reduce avoidable accounts receivable, prevent denials, strengthen appeals, improve collections, reduce write-offs, and resolve patient balances in a timely and compliant manner.
- Implements and maintains standardized revenue cycle policies, controls, and procedures consistent with federal and state regulations, payer requirements, CMS guidance, HIPAA, coding and billing standards, price transparency requirements, patient financial protection regulations, and applicable audit standards. Partners with compliance, legal, finance, clinical operations, and provider leadership on audits, investigations, corrective action plans, policy updates, documentation improvement, coding integrity, charge capture accuracy, and patient financial communication standards. Establishes quality assurance, audit readiness, and internal monitoring processes to support accurate billing, compliant documentation, appropriate reimbursement, data integrity, and adherence to payer and regulatory requirements.
- Provides executive-level reporting, analysis, and strategic recommendations to senior leadership regarding revenue cycle performance, net revenue trends, payer performance, operational risks, compliance matters, technology priorities, workforce needs, vendor effectiveness, improvement initiatives, and progress toward organizational goals. Manages third-party vendors, including billing partners, clearinghouses, collection agencies, payment processors, and revenue cycle technology vendors, and monitors service expectations, compliance, contract outcomes, and performance. Serves as the executive business owner for revenue cycle, patient financial services, electronic health record operations, and related business applications. Provides governance and strategic oversight for technology enhancements, system implementations, workflow redesign, data analytics, and operational transformation efforts that support clinical, financial, compliance, and patient experience objectives.
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EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit –and takes actions to prevent – discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking), and retaliation on the basis of race, color, religion, national origin, sex, age, disability, genetic information, or veteran status in its application, employment practices, and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination, harassment, and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist, or participate in a related investigation or proceeding.
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