Senior Counsel, Dispute Resolution and Revenue Cycle

Position Summary / Career Interest:

This position supports revenue cycle needs for the health system. The Senior Counsel, Dispute Resolution and Revenue Cycle provides legal counsel on matters related to billing, collections, reimbursement, compliance, and payer relations. This position ensures the organization's revenue cycle operations comply with federal, state, and payer regulations, and supports the financial health of the health system.


Responsibilities and Essential Job Functions

• Provide legal research, analysis, and advice on healthcare regulations, billing, collections, and reimbursement issues.
• Draft, review, and negotiate contracts and agreements related to payors, vendors, and revenue cycle operations.
• Advise on compliance with federal and state laws (e.g., Medicare, Medicaid, commercial payers), and help resolve regulatory or legal issues impacting the revenue cycle.
• Support the resolution of denied claims and appeals, including shepherding disputes through administrative processes.
• Analyze the impact of regulatory changes on revenue cycle processes and recommend operational adjustments.
• Collaborate with revenue cycle, compliance, finance, and operational leaders to optimize revenue capture and minimize legal risk.
• Assist in developing and updating policies and procedures to ensure ongoing compliance and operational efficiency.
• Monitor and report on legal and compliance risks related to revenue cycle activities.
• Lead or support alternative dispute resolution (ADR) efforts, including drafting ADR clauses, preparing for mediation/arbitration, and managing the resolution process.
• Oversee review of Medicare payment rules and creation and submission of comments to respond
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Juris Doctor
• 7 or more years experience in a law firm or an in-house legal department or governmental law department.
• 3 or more years experience in health care law.

Preferred Education and Experience

• 5 or more years experience in health care reimbursement, billing dispute resolution including alternative dispute resolution methods.

Required Licensure and Certification

• License to Practice Law - State Bar Association Admission in good standing to the Kansas Bar, or member in good standing of another state bar and registered as in-house in the state of Kansas.

Required Language Skills

• Advanced English - Read, write, and speak English

Knowledge Requirements

• Significant experience in dispute resolution with strong negotiation skills.
• Strong academic credentials and solid work ethic.
• Stellar analytical, verbal and written communication, negotiation, and influence skills.
• Broad background in providing solid and collaborative advice and counsel to internal leadership to minimize legal risk.
• Broad background in contract negotiations with payors and vendors.
• Maintain up-to-date knowledge of federal and state laws and regulations impacting health care billing, collections, and reimbursement.
• Ability to work efficiently and independently under tight deadlines and pressures.
• Proficient in Microsoft Office 365.
• Understanding of revenue cycle practices and activities.
• Combination of law firm and in-house legal experience preferred.
• Experience working in the academic medical center space preferred.

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.