The Director of Revenue Cycle is responsible for leading the revenue cycle teams including patient accounting, physician billing office, coding, access services, community wide scheduling and CDI. Emphasis will be on the management and delivery of collections from patients and government/commercial insurance revenue and is responsible for the business analyst function related to the revenue cycle including development and evaluation of business metrics and performance reports and insurance contracts.
1. Manages, hires, evaluates, and directs Patient Billing, Medical Coding, Access Services,Collections,staff and Physicians Billing.
2. Oversees all unbillable (coding) accounts and takes action to identify causes and minimize the occurrences of same.
3. Oversees all provider enrollment process, takes action to ensure all new providers are appropriately credentialed for billing purposes.
4. Review appropriate valuation of patient receivables on a monthly basis along with calculation of allowances for doubtful accounts and supporting documentation.
5. Responsible for monitoring current and emerging reimbursement issues, regulations and reporting requirements affecting the company.
6. Performs business and strategic analysis to support decision making at both facility and system levels upon request using data from a variety of sources.
7. Fosters a strong internal control and compliance environment within the business. Key areas include controls over revenue recognition, receivables management, billing and contract management.
8. Provides strong leadership, team building and role modeling to all staff.
9. Ensures A/R and Refund teams are fully staffed, trained and appropriately organized to support business needs.
10. Creates and maintains a structure which ensures that financial plans approved by the Executive Committee are managed.
11. Liaise with clinical sites to resolve issues and outstanding problems in the area of A/R management and revenue cycle process.
12. Performs other related duties as assigned
Bachelors Degree in Healthcare Administration, business or other related field is required.
7 years of management experience with progressive experience in medical/hospital and provider office-specificbilling, credentialing and personnel management; Experience in the revenue cycle management in a multisite healthcare delivery system.
Experience with Meditech, Athena, Epicstrongly preferred.
Qualified candidate salary range $120,000-145,000.