Director Revenue Cycle

Essential Functions:

• Manage all departmental matters including personnel, resource management, reporting, training, and other organizational requirements
• Develop training plans, facilitate staff training on policies/ procedures, EHR software, other relevant software, systems, metrics, compliance related to the revenue cycle process
• Creates work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administrated consistently
• Management of all business-related functions of the patient visit from point of charge posting, billing, payment posting, deposits, and accurate adjunction of the patient’s accounts. Ensures all services performed are billed/collected for
• Analyzes, troubleshoots, and measures performance for the processes affecting the revenue cycle. Identify all opportunities and all missed opportunities
• Implement reliable solutions for improvement; continually identifying opportunities to automate processes and maximize collections
• Works in partnership with the Health Systems Administrators to ensure optimal system configuration is maintained
• Determines opportunities for improvement
• Ensures patient credit balances are handled promptly and appropriately
• Acts as the liaison between the health center and health insurance plans, practice management systems, and third-party vendors
• Collaborates with all levels of the organization to drive results in the above areas. Makes strategic recommendations to improve workflow
• Builds and runs reporting out of the electronic health records o facilitate collections and to build workflow with other departments
• Manages outsourced collection efforts
• Supports the internal QA program by developing, tracking, and improving revenue cycle KPI's
• Reports all revenue cycle activities to executive management for strategic goal building and financial sustainability

Qualifications:

• Bachelor’s Degree in finance, Business Administration, Healthcare Administration, or related field OR 7+ Years’ experience in Healthcare Billing, Collections, and/or Revenue Cycle Management
• Proficient in all Microsoft Office applications as well as medical office software
• Proficient in electronic Health Record Systems
• Proven experience in healthcare billing
• Sound knowledge of health insurance providers
• Strong interpersonal and organizational skills
• Excellent customer service skills
• The ability to work in a fast-paced environment