Director of Revenue Cycle

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Requirements:

• Minimum 10 years of experience managing day to day operations of a high-volume central billing office and multi-site facilities
• Broad experience in managing insurance and self-pay revenue cycles within large-scale, multi-location healthcare environments, such as dental chains, rehabilitation centers, or comparable healthcare organizations
• Effective leadership skills and proven experience leading a team including development and achievement of department goals and objectives to include staff performance measures and reporting results
• Proven track record of managing offshore teams both in office and remote working, including development and monitoring of KPIs on productivity.
• Cloud Based medical billing software required.
• Advanced Excel skills, including vlookups and pivot tables required
• Working knowledge of CPT codes (including modifiers) and ICD-10 codes
• Demonstrated track record of aggressively decreasing receivables and increasing cash collections without adverse impact on employee morale or patient satisfaction
• Solid financial acumen and very strong analytical and problem-solving skills
• Excellent interpersonal skills with desire to work hard toward a common purpose, while handling multiple priorities, having fun and maintaining a sense of humor
• Unimpeachable integrity
• Strong desire to drive positive change in healthcare

Responsibilities:

• Serve as the go-to person for all revenue cycle and credentialing needs across the organization.
• Lead the revenue cycle and credentialing team including developing efficient and effective staffing, establishing performance standards, ensuring all team members achieve standards, hiring, training, and developing team members, and fostering outstanding teamwork and employee relations.
• Establish and implement policies and procedures for billing, revenue recognition and collection that reflect our mission, good business practices and regulatory compliance.
• Create and manage KPI dashboards to analyze billing, reimbursement and accounts receivable trends and reports on the progress, results, and conclusions reached.
• Manage Accounts Receivable aging to keep expected versus collected amounts in line with current company goals.
• Minimize claim denials, procedure denials, and claims rejection rates through training, communication, and implementation of best practices.
• Increase reimbursement per visit by appropriately managing accounts receivable, and guiding follow-up efforts of billing department, capturing lost revenue.
• Stay abreast of regulatory guideline updates; interpret and present updates to adopt into current practices where relevant.
• Manage the offsite and onsite posting of receipts through automated Electronic Remittance Advice (ERA) and manually posted Explanation of Benefits (EOB) to ensure all reimbursements received are applied in the system appropriately and timely.
• Manage the credentialing process for all new and existing providers with multiple in-network payors.
• Maintain excellent communication between billing department and providers, clinic staff, and operations teams.