Associate Director of RCM, Patient Access and Accounts (Collections)

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Requirements:

• Bachelor's degree or equivalent experience.
• 6-8 years of equivalent and relevant experience in RCM / process management.
• Excellent supervisory, managerial skills of personnel to include vendor management.
• Athena Health EMR knowledge strongly preferred
• Knowledge of medical billing, front office, physician practice management and healthcare business processes and workflow.
• Understanding of medical billing/coding with an understanding of various insurance carriers, including Medicare, private HMOs and PPOs.
• Excellent written, verbal and interpersonal communication skills for a variety of audiences.
• Strong organizational skills with ability to handle multiple tasks simultaneously.
• Knowledge of financial reporting required.
• Demonstrated analytical thinking and problem-solving ability. Can systematically and logically work to identify causation and resolve problems.

Responsibilities:

• Oversee and direct the strategic activities of revenue management for front end teams and processes, that support organizational compliance, fiscal sustainability, and member accountability.
• Support access reviews and maintenance of payer portals for accurate billing/collections and patient follow-up actions.
• Serve as an expert resource in monitoring and maintaining/exceeding RCM KPI’s in Access Management targets (scrub reductions, missing slips management), Cost to Collect, Clinical Inbox Management, Avoidable Denials, Clean Claim Submission Rate, TOS Collections, and Net Collections Rate.