Director of Revenue Cycle

3 weeks ago


Portland, United States Surgery Partners Full time

Director of Revenue Cycle & Client Delivery - Remote Opportunity

 

General Summary of Duties

The Director of Revenue Cycle & Client Delivery is responsible for Manager oversight to ensure supervising and coordinating aspects of the revenue cycle including training, internal auditing, billing, claims production, collections, productivity, performance reporting and new ASC transitions. This position reports to the Sr. Director of Revenue Cycle.

Essential Functions

  • Pre-Service Collection activities to ensure all patient demographic, authorization and insurance verification efforts result in clean claim submission reducing insurance denials.
  • Vendor management, ensuring the fostering of professional relationships, clear communication to prevent, reduce or resolve any concerns related to the product instillation and roll out.  Ongoing vendor product audit.
  • Manages a team of which can be 10+ Managers and employees, with direct oversight of A/R procedures and polices including the efficiency of follow and processing customer service and accounts receivable, billing, collections and payment posting.
  • Responsible for data input, update, data integrity, and supervisor of A/R reports.
  • Communications directly with patients/clients, referral sources, and insurance agencies, when appropriate, handling any questions or problems that may arise regarding reimbursement.
  • Collaborates and coaches Managers to ensure the performance of the duties of the account receivable personnel as listed on that job description and monitors billers’ productivity and collection efforts.
  • Mentors and trains staff and recognize opportunities for team building.
  • KPI reporting and analysis, the Director is accountable to identify problems on claim denials and ensure efficient resolution, including implementing and educating lessons learned.
  • Establish, supports and monitors quality standard goals for team.

 

Skills / Knowledge / Abilities

 

  • Understanding SOX
  • Billing systems
  • Multi-specialty background
  • Out of State payors, ASC’s etc.
  • Finance exposure: P&L
  • Results reporting
  • Analyzing AR
  • Process implementation
  • Process review
  • Advanced Leadership Skills
  • Change Management Abilities
  • Handling disciplinary issues and terminations
  • Excel proficiency
  • 10% travel

Benefits:

Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance 
PTO
401(k) retirement plan with a company match and more 
 

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws.  This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.  Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please



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