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Director of Revenue Cycle Management
3 months ago
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams.
Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
Full Time; AM 8:30 am - 5:00 pm; Monday - FridayExpected starting wage range is $124, $153,
Telecare applies geographic differentials to its pay ranges.
The pay range assigned to this role will be based on the geographic location from which the role is performed.
POSITION SUMMARY
The Director of Revenue Cycle Management works with the Vice President of Revenue Cycle to proactively achieve company financial goals and strategic priorities.
This individual must have a thorough understanding of the entire revenue cycle process and provide leadership as well as partner with other leaders within the organization.
The Director RCM will drive performance improvement and revenue enhancement opportunities, and as a subject matter expert they will assist in providing strategy, decision support, organizational planning, and operational leadership to optimize productivity, quality, and overall company revenue.
The Director of RCM will provide direct supervision to the Fee for Service Manager, Contract Billing Manager and Cash Management Supervisor.
ESSENTIAL FUNCTIONS
Demonstrate the Telecare mission, purpose, values and beliefs in everyday language and contact with the internal and external stakeholders
Establish and implement metrics to monitor revenue cycle including outstanding revenue, cash as a percentage of net revenue and net collectible value, conversion rate, denial rate, unbilled, etc.
Implement current and future strategies to improve cash flow and minimize bad debt
Hands on Leader who manages the operations of the revenue cycle management department, encompassing claims submission, payment posting, accounts receivable follow-up and reimbursement
Work with internal stakeholders and business partners to evaluate and analyze existing systems and processes, and develop strategic objectives and implement improvements that support revenue cycle goals and growth
Work with the Director, Revenue Cycle Systems to enhance and expand the use of the current electronic health record
Work with IT to develop analytics dashboard and integrate multiple systems to produce real-time data for operational, managerial, and executive leadership including revenue, projected revenue, projected cash collection, productivity, denial metrics, etc.
Participate in payer negotiations, review contracts, implement contracts and oversee resolution of contract payment issues, and assist in collection efforts
Develop long and short-term plans for achieving program objectives and operational goals both requiring fiscal visibility, budgetary control, productivity targets, develop data collection systems and prepare regular statistical and progress reports
Research and process large quantities of data analyze trends and identify and correct areas where behavior is not compliant with expectations
Analyze, interpret and implement payer contracts with complex reimbursement structures, including cost reimbursement, income statement/line item billing as well as capitated agreements
Collaborates with other management staff and company leaders in strategic planning and development of the Revenue Cycle Management with the goal of ensuring ongoing effective billing and collection of revenues
Establish, update, maintain and implement program centric Revenue Cycle policies and procedures
Recruit, hire, train and mentor department staff to maximize their professional growth and the overall growth of the department
Establish clear performance objectives, clearly communicate objectives and consistently monitor performance against objectives to accurately and fairly evaluate and drive employee effectiveness
Demonstrates an understanding of Telecare's customers including clients/residents, families and governmental agencies in all interactions and conduct
Accountable for meeting customer needs and adapting to changing customer needs always
Remove barriers that prevent the timely billing and collection of patient accounts and Implement current and future strategies to improve cash flow, minimize bad debt
Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
QUALIFICATIONS
Required:
Bachelor's degree in business, accounting or healthcare; including two (2) years of college level accounting course work or accounting experience in aging reconciliations and auditing, and command of basic accounting functions
Eight (8) years of billing and collection experience with five (5) years of management responsibilities in a billing environment for a large physician practice, hospital, or medical background
Five (5) years of successful staff management experience with proven ability to train, coach, performance improvement and provide disciplinary action
Detailed knowledge of Medicare, Medicaid and commercial insurance billing and collections, preferably in a psychiatric hospital or skilled medical facility environment
Proven leadership and management skills with the ability to make decisions in a fast paced, multi-faceted environment while simultaneously motivate, mentor and supervise a Revenue Cycle Management team to success
Superior knowledge and experience in full revenue cycle, from admission to collections
Proven ability to develop and implement revenue cycle workflows, key performance indicators, service level agreements, and policies and procedures
Experience with analyzing, interpreting and implementing payer contracts with complex reimbursement structures, including cost reimbursement, income statement/line item billing as well as capitated agreements
Thorough understanding of medical billing, collections, write-offs, payment posting, audits, and of local and federal payer regulations
Ability to drive strategic initiatives, strategic planning and process improvement
Ability to gather and analyze key information and determine an appropriate course of action and implement the plan successfully
Goal driven with the ability to manage multiple priorities with a high level of detail
Strong working knowledge of Windows, MS Word, MS Excel, MS PowerPoint and various revenue and EMR software.
Must be at least 18 years of age
All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification.
If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment.
Additional regulatory, contractual or local requirements may applyPreferred:
Experience developing, designing and implementing a billing software system
SKILLS
Strong leadership and management skills with the ability to motivate, mentor and supervise
Strong attention to details and retention of information
Must be comfortable making decisions in a fast paced, evolving environment
Strong verbal and written communication
Strong working knowledge of Windows, MS Word, MS Excel, MS PowerPoint and various revenue and EMR software
PHYSICAL DEMANDS
The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is constantly required to sit and occasionally required to stand, walk, reach, twist, bend, pull and lift and carry items weighing 10 pounds or less as well as to do simple grasping.
EOE AA M/F/V/Disability
If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
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