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Director Revenue Cycle

3 months ago

Garden City, United States OCLI Vision Full time

ABOUT US


Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time, and we focus on building great teams and keeping our employees happy. We promote from within and offer fantastic benefits and PTO



THE OPPORTUNITY AT HAND


We are seeking a dynamic and experienced Director of Revenue Cycle Management to lead our fast-growing RCM team. The ideal candidate will have a deep understanding of revenue cycle processes and workflows, exceptional leadership skills, and a proven track record of optimizing revenue cycle operations.


The Director of Revenue Cycle Management (RCM) will be responsible for managing RCM operations across a multi-state/multi-location organization which includes clinical and Ambulatory Surgery Center (ASC) billing. The position will maximize the performance of the revenue cycle including best in class KPIs.



OUR EXPECTATIONS OF YOU


  • Oversee accounts receivable, insurance verification, high volume medical billing, coding, cash posting, and AR follow up. Manage large-scale projects driving process improvements and policies throughout the RCM functions.
  • Drive facility and functional consolidation and re-organization as business needs dictate for cost efficiency and compliance performance.
  • Oversee daily, weekly, monthly, quarterly and yearly reports comprised of key performance indicators (KPIs); monitor and analyze charges, payments, adjustments, AR and other data elements.
  • Maintain continual knowledge of payor policies to assure optimal reimbursement for all services performed within the system, in compliance with government and third-party payor regulations.
  • Manage costs by continually seeking data that will identify opportunities and take action to eliminate non-value costs in conjunction with the Executive Leadership Team.
  • Perform due diligence on acquisition targets and integrate newly acquired practices into RCM systems and processes.
  • Partner closely with accounting regarding revenue recognition, cash projections, and providing detailed account receivable and collection data for the financial audits.
  • Interact with Physicians on a regular basis to provide information on RCM initiatives, answer questions on billing related items, and help ensure effective communication between the providers and RCM team.
  • Oversee credentialing on new and current physicians as well as Doctors acquired through acquisitions.
  • Develop best practices for process improvement for overall Revenue Cycle management.



WHAT YOU'LL NEED TO SUCCEED


  • 10+ years of executive-level experience within healthcare (multi-state, multi-location platform, MSO experience preferred).
  • Strong knowledge of healthcare billing, coding practices, reimbursement methodologies and revenue cycle.
  • Excellent leadership, communication, and interpersonal skills with the ability to effectively collaborate with all levels of the organization
  • Demonstrated ability to develop and implement strategic initiatives to improve revenue cycle performance
  • You're data-driven and process-oriented; able to simplify complex concepts
  • Proven ability to lead and develop a team and drive performance improvement, demonstrated by progressive increases in management responsibility
  • Leadership experience in managing teams across multiple sites with a healthcare focus.
  • Very strong strategic, vision and process change improvement leader.
  • Advanced proficiency in accounts receivable management.
  • Strong analytical, problem solving, root cause analysis skills to evaluate problems and interpret trends.
  • Demonstrated process improvement, project management, workflow, benchmarking and evaluation of business processes required.
  • You're able to leverage technology to advance workflow efficiency



WHO WE ARE


Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we’re also uniquely qualified to provide care for our patients from childhood though adulthood. We build relationships with our patients that last a lifetime.

With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-center, New Vision Cataract Center, AIO, and others.

At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all of our team members to uphold these commitments.