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Director of Revenue Cycle Management
2 months ago
Job Summary
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.
Responsibilities and Duties
- Oversight includes 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.
- Oversight of daily, weekly, monthly, quarterly and yearly reports comprised of key performance indicators (KPIs); monitor and analyze charges, payments, adjustments, AR and other data elements.
- Maintains 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.
- Partners 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.
- Oversees credentialing on new and current physicians as well as Doctors acquired through acquisitions.
- Develop best practices for process improvement for overall Revenue Cycle management.
Qualifications
- 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
- 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
Qualifications and Skills
- Extensive knowledge and understanding of all aspects of revenue cycle operations.
- Proven revenue reporting and analytical skills.
- Leadership experience in managing teams across multiple sites with a healthcare focus.
- Excellent verbal and written communication skills.
- 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.
- History of proven ability to leverage technology to advance workflow efficiency