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Director of Revenue Cycle Management

2 months ago

Garden City, United States Engage Partners Inc. Full time

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