Director of Revenue Cycle
1 day ago
JOB TITLE: Director of Revenue Cycle
SUPERVISOR: CFO
HOURS PER WEEK: 40hrs (M-F)/Exempt
DEPARTMENT: Revenue Cycle
PRIMARY FUNCTION: Responsible for directing, coordinating, and monitoring of Revenue Cycle functions, including: EMR analysis, insurance, referrals, coding, patient account/collections, scheduling and registration.
DUTIES AND RESPONSIBILITIES: (*ESSENTIAL FUNCTIONS)
1. Oversee operations of full revenue cycle office.*
2. Develop and maintain strategic partnerships with internal and external stakeholders.*
3. Coordinate the management of employee issues for Revenue Cycle staff, including employment, training, evaluation, and scheduling.*
4. Maintain and provide all staff in the Revenue Cycle organization with proper educational and development opportunities.
5. Oversee all departments in the Revenue Cycle organization, which currently includes: Registration and Scheduling, Referrals and Prior Authorizations, Coding, Insurance and Billing, and Patient Collections/Refunds.*
6. Create and Maintain data and metrics to measure and track the performance of all aspects of Revenue Cycle operations.
7. Be prepared to share performance of Revenue Cycle operations to Executive Leadership and the pertinent Boards and Committees within the Practice.
8. Respond to patient concerns and feedback in a timely manner, providing solutions to best serve our patients.
9. Work with the organization’s claims clearinghouse to improve the operations and efficiency of the Revenue Cycle.
10. Work with the organization’s EMR team to improve the efficiency and effectiveness of the Revenue Cycle.
11. Work with Practice Providers and Medical Leadership on coding education.
12. Identify opportunities to reduce overall coding efforts through provider education, EMR enhancements, Charge Router improvements and other innovations that will deliver efficiencies and increase velocity in the Revenue Cycle.*
13. Work with banking partner and CFO to obtain necessary deposit information for remittances and other Revenue Cycle issues.
14. Monitor all workqueues assigned to Business Services and Coding employees – looking for areas of improvement, as well as assisting staff as needed.*
15. Develop and implement Revenue Cycle process improvements, working closely with key stakeholders to ensure success for patients, staff, and TPC providers.*
16. Collaborate with Quality, Risk, & Finance teams to support successful HCC meetings and appropriate coding.*
17. Work on special projects and tasks for Administration and Physicians as requested.
18. Work respectfully and collaboratively in a team environment with a spirit of cooperation.
19. Attend work on a regular and consistent basis.*
20. Participate as an active team member in a patient-centered medical home.
REQUIREMENTS:
EDUCATION/LICENSES REQUIRED:
⦁ Bachelor’s degree OR an equivalent combination of education and relevant work experience
EXPERIENCE/QUALIFICATIONS/SKILLS REQUIRED:
⦁ 7 years of Revenue Cycle experience
⦁ 2 years of coding experience (previous credentialing required)
⦁ 3 years of progressive supervisory experience
COMPENSATION & BENEFITS (Benefits eligibility begins at 20hrs/wk):
• 401k plan with Employer Matching up to 4.5% annually
• Roth IRA
• Comprehensive Medical, Dental and Vision insurance
• Flexible Spending Account
• Company provided $10K Group Life/AD&D insurance
• Voluntary benefits: Life/AD&D, Dependent Life/AD&D, Short-Term Disability, Critical Illness, and Disability
• Unlimited PTO
• One paid Wellness day per year
• Seven paid holidays, and 1 partially paid holiday (mid-day closure)
• Employee Assistant Program
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