Associate Director of RCM
2 weeks ago
Our client, a non-profit healthcare organization in the Central Valley, is seeking a skilled and experienced Associate Director of RCM. This position will work closely with the CFO and Sr. Director of RCM, as well as IT and billing staff. This is a key position that helps ensure a successful revenue flow and cutting edge technology, that allows the organization to continue giving quality care to the Valley's underserved communities.
This position exists to support the revenue cycle from the front end through the successful completion of the billing process. Manages all aspects of new hire training and on boarding to ensure successful integration of new employees with Company RCM best practices. Supports the CFO and Sr. Director of Revenue and Finance Management with the development of strategic initiatives. Works with Information Technology, Medical, and Operations to ensure that key RCM procedures are direction to support and improve critical revenue cycle initiatives and goals. Works with the accounting and operations teams to ensure timely and accurate reconciliation of daily collections, deposits and posting in the patient accounting system. Leads the management of staff in the oversight of HRSA and other governmental agency requirements including; provider audits, health center staff performing registration functions, insurance verification and authorization processes. Partners with other Company departments to develop structured auditing and reporting methodologies combined with follow-up and training for all staff involved in the revenue cycle process.
Job Duties:
The following statements describe the general level of work to be performed and are not intended to list all duties and responsibilities required.
Responsible for all aspects and management of the staff located in the health centers performing, registration, insurance verification, primary provider identification, and enrollment in state funded health programs.
Coordinates new hire training and site designation for all front office activity, including initial audit and assessments through the completion of the employee probation period.
Manage the staff that coordinates and facilitates compliance audits, directs internal compliance reviews, and provides feedback and education to clinics.
Supports RCM and Finance in the monitoring, tracking and reporting of daily cash flow. Constantly review and improve the process through the implementation of new technology.
Coordinates with Managed Care department to ensure smooth implementation of new payer contracts and ensures appropriate set within the patient accounting system. Works with all departments to review and verify eligibility coverages of payer sources and other agencies and are current in the E.H.R. system and properly communicated to all District Administrators.
Work with Information Technology and Operational leadership to identify E.H.R and other software initiatives related to workflow issues that may improve the effectiveness of the revenue cycle process. Make recommendations to implement identified solutions.
Ensures that Front office and RCM staff are trained and follow established Standard Operating Procedures to meet revenue cycle expectations.
Supports the RCM team in the absence of the Sr. Director, Revenue Cycle & Finance Management
Other related duties as required by the CFO or Sr. Director, Revenue Cycle & Finance Management.
Additional Duties:
1.HIP AA compliance - Responsible for maintaining abreast of and in compliance with all HIP AA regulations and requirements. Treats all member information confidential.
2.Compliance - Ensure compliance with all local, state and federal regulations.
3.QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
4.IT - Required learning and using the Electronic Health Record and Practice Electronic System and its components. As required by the job functions and highlighted in the Policies and Procedures. These components include NextGen, PMS, QSI and other electronic features, as they are developed and implemented, as applicable to work environment.
5.All employees will participate in Patient Centered Health Home Model at Company Family Health.
Skills:
1.Must be a self-starter and able to work under pressure and handle multi-functions.
2.Analytical with ability to determine critical areas to address as well developing appropriate approach to solution.
3.Effective communicator at all levels.
4.Ability to establish and maintain effective working relationships across the health center.
5.Excellent customer service and public relations skills.
6.Knowledge of CPT/ CDT and ICD l0 codes and HCPCS coding.
7.Knowledge of all programs offered and payer codes available in organization.
8.Knowledge of sliding fee schedules.
9.Ability to relate to the public regardless of ethnic, religious, and economic status.
Qualifications, Education, and Experience:
1. Bachelor's degree in business or healthcare management, or related field preferred.
2. Master's degree preferred.
3. 6 - 8 years Revenue Cycle & Operations Management experience with minimum of four years overall revenue cycle leadership experience. Experience working in a federally qualified health center environment preferred.
4. Certification in at least one of the following: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Biller (CPB), and/or Certified Medical Reimbursement Specialist (CMRS) credentials. Higher credentials acceptable.
5. Experience with working in an integrated healthcare model required; NextGen preferred
6. Demonstrated knowledge of all insurance companies, HMO's, PPO's, Medicare, Worker's Comp, and third party payers.
Classification: Full Time, Exempt
Reports to: Sr. Director, Revenue & Finance Management
Salary range: $80k to $95k
-
Clinical Director
2 weeks ago
Bakersfield, United States Kern Medical Full timeKern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles.Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated...
-
Clinical Director
3 days ago
Bakersfield, United States Kern Medical Full timeKern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles.Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated...
-
Clinical Director
3 days ago
Bakersfield, United States Kern Medical Full timeKern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles.Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated...
-
Human Resources Specialist
Found in: beBee S US - 3 weeks ago
Bakersfield, United States Department Of Homeland Security Full timeSummary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-stakes environment to safeguard the American way of life. In cities across the country, you would secure airports, seaports, railroads, highways, and/or public transit...
-
Human Resources Specialist
Found in: beBee jobs US - 3 weeks ago
Bakersfield, California, United States Department Of Homeland Security Full timeSummary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-stakes environment to safeguard the American way of life. In cities across the country, you would secure airports, seaports, railroads, highways, and/or public transit systems, thus protecting America's transportation infrastructure and...
-
Associate Director
2 days ago
Bakersfield, United States Wm Bolthouse Farms Inc Full time**THE ROLE**: - This position will report to the**:Chief Growth Officer**: - Travel Requirement**:TBD**: - Location**: Remote**: - FLSA Status**:Exempt**: - Shift**:1st**: - Employment Category**:Full Time - Regular**: - Pay Range**:$160-$185** **Bolthouse Farms** is known for their high quality, delicious premium beverages (Bolthouse Farms &...
-
Housekeeper
2 weeks ago
Bakersfield, United States Dignity Health Full timeThe EVS Associate will report to the EVS Supervisor who in turn will report to the Director. The qualified candidate will learn various cleaning methods proper application of germicides and disinfectants isolation techniques hard surface/carpet clean Housekeeper, Hotel, Healthcare
-
Facility Manager
2 weeks ago
Bakersfield, United States Community Action Partnership of Kern Full timeJob DescriptionJob DescriptionSUMMARY:Under general direction of the Assistant Director of Operations, the Facility Manager is responsible for the supervision of maintenance, renovation, and/or alteration of all Agency facilities, the arrangement of space, determination of site location, the needs to ensure full enrollment, the monitoring of all facilities...
-
RN, Nurse Lead, AHSB, Cath Lab/Prep Recovery, Full Time, Days
Found in: Talent US C2 - 3 weeks ago
Bakersfield, United States Adventist Health Full timeJob Summary: Provides unit-based leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. Supervises and directs the activities of various levels of assigned nursing and ancillary personnel using both professional and supervisory discretion and independent judgment. Ensures that all patients on the unit receive cost...
-
Facilities Support Operations Specialist
6 days ago
Bakersfield, United States Kern County Superintendent Of Schools Full time**DEFINITION** Under supervision of the Director of Facilities, the Facilities Support Operations Specialist is responsible for ensuring the continued, efficient operations of facilities and resources owned or supported by the Office of the Kern County Superintendent of Schools (KCSOS). The Facilities Support Operations Specialist will assist in the...
-
Medicare MDS Coordinator
3 days ago
Bakersfield, United States Rehabilitation Center of Bakersfield Full timeRehabilitation Center of Bakersfield - Under the direction and supervision of the Director of Nursing Services, the Medicare/MDS Coordinator is responsible for notifying and coordinating the Interdisciplinary Team (IDT) for MDS assessment completion in accordance with State and Federal regulations.Medicare MDS Coordinator QUALIFICATIONS• Current licensure...
-
Dentist
3 days ago
Bakersfield, United States OMNI FAMILY HEALTH Full timeJob Summary: The Staff Dentist is primarily responsible for providing dental care for the patients of Omni Family Health. In addition the Staff Dentist may be directed to perform other duties as directed by the Chief Dental Officer within the requirements of contractual agreements and in accordance with licensing, State and Federal funding agencies and other...
-
Respiratory Care Practitioner Iii
5 days ago
Bakersfield, United States Mercy Hospital Of Bakersfield Full time**Overview** **Responsibilities** **Position Summary;** Under the direct supervision of the Respiratory Care Coordinator Respiratory Care Supervisor Director or Physician the RCP III must demonstrate in-depth knowledge in all modes of respiratory therapy from perinatal/pediatrics to adult critical care as well as other acute care areas. Must work...
-
Laboratory Supervisor Southwest Facility
2 weeks ago
Bakersfield, United States Mercy Hospital Of Bakersfield Full timeJob DescriptionOverviewAs a Lab Supervisor at Mercy Hospital Bakersfield in Bakersfield, California, you'll oversee the day-to-day management of the laboratory for our 194-bed hospital located in the heart of downtown. You will contribute to the development of annual goals, objectives and departmental budget while actively facilitating the achievement of...
-
Bakersfield, United States Adventist Health Full timeAdventist Health is seeking a Registered Nurse (RN) Cardiac Cath Lab Lead for a nursing job in Bakersfield, California.Job Description & RequirementsSpecialty: Cardiac Cath LabDiscipline: RNDuration: OngoingEmployment Type: Staff Formerly known as Bakersfield Heart Hospital since 1999, Adventist Health Specialty Bakersfield is building upon a legacy of...
-
Bakersfield, United States Adventist Health Full timeAdventist Health is seeking a Registered Nurse (RN) Cardiac Cath Lab Lead for a nursing job in Bakersfield, California.Job Description & RequirementsSpecialty: Cardiac Cath LabDiscipline: RNDuration: OngoingEmployment Type: Staff Formerly known as Bakersfield Heart Hospital since 1999, Adventist Health Specialty Bakersfield is building upon a legacy of...
-
Equipment Repair Technician
6 days ago
Bakersfield, United States BMW of Bakersfield Full timeOverview: Service all facets of an automotive service shop to include and more: - Air compressors, air tubing, electrical component troubleshooting In-ground and above ground vehicle lifts, and piping - Air pumps, regulators, and associated equipment. - Servicing bulk oil tanks - Overhead shop fans **Duties**: - Inspect, troubleshoot, and diagnose...
-
Financial Aid Advisor
2 weeks ago
Bakersfield, United States S.U.C.C.E.S.S. Full timeFinancial Aid Advisor - Bakersfield Job Details Level Undisclosed Job Location Bakersfield - Bakersfield, CA Remote Type N/A Position Type Full-Time/Part-Time Education Level High School Diploma Salary Range Undisclosed Travel Percentage Undisclosed Job Shift Day Job Category Undisclosed Description Become an Education Leader and join our team of dedicated...
-
Paraprofessional
6 days ago
Bakersfield, United States Kern County Superintendent Of Schools Full time**Required Documents**: Copy of Transcript (Copy of college transcript) **Definition**:A Paraprofessional will assist and support the teacher in the educational process. Under supervision, a paraprofessional is responsible for tutoring or other instruction, assisting in classroom management or computer technology, conducting parental involvement or...
-
Per Diem Pharmacist
3 days ago
Bakersfield, United States OMNI FAMILY HEALTH Full timeJob Summary: The Position is responsible in the operation of a facility. An individual in this Position will be expected to perfonn additional jobs related responsibilities and duties as assigned and/or as necessary Job Duties:Ensure compliance with OFH and legal policies, procedures, and regulations for assigned areas by analyzing and interpreting reports,...
