Executive Director of Revenue Cycle

1 month ago

Detroit, United States Central City Health Full time
Pay: From $105k Annually

GENERAL DESCRIPTION
The Executive Director of Revenue Cycle provides overall strategic, operational oversight of revenue cycle management. This includes driving revenue growth and aligning all revenue-generating departments within an organization. This Executive Director of Revenue Cycle plays a crucial role in developing, implementing, and optimizing strategies to achieve the company's financial objectives.

RESPONSIBILITIES
  • Oversees all revenue cycle management operations including billing, enrollment, payor credentialing, enrollment and other related activities.
  • Partners with various CCH departments, to collectively work towards enhancing revenue generation.
  • Monitors and analyzes market trends and competition to identify opportunities and threats for the business.
  • Establishes annual revenue targets and develops budgets and forecasts to help the company achieve its financial goals.
  • Serves as a resource for Leaders, clinical staff, and administration to obtain information and clarification on accurate ethical billing standards, guidelines and regulatory requirements. 
  • Develops and monitors metrics to ensure coding and billing functions are performed efficiently as well as with a high degree of compliance.
  • Ensures department initiatives and outcomes are aligned with CCH’s strategic plan, mission, vision and values.
  • Develops and maintains collaborative relationships with CMS, health plans, other business partners and regulatory agencies.
  • Ensures timely completion of required reports, reviews and audits as required by all stakeholders.
  • Develops and utilizes key performance indicators (KPIs) to measure the effectiveness of revenue-generating strategies and initiatives.
  • Establishes data-driven processes for evaluating the success of initiatives and suggests improvements when necessary.
  • Provides coaching, mentoring and supervision of staff; ensures high standards of performance by proactively addressing issues through coaching and disciplinary action.
  • Keeps abreast of current trends and updates and participates in meetings/conferences and continuing education and demonstrates a genuine desire to develop strategies for improved revenue cycle operations.
  • Ensures all actions, job performance, personal conduct and communications represent the organization in a highly professional manner.
  • Manages issues occurring during and outside of regular business hours.
  • Performs all other duties as assigned.

 EDUCATION AND EXPERIENCE
  • Bachelor’s degree required. 
  • Minimum of seven (7) years of experience in revenue cycle management, enrollment, billing, payment processing, required.
  •  Minimum of five (5) years of recent leadership or progressive supervisory experience required.
  •  Superior Knowledge of CMS, Payor credentialing and revenue cycle functions.
  • Considerable knowledge of medical office operations, professional fee billing, reimbursement and third-party payer regulations and medical terminology is required.
  •  Knowledge of ICD-10 Codes, CPT Codes, HCPCS Codes, Revenue Codes, and Place of Service Codes.
  •  Experience working in Behavioral Health, Primary Care and Dental EHR system(s) highly preferred.
  • Intermediate level experience working in Microsoft Excel highly preferred.
  • Prior experience with Federally Qualified Health Centers (FQHC), HRSA and public/community health agencies highly preferred.






About Central City Health:

Central City Health will be recognized in the community as a premier provider of accessible comprehensive behavioral and physical health care, substance abuse services, and housing opportunities that lead consumers toward self-sustainability. Our mission is to achieve wellness in the community by providing an array of primary and behavioral health care, housing and substance abuse services with dignity and respect.Vision

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