Director of Revenue Cycle Management

2 weeks ago

Chicago, United States Midwest Express Clinic Full time

Overview:
**About the Company**

Provider of urgent and primary care centers for individuals in the Midwest, focused on an affordable approach to delivering urgent and primary care services. The Company’s primary focus is to provide a quality, convenient, and affordable healthcare option, with a specific focus on a more personal approach to care.

**Job Summary**

Midwest Express Clinic is seeking a Director of Revenue Cycle Management to join its growing team. This is a newly created role. The RCM Director will be an integral part of MEC’s financial infrastructure by creating and implementing policies and best practices, and managing the RCM function to ensure that billing and collection activities are timely and accurate.

Midwest Express Clinic is seeking a results-oriented, roll-up their sleeves, individual for the Director of RCM role. This position will work with Management and Finance Team to operate and navigate a fast-paced, highly entrepreneurial, private-equity backed environment.

**Responsibilities**:

- Influence all revenue cycle processes, including developing, revising, and enforcing policies, goals, and best practices to effectively manage the company receivables
- Manage the revenue cycle activities including billing, collections, payment posting, patient financial services, and other related items
- Advising on and managing vendor relationships around RCM
- Ensure that departments, functions, and teams are operating in compliance with payer requirements and patient expectations, as well as the company’s policies and procedures
- Engage in cross-functional and interdepartmental teams involving process improvement initiatives and projects for the organization
- Oversee the performance metrics and monitor effectiveness of overall operations of RCM and Billing
- Tracks and monitors key performance indicators on a daily, weekly, and monthly basis; reports key findings to appropriate leadership and stakeholders across the organization in a timely, accurate manner
- Monitor claim denials and work with operations and clinical teams to identify and remedy issues
- Participate in integration and conversion of different EHRs from acquired companies into common EHR by business line
- Confirm systems and processes are in place to ensure compliance with payor contract requirements
- Execute plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements
- Oversee the operations of the billing teams, encompassing charge entry, claims submissions, accounts receivable follow-up, and reimbursement management
- Design reporting to assure accurate and complete data analysis
- Other duties as assigned

Qualifications:
**Personal Attributes**
- Demonstrated ability to adapt to changing circumstances and environment, strong analytical, critical thinking and organizational skills, attention to detail and ability to identify and implement process improvement capabilities
- Self-starter, starting, and completing tasks without daily direction
- Experience and desire to work in an undefined, start-up environment
- Career-motivated professional who is self-confident, energetic and possess a strong work ethic

**Special Proficiencies**
- Ability to support growth and rapid integration in an acquisition environment
- Strong understanding of insurance claim filing requirements and regulations for Primary Care
- Expert in charge posting, claim processing, and payment collections
- Ability to collect and analyze data and metrics
- Effective at evaluating and streamlining processes to drive improved efficacy and efficiency

**Education and Experience**
- Bachelor’s degree, preferably in Accounting/Finance, Operations, or Healthcare Administration
- 10+ years of experience in finance and/or operations with 5+ years in an RCM leadership role within a healthcare system
- Experience in high growth, entrepreneurial companies
- Experience with EHR/PM systems

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