Sr. Director, Revenue Cycle

3 weeks ago


Portland, United States CareerBuilder Full time

The Staff Pad has partnered with the largest community-based behavioral health and substance use treatment services organization in the state of Oregon. Our client is a Certified Community Behavioral Health Center seeking a

Sr. Director of Revenue Cycle

to join their organization.

The Sr. Director, Revenue Cycles responsibilities are managing the operations of the billing department. Key focus areas are planning and directing patient insurance documentation, coding, billing, and data processing to ensure accurate billing and efficient account collection. Additional areas of responsibility include credentialing and payer contract management. Duties also include leadership and oversight of the revenue cycle workforce. Ultimately, a top-performing Sr. Director, Revenue Cycle should seek ways to improve the functioning of the Revenue Cycle Department.

Essential Duties
Lead the Revenue Cycle Department
Optimize the structure of departments workflow and staffing.
Responsible for account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
Efficiently manage patient complaints in respect of billing and collections.
Review and approve financial or medical hardship discounts / write-offs.
Develop policies and procedures across the department
Ensure Effective Accounts Receivables (A/R) Performance
Ensure claims are submitted quickly, accurately and in a timely manner.
Ensure patients understand statements and pay outstanding balances.
Monitor A/R performance and monitor aging or uncollected balances.
Audit current procedures to monitor and improve efficiency of billing operations.
Oversee the coding and denial management processes
Contract Management
Oversee the negotiation, creation, and management of contracts within the healthcare industry.
Ensure compliance with laws and regulations governing healthcare contracts.
Review and analyze contract terms and conditions.
Collaborate with internal departments to ensure contract terms meet organizational needs.
Monitor contract performance and compliance.
Keep abreast of changes in the healthcare industry that may impact on contracts.
Credentialing Oversight
Ensure compliance with regulatory and accreditation standards related to provider credentialing.
Collaborate with internal departments, such as People and Culture, to ensure provider credentialing requirements are met.
Manage staff performance
Provide regular feedback, performance reviews, and one-on-one meetings.
Oversee the hiring and training of staff.
Ensure Compliance to Applicable Rules and Regulations
Routinely monitor billing compliance by reviewing documentation, coding, and billing. This includes working with Information Technology (IT) and the providers to improve accurate charge capture when CID-10-CM and CPT/HCPCS codes are updated.
Work with the organizations HIPAA Privacy/Security Officer to ensure new hire and annual training is conducted with your entire department workforce.
Perform other job-related duties as assigned

Qualifications
Education:
Bachelors degree in finance, Business Administration, Healthcare Administration, or related field and certification in revenue cycle management specifically.
Experience:
Ten (10) years healthcare revenue cycle experience.
Proven leadership and customer service skills are also required for this position.
Experience with EPIC Electronic Health Record (EHR) system preferred.
Specialized Knowledge, Skills, and Abilities:
Sound knowledge of health insurance programs and contracts
Possess in-depth knowledge and understanding of Medicare, Medicaid, and Managed Care regulations.
Proficiency in Excel including but not limited to Pivot Tables and Lookup functions
Ability to adapt to changing technology
Ability to read, interpret, research, explain and apply laws, rules, regulations, policies, and procedures related to program business
Ability to prepare complex reports

#J-18808-Ljbffr



  • Portland, United States Cascadia Behavioral Healthcare Full time

    This position is located at our Lloyd Corporate Plaza building in NE Portland, Kerns area. The schedule for this position is Monday through Friday, business hours. Job Overview The Sr. Director, Revenue Cycle's responsibilities are managing the operations of the billing department. Key focus areas are planning and directing patient insurance documentation,...


  • Portland, United States Cascadia Behavioral Healthcare Full time

    This position is located at our Lloyd Corporate Plaza building in NE Portland, Kerns area. The schedule for this position is Monday through Friday, business hours. Job Overview The Sr. Director, Revenue Cycle's responsibilities are managing the operations of the billing department. Key focus areas are planning and directing patient insurance documentation,...


  • Portland, OR, United States The Staff Pad Full time

    The Staff Pad has partnered with the largest community-based behavioral health and substance use treatment services organization in the state of Oregon. Our client is a Certified Community Behavioral Health Center seeking a Sr. Director of Revenue Cycle to join their organization. The Sr. Director, Revenue Cycle’s responsibilities are managing the...


  • Portland, United States Boly:Welch Full time

    Job Number: 15199 Salary: $90K-$120K + bonus DOE Industry: Healthcare What Matters Most 7+ years of experience in healthcare or third-party payer plans 5+ years of progressive management in a healthcare setting Expert knowledge of revenue cycle management and Medicare/Medicaid billing Degree in Accounting, Finance, Business Admin or Healthcare preferred...

  • Director, Revenue

    7 days ago


    Portland, United States Powin Full time

    We're Building the Future!  Ever want to do hard work that will make a REAL difference in the world? Do you want to solve some of the most difficult problems with a team of exceptional players at a company that does not believe in impossible? About Powin: Powin Energy is a leading producer of utility scale modular battery energy storage system (complete...


  • Portland, United States Providence Health & Service Full time

    The Regional Director of Finance - Operations is responsible for overseeing the finance support functions that sustain the various ministries and organizations within a region. These include oversight of productivity and benchmarking, costing, analyt Director, Finance, Revenue, Office, Integrity, Financial Planning, Healthcare, Business Services

  • Sr. Manager

    3 weeks ago


    Portland, United States LaCrosse Footwear Full time

    The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. PRIMARY RESPONSIBILITY: As Sr Manager, Performance Marketing, you will lead the digital and direct-to-consumer...

  • Sr. Manager

    2 weeks ago


    Portland, United States LaCrosse Footwear Full time

    Job DescriptionJob DescriptionThe following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.PRIMARY RESPONSIBILITY:As Sr Manager, Performance Marketing, you will lead the digital...


  • Portland, United States Twist Bioscience Full time

    The Sr Manager, Accounting ensures the timely and accurate delivery of accounting transactions (Journal entries, General Ledger, Accounts Receivables, Accounts Payable, Inventory, Revenue Reconciliation, Cash Flows, etc.) and financial statements in compliance with US GAAP policies and procedures. In addition, you will be heavily involved in the design and...


  • Portland, United States SEMpdx Full time

    JOB PURPOSE The Associate Director of Marketing and Guest Services is a key leader for Theatre Under The Stars marketing department, with a focus on tactical operations and the ability to help build the infrastructure for a stronger audience development function. The Associate Director will help lead the tactical approach to all marketing, communications,...


  • Portland, United States Soft source inc Full time

    Job DescriptionJob DescriptionPosition Title: SAP Sr. Functional ConsultantMUST HAVE:Hands on experience with SAP SCM-SPP (Service Parts Planning)Professional experience with SAP PP (Production Planning)Job FunctionFulfill SAP SPP and SAP PP functional consultant role for Aftermarket projects and/or backfill support analyst role.Identify and analyze business...

  • Sr Mgr Sales

    6 days ago


    Portland, United States Sage Hospitality Group, LLC Full time

    Meets and exceeds revenue goals by developing new accounts and growing current hotel accounts in a profitable and win-win selling approach. Responsibilities Direct Sales:Targets results-oriented high revenue potential sales calls to ensure a successf Sales, Management, Hotel, Customer Service, Business, Revenue

  • Director of Finance

    1 week ago


    Portland, United States Pyramid Global Hospitality Full time

    Are you an experienced finance professional seeking a dynamic leadership role in the vibrant hospitality industry? Look no further! We are currently seeking a highly qualified Complex Director of Finance to join our team at the Sentinel Hotel & Dossier Hotel located in downtown Portland, Oregon. As the Complex Director of Finance, you will play a pivotal...

  • Director of Finance

    3 weeks ago


    Portland, United States Pyramid Global Hospitality Full time

    Are you an experienced finance professional seeking a dynamic leadership role in the vibrant hospitality industry? Look no further! We are currently seeking a highly qualified Complex Director of Finance to join our team at the Sentinel Hotel & Dossier Hotel located in downtown Portland, Oregon. As the Complex Director of Finance, you will play a pivotal...

  • Director of Finance

    20 hours ago


    Portland, United States Pyramid Global Hospitality Full time

    Are you an experienced finance professional seeking a dynamic leadership role in the vibrant hospitality industry? Look no further! We are currently seeking a highly qualified Complex Director of Finance to join our team at the Sentinel Hotel & Dossier Hotel located in downtown Portland, Oregon. As the Complex Director of Finance, you will play a pivotal...

  • Director of Finance

    3 weeks ago


    Portland, United States Pyramid Global Hospitality Full time

    Are you an experienced finance professional seeking a dynamic leadership role in the vibrant hospitality industry? Look no further! We are currently seeking a highly qualified Complex Director of Finance to join our team at the Sentinel Hotel & Dossier Hotel located in downtown Portland, Oregon. As the Complex Director of Finance, you will play a pivotal...

  • Director of Marketing

    2 weeks ago


    Portland, United States cPort Credit Union Full time

    cPort Credit Union is currently seeking a proven dynamic team player for the Director of Marketing position. The Director Marketing of reports to the COO/CFO, and manages the Marketing Coordinator and Marketing Assistant, who collectively make up an efficient and effective department. cPort’s vision is to deliver the best financial experience to our...


  • Portland, United States Providence Full time

    One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC's objective is to ensure our core strategy, One Ministry Committed to Excellence, is...


  • Portland, United States inTulsa Full time

    InTulsa is partnering with Next Gen Tax to find candidates for this exciting role in Tulsa* Location: Tulsa, OK. This is a hybrid position for those already in Tulsa, OK or willing to relocate to Tulsa, OK** At NextGen, your “small’ business is a BIG deal. It’s passion. It's income. It's legacy. Our team of CPAs, MBAs, and attorneys is the best and...


  • Portland, United States Federal Reserve System Full time

    Company Federal Reserve Bank of San FranciscoWe are the Federal Reserve Bank of San Francisco—public servants with a mission to advance the nation’s monetary, financial, and payment systems to build a stronger economy for all Americans. We are a community-engaged bank, and are committed to understanding and serving the vibrant, expansive...