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Director of Revenue Cycle Management | Full-Time

3 months ago

Mineola, United States The Ladders Full time
Nao Medical is a tech-enabled multi-specialty practice operating across multiple locations in New York. With a focus on delivering quality and comprehensive patient care, we offer a range of services including in-person visits, virtual appointments, and home visits. Our core values of respect, clarity, and thoughtfulness form the foundation of our patient-centered approach.

Job Summary

Join our team as a Director of Revenue Cycle Management who will be responsible for overseeing key performance indicators (KPIs) in billing, compliance, CCM and value-based programs, UCA accreditation, insurance contracts and credentialing, eClinicalWorks updates, and administrative duties. The role involves ensuring compliance, implementing value-based programs, driving profitability, managing accreditation, overseeing insurance contracts, and demonstrating leadership competencies.

Roles & Responsibilities
  • Billing and Coding (This will account for 45% of your performance). KPIs are Insurance Eligibility and Chart audits; Patient account receivables; denial management; Scribe oversight and training
  • Compliance (This will account for 10% of your performance). KPIs are: 100% of charts meet coding guidelines; 80% of charts are completed within 72 hours; Compliance Plan updated annually.
  • CCM, PCM, and Other Value-Based Programs (This will account for 20% of your performance). KPIs are CCM enrollment and CCM billing. Attaining annual MIPS measures for all providers; Quarterly implementing 1 value-based program into the practice.
  • UCA Accreditation (This will account for 5% of your performance). KPIs are: All Logs are stored electronically and complete for any spot checks; Standards are met at all our clinics as determined by quarterly spot checks.; Attainment of accreditation every 3 years and include all new locations in the accreditation.
  • Insurance contracts and Credentialing :(This will account for 10% of your performance). A clear understanding of Payor and plan participation, decreasing denials based on contractual issues.
  • E-Clinical Works Update: Updating billing codes on EMR if there are any price changes and updating the self-pay price list and fee schedules.
  • Administrator on duty (AOD): Being available to answer phone calls from staff.
  • Meeting and exceeding customer expectations.
Skills and Qualifications
  • Minimum: Bachelor's degree in Healthcare Administration, Public Health, Social Work, Business Administration, Economics, Industrial Engineering, or related field
  • Preferred: Master's degree in Healthcare Administration, Public Health, Social Work, Business Administration, Economics, Industrial Engineering, or related field.
  • Five (5) years of relevant experience in the management of population health-related programs such as health system management.
  • Proficient knowledge of HIPAA regulations, medical terminology, and basic clinical procedures.
  • Bilingual skills (Spanish and English) are preferred but not required
  • Experience in using electronic medical records like ECW.
  • Knowledge of health systems operations, health policy, and/or health care contracting
  • Knowledge of population health programs and concepts
  • Expert team management and facilitation skills
  • Advanced written and verbal communication skills
  • A high degree of professionalism and competency in dealing with a variety of individuals
  • Demonstrated ability to lead diverse teams to achieve outcomes as well as form and maintain collaborative relationships
  • Ability to independently organize and prioritize work
  • Skilled in conflict management
  • Ability to identify data needed for both assessment and decision-making purposes
  • Ability to deploy appropriate data sources, analysis methods, and effective communication of analytical results
  • Demonstrated ability to develop, implement, and evaluate population health programs
  • Demonstrated project and portfolio management skills
  • Must be willing to travel for meetings
  • Creates an environment that encourages diverse opinions, recognizes differences, and incorporates them into processes and services.
  • Articulates and presents data, information, and ideas in a clear and concise manner
Benefits:
  • Medical, Dental, Vision, Basic Life, and Short-Term Disability Insurance options for you and your dependents
  • Paid Family and Disability Leave*
  • FMLA*
  • 401K Retirement Plan*
  • Paid Time Off (PTO)
  • Free care for you and discounted care for your family at all Nao Medical locations
  • Nurturing a passion for promoting a healthier community and opportunities for leadership and career growth
  • Hybrid set-up (combination of office and work-from-home)


At Nao Medical, we take pride in our innovative solutions. We have developed our own app, which allows patients to book appointments, view their test results, and stay connected with their healthcare providers. By leveraging technology, we strive to ensure that each patient receives personalized attention and achieves the best possible outcomes.

Nao Medical is an equal-opportunity employer, celebrates diversity, and is committed to building an inclusive environment for all employees and patients.

Send in your application "NAO" and join us in our mission to revive a human-centered approach to healthcare.