Corporate Director of Revenue Cycle Management

3 weeks ago


Warminster, United States CareerBuilder Full time

Position Summary:

The Corporate Director of Revenue Cycle Management is responsible for making a compelling difference in the lives of our residents through providing excellence and innovation in aging services. This role will provide leadership and oversight of all aspects of the revenue cycle process at WEL. The role will collaborate with all revenue cycle stakeholders to ensure effective revenue cycle management. Will also be a proactive and responsive leader, overseeing the systems of a rapidly changing business environment. This role will establish high performance standards in three key areas: Exceptional revenue cycle, Cash collection outcomes, and Continuous process improvement. This role is key to the continues success of the organization. Your contributions and partnership will make a tremendous difference in the Billing Department and the entire organization

Essential Duties and Responsibilities:

Billing & Accounts Receivable Management

Partners with the corporate office and communities around all aspects of the revenue cycle.
Tracks and monitors key revenue cycle performance indicators and reports key findings to appropriate leadership and stakeholders across the organization.
Monitors and reports on accounts receivable monthly to management; analyzing trends in aged balances across communities, residents, and payers compared to trends in the industry.
Meets established revenue cycle performance measures and cash collection targets including net days in AR, AR write-offs, cost to collect, cash collections and denial resolution.
Manages the submission of insurance claims for services provided to residents including Medicare, Medicaid, and private insurance claims. This involves staying updated on reimbursement policies and procedures for various payouts.
Responsible for establishing, maintaining, communicating, training, and optimizing the organizations billing and collections policies and processes.

Financial Operations
Oversees the business office coordinators within the communities that have responsibility for all interaction with residents on financial issues including: direct collection of private pay balances; manages collection activities and interfaces with external 3rd party collection efforts, conducts organizations benevolent care program; manages and coordinates and drives all aspects of the Medicaid application process for residents and interacts with the respective County Assistance Offices to secure timely approvals.

Leadership
Delivers feedback to staff related to departmental vision and development opportunities; responsible for individual performance feedback.
Makes informed hiring decisions, ensures candidates are an appropriate fit for the department from a technical, strategic, and cultural standpoint.
Coaches, models, and advocates all WEL initiatives.
Documents individual performance metrics, behaviors, discipline, and performance ratings and delivers feedback in an appropriate, courteous, and professional manner.

Education:
Bachelor's degree in accounting, Finance, or Business/Healthcare Management with an MBA preferred.

Licensure/Certification :
None

Language Skills:
Oral comprehension/expression: Ability to listen to and understand information and ideas presented through spoken word and sentences, and the ability to communicate information and ideas in speaking so others will understand.

Working Environment:
Retirement community providing services to senior adults in independent, personal care and skilled nursing settings.
Community is a 24/7 operation, which may require availability for all shifts including weekends.

EEO

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