Director - Revenue Cycle
3 weeks ago
Description
Join our amazing team at The Steadman Clinic, and be an integral part of a cutting-edge organization that is amongst the best in the world at what they do. This is an excellent opportunity to take your health care career to the next level in a unique and highly valuable role, or kick it off with a world-class organization in an amazing facility. Vail, Colorado is one of our nation's iconic mountain destinations, and highly desirable spot to live if you love the outdoors. This position is eligible for our excellent benefit packages and perks (including a wellness benefit you can use for your ski pass), and strong work-life harmony.
Manages all aspects of the organization’s revenue capture operations including billing, coding, collections and denial management. Works in close relationship with third-party administrators, insurance companies and internal physician groups, and is central to creating comprehensive and seamless revenue cycle processes throughout the company. This is an "in office" role, and our ideal candidate will be on-site for 80% - 100% of work days. Travel to all locations is also expected as necessary.
Applications for this position will be accepted until 30 days from the posting date. If the position is not filled during this time, the application window will be extended. Candidates who are selected to move through the interviewing process will be contacted directly.
Major Job Responsibilities/Essential Functions:
Monitor reimbursement activity and provide trend reports with assessment of the trends to management
Perform detailed reviews on aged accounts including risk analysis and trending
Build strong relationships with physicians and shares RCM data with individual physicians and Finance on a regular basis
Evaluate and monitor current reimbursement policies and ensure that legislative and regulatory changes impacting medical billing are anticipated and communicated to appropriate staff and entities
Researches and resolves claim denials, pre-bill edits and pre-bill errors
Act as liaison among third-party administrator and physicians
Seek ways to add value to patients and the practice
Other related duties as assigned
Requirements
Bachelor’s degree in Accounting, Healthcare Administration or equivalent preferred
5-7 years’ experience Revenue Cycle Management and healthcare billing required
Orthopaedic billing and coding experience highly preferred
Medical coding certification preferred such as CCS
Experience using an EHR system required.
Knowledge of third-party physician specialty billing, contractual and compliance regulations, along with a demonstrated understanding of automated processes and claims submission
Considerable knowledge of medical office operations, professional fee billing, reimbursement and third-party payer regulation and medical terminology is required
Strong problem-solving skills and ability to make timely decisions in a fast-paced environment
Ability to work, plan, research and conduct projects with minimal supervision
Proven ability to interface well with leadership and physicians to engender trust and confidence
Benefits:
Health Insurance (medical, dental, vision)
Company 401k Contribution
Paid Time Off
Sick Time
FAMLI Leave
Paid Holidays
Life Insurance
Short and Long Term Disability Insurance; AD&D; Hospital Indemnity
Referral Program Incentive
Parking Available
Discretionary Bonus Program and Ski Pass Benefit
And more
We are an Equal Opportunity Employer. We are committed to equal treatment of all employees without regard to race, national origin, religion, gender, age, sexual orientation, veteran status, physical or mental disability or other basis protected by law.
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