Director of Revenue Cycle Management

3 weeks ago

Chicago, United States BRIGHT DIRECTION DENTAL LLC Full time

Job Type

Full-time

Description

Bright Direction Dental: Deeper Relationships, Superior Support, Brighter Smiles

Bright Direction Dental (BDD) proudly partners with exceptional dental practices in Illinois, Indiana, Michigan, Ohio, and Missouri. From our home office in downtown Chicago, our BDD support team has vast experience in multi-site healthcare settings and specializes in non-clinical support services such as payroll, bill payment, financial reporting, treasury management, recruiting, revenue cycle management, project management, administrative functions, marketing, and IT support.

We operate in a busy environment with dynamic dental professionals. Our teams focus on building deeper relationships and providing the highest level of care to our valued patients. We believe with great certainty that the ability to provide consistently excellent service and support is determined by the work ethic and values of the individuals that we hire.

If you are looking for a new challenge and are interested in leading the Revenue Cycle function in an emerging organization and seek a rewarding and challenging career in the Dental space, this is the perfect opportunity for you

As the leader and Revenue Cycle Management expert for the entire organization, the Director of Revenue Cycle Management is responsible for leading the strategy and execution for BDD's RCM function, and partnering with executive, finance, operations, and clinical leadership to build and manage a best-in-class RCM department.

RESPONSIBILITES

  • Work with leadership to develop the end-to-end RCM strategic plan touching on all key elements of RCM including patient scheduling as it impacts RCM; insurance verification; collections on day of service; patient payment and posting; insurance claims submissions, denials, re-submissions and insurance payment posting; patient statement distribution; collecting past due/outstanding balances; UCR review and maintenance; all other key elements of RCM.
  • Implement and rollout the RCM strategic plan.
  • Build out, grow, and manage the RCM function to support the initial and dynamic requirements of the RCM strategic plan.
  • Identify the key metrics that define RCM success and create the dashboards/reporting tools to measure them and the productivity of the RCM team.
  • Ensure compliance is always maintained with all federal, state and local regulatory agencies.
  • Manage and oversee the credentialing function for the company.
  • Create and maintain strong relationships with payors to ensure that claims are properly paid and adjudicated, and to maximize the rates available to BDD as it continues to grow.
  • Monitor critical related data for extensive analysis and report generation.
  • Prepare for and coordinate audits in compliance with existing insurance contracts.
  • Manage and supervise all current and future RCM and Credentialing employees, which includes work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution; evaluating performance and making recommendations for personnel actions; and motivating RCM employees to achieve peak productivity and performance as it relates to RCM.
  • Makes presentations to and interacts with various internal and external customers on issues pertinent to RCM.
  • Expeditiously responds to appropriate RCM requests.
  • Tracks and logs status on all assigned RCM projects.
  • Builds strong and positive relationships and communication bridges between the RCM team, practice teams, support team members, and payors.
  • Remains current with all related RCM trends, regulatory requirements, and business strategies related to dentistry.
  • Supports and executes all required RCM functions for onboarding of all new affiliations.
Requirements

REQUIRED EDUCATION AND EXPERIENCE
  • Bachelor's Degree required
  • 3+ years of RCM as the lead manager/director of the RCM department
  • Ability to process and to format and generate reports.
  • Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
  • Ability to communicate effectively, both orally and in writing.
  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Skilled in developing policy and procedure documentation.
  • Database management skills.
  • Employee development and performance management skills.
  • Knowledge of related accreditation and certification requirements.
  • Knowledge of dental RCM standards and requirements.


Bright Direction Dental is an equal opportunity employer. In accordance with anti-discrimination law, it is the purpose of this policy to abide by these principles and mandates. Bright Direction Dental prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, traits associated with race, creed, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Bright Direction Dental conforms to the spirit as well as to the letter of all applicable laws and regulations.

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