Director of Revenue Cycle

The Revenue Cycle Director provides operational leadership and oversight of all aspects of revenue cycle management. The role requires strong strategic leadership to coordinate all revenue cycle activities with the goal of optimizing all processes from client scheduling to final collection of accounts receivable balances. Performs regular reviews of processes, procedures, and key performance indicators to drive continuous improvement. Display excellent judgement, initiative, and abilities to ensure that clinic operations are successful. Utilize leadership skills to foster positive client experience and positive staff engagement.

QUALIFICATION REQUIREMENTS

Bachelor's degree in business or related field is preferred. Five years' supervisory experience in Revenue Cycle Management with excellent interpersonal, communication and organizational skills required. Experience with successful management of a medical office, insurance verification, accounts receivable, provider enrollment, and medical records.

Valid driver's license and vehicle required.

Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen.

SKILLS AND KNOWLEDGE REQUIRED

Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca's Code of Conduct & Ethical Practices. Demonstrated knowledge of computer skills and ability to use personal computer applications including Microsoft Outlook, Excel and Word required. Problem-solving skills and excellent customer service skills required.

ESSENTIAL FUNCTIONS

1. Responsible for overall supervision of administration and billing, including recruitment, orientation and training, and performance evaluation.
2. Develop departmental policies and procedures.
3. Implement processes and procedures to ensure efficiency and accuracy; provide directives and training to ensure compliance.
4. Establish performance goals, metrics, guidelines, and standards to evaluate efficiency and effectiveness; identify opportunities for improvement.
5. Assess and evaluate the needs of administration and billing to ensure operations run smoothly, efficiently and maximize staff performance and productivity.
6. Monitor key performance indicators, such as days in A/R, clean claims rates, collection rates, denial rates, and ensure targets are met.
7. Develop and present regular report to leadership regarding detailing performance and identifying areas for improvement.
8. Manage relationships with third-party vendors
9. Perform EHR updates and maintenance to ensure accuracy across administrative operations.
10. Monitor operations for compliance with safety procedures; ensure clean/safe environment; free of discrimination and harassment.
11. Maintain knowledge of all policies and procedures, program manuals and laws/regulations; monitor operations and staff for compliance.
12. Ensure staff follow Seneca Code of Conduct & Ethical Practices.
13. Ensure security and appropriate use of cash collections, company credit card and petty cash and report per Seneca guidelines.
14. Secure information and protect operations by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca policies and keeping client and corporate information confidential.
15. Maintain professional knowledge by participating in development opportunities.
16. Other duties as assigned by supervisor.

Minimum Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee is occasionally required to stand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision and distance vision.

This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.

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