Revenue Cycle Director

4 weeks ago

Great Falls, United States Many Rivers Whole Health Full time

Position Overview:

Oversees MRWH revenue cycle. Plans, organizes and implements activities and procedures to effectively administer revenue cycle best practices. Maintains key performance indicators, quality controls, compliance measures and performance standards to meet SMT strategic planning objectives. Job Duties: Liaise with 3rd party billing vendor. Oversee performance expectations and successful process improvements while facilitating/collaborating with 3rd party vendor for CPH billing, coding, A/R, collections, and any other contractual expectations. Train, develop, support and manage staff while supporting a team environment. Maintain/manage bonus program, adhere to HR/Company policies and procedures, evaluate and approve timecards and time off requests. Work in collaboration with department supervisors for oversight with check in and out process: education, training, dashboards, scripting, CPH software, mapping, etc. Working in collaboration with CFO and bookkeepers as it relates to revenue cycle management. Maintain monthly dashboard including KPIs, production numbers, etc., on a monthly basis. Comply with all CMS, Federal and State regulations, payor guidelines and ensure consistent and complaint coding application. Research and collaborate on regulation updates to ensure all necessary changes are incorporated into daily workflows. Develop double check process for EMR postings to bookkeeping software on a quarterly/monthly basis. Collaborate with EMR vendor for improved data mining and financial reporting tools as it relates to revenue cycle. Assist CFO on payment analysis for the various commercial payers as it relates to fee schedules, contracts, and the various plan offerings under each insurance plan. Collaborate with CFO and DO as it relates to key insurers on value-based revenue achievements as it relates to performance outcomes. Assist CFO in preparing and developing operational strategies to increase cash, reduce bad debt, and decrease patient refunds. Collaborate with credentialing department to ensure clear integration and alignment for incoming and outgoing providers occurs. Regularly provide leadership with revenue/payment data, reports, metrics, and presentations. Oversees maintenance, updates of the relevant modules, set-up, and data tables in the electronic health record systems and related billing engines. Collaborates with the scrum team to ensure billing functions are being maintained or added as necessary in the electronic health record systems. Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters. Ensures analysis and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims. Collaborates with other departments/programs to design systems, train staff, monitor and implement changes needed to ensure effective and timely revenue workflow. Resolves escalated reimbursement issues with payers. Performs other duties as assigned. Audit, compliance, A/R Management, billing, insurance follow-up, and coding experience is mandatory. Understanding of healthcare reimbursement environment including coverage, and payment necessary. Ability to interact with others effectively, both verbal and written. Strong influencing and leadership skills and the ability to collaborate in a team environment. Ability to set and meet deadlines. Proven understanding of the commercial and government payer landscape Must be proficient in the use of technology and adaptable to proprietary systems and methods. Strong organizational skillset with strong cycle time management capabilities Proficient skills in all office programs Exceptional problem solving and research capabilities with a strong analytic mindset. Forward-thinking and self-directed Minimum Qualifications: Bachelor’s degree in accounting or business related field required. Eligibility may be established on the basis of six (6) years experience in lieu of a degree. Minimum three (3) years progressive experience in health care billing field, preferably mental health services. This experience should include supervisory and/or leadership duties. Sign on bonus $4,000 Salary $77,272+ DOE 401K Matching Contributions Health Insurance Flexible Spending Account Health Savings Account Flexible Work Schedule Paid Holidays Paid Birthday Pet Insurance All Positions at Many Rivers Whole Health must pass Background Checks, Urinalysis Testing, and Motor Vehicle Record. About Us: Since 1976, we have been dedicated to 14 counties in Montana and seek to serve a variety of both individuals and groups in all settings. We define resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress — such as family and relationship problems, serious health problems, or workplace, school place and financial stressors — alongside those of chronic, severe disabling behavioral health conditions. with an integrated team of specialists and a personal approach to wellness. Today, we are focused on becoming Montana's healthcare provider of choice. We are committed to recruiting qualified employees, continually striving for advancement, and above all, working as a team to meet the health needs of clients living in our 14 counties. Our vision is to be the healthcare provider of choice for clients and employer of choice for employees and providers. We will achieve this vision by committing to a culture of integrity, safety, evidence based exceptional care, compassionate customer service, and great work environment. Our Mission:

Many Rivers Whole Health partners with people and communities to serve the whole person – body, mind, and spirit – by providing expertise in wellness, mental health, and substance use disorders, addressing prevention and treatment with a recovery-based approach. Vision:

To be a community based, highly respected organization known for excellence in mental health and addiction recovery services, offering compassionate, client-focused, professional support. Our Values:

Ambassador of Many Rivers, Own it, Individuals Matter, Create Joy, Embrace Change, Show Up. Step In. EQUAL OPPORTUNITY EMPLOYER: Many Rivers Whole Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability, or any other basis protected by applicable law.

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