Director of Revenue Cycle Operations
1 week ago
Rendr is a leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.
Job Summary:The Director of Revenue Cycle Management will be responsible for the daily management of the revenue cycle team dedicated to billing and collections. This position will oversee all functions of the revenue cycle process, including claim submissions, payment reconciliation and posting, patient account representatives, claims rejections/denials, A/R follow up, patient statements, refunds and recoupments, revenue integrity, and external collections activities.
Key Responsibilities:- Oversee all functions of the revenue cycle process, including claim submissions, payment reconciliation and posting, patient account representatives, claims rejections/denials, A/R follow up, patient statements, refunds and recoupments, revenue integrity, and external collections activities.
- Collect, organize, analyze, and disseminate significant amounts of information from various data sources with attention to detail and accuracy, in a timely manner.
- Provide data-driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations.
- Analyze data for insights into claims management, and for special prevention and denials management projects.
- Oversee and manage payer-related issues, including identifying and trending underpayments and overpayments, and communicating with payer representatives.
- Develop and ensure implementation of policies, guidelines, and implementation procedures; and ensure goals and objectives are properly defined and clearly established.
- Conduct site visits and regular meetings with site managers to discuss their billing issues.
- Oversee mergers and acquisitions and ensure a successful transition.
- Determine and maintain appropriate staffing metrics and measurements based on business demands.
- Assess and ensure adequate staffing is available to support and manage centralized functions for existing and new business needs.
- Work closely with leaders in the areas of Operations, Finance, Human Resources, Information Systems, credentialing, and Compliance to achieve business objectives and implement organizational strategy.
- Bachelor's Degree in a healthcare or related field, with 8 years of healthcare revenue cycle experience.
- Bilingual in English and Chinese preferred.
- Demonstrated proficiency with physician billing platforms.
- Demonstrated skills in revenue cycle management, problem assessment, project management, analytical skills, and resolution and collaborative problem-solving in complex, interdisciplinary settings.
- Proficiency with Excel, including experience in formatting, formulas, pivot tables, etc.
- 5+ years of team management experience, with a track record of hiring, training, and developing, and managing a sizable team to deliver reliable and high-quality RCM work.
- Strong analytical capacity and experience tracking metrics related to coding error rates, billing turnaround, and revenue cycle analysis/reporting.
- Identification of key areas of RCM process improvement, future-facing process mapping, and project coordination.
- Ability and experience related to the creation and implementation of related policies.
- Deep experience in reviewing, designing, and implementing processes related to admissions, pricing, billing, compliance, etc., to ensure clinical revenue cycle is effective and optimized.
Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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