Director of Revenue Cycle Management
4 days ago
Job Summary:
The Steadman Clinic is seeking a highly skilled and experienced Director of Revenue Cycle to join our team. As a key member of our leadership team, you will be responsible for managing all aspects of our revenue capture operations, including billing, coding, collections, and denial management.
Key Responsibilities:
- Monitor reimbursement activity and provide trend reports to management
- Perform detailed reviews of aged accounts, including risk analysis and trending
- Build strong relationships with physicians and share 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
- Research and resolve claim denials, pre-bill edits, and pre-bill errors
- Act as liaison among third-party administrators 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 in 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
Equal Opportunity Employer:
The Steadman Clinic is 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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