Revenue Cycle Management Director
7 days ago
The Director of Revenue Cycle Management will lead the operational, financial, and personnel activities for Revenue Cycle, including provider enrollment, claims, payments, credit balance, insurance reimbursement, and self-pay management.
Key Responsibilities- Ensure all teams are trained and compliant with standards and best practices.
- Develop and implement systems, policies, procedures, and productivity standards.
- Oversee billing processes, ensuring accurate coding, submission, and follow-up on claims to maximize reimbursement.
- Manage the collections process, working to minimize accounts receivable and resolve billing discrepancies.
- Provide leadership and guidance to the team, ensuring the achievement of goals and objectives while fostering a positive and collaborative work environment.
- Conduct regular performance evaluations, provide feedback, and address performance issues.
- Oversee the planning, execution, and completion of projects and initiatives within the team.
- Establish and monitor operational processes and workflows to streamline to enhance efficiency and productivity.
- Strong analytical skills, with the ability to translate complex data into clear action and communicate it to junior and senior levels of the organization.
- Advanced Excel skills preferred.
- Strong written and oral communication skills.
- Detailed-oriented, organized, and takes pride in the quality of their work.
- Strong problem-solving skills and ability to make timely decisions.
- Preferred 8+ years experience in managing healthcare provider revenue cycle management; behavioral health and/or telemedicine billing and coding experience and or certifications are a plus.
- Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required.
- Experience in creating rules around claims, credentialing and insurance for EMR.
- Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations.
- Experience with EMRs, including creating rules around claims, credentialing and insurance for EMR.
- Experience with SmartCare a plus.
- Experience with and strong knowledge of insurance landscape (experience with mental health billing is a plus).
Josselyn is seeking a highly skilled and experienced Revenue Cycle Management Director to lead our team. If you have a passion for healthcare revenue operations and a proven track record of success, we encourage you to apply.
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