Director of Revenue Cycle Operations
4 days ago
The Director of Revenue Cycle is a key leadership position responsible for overseeing and optimizing the entire revenue cycle process at Transition Home Healthcare. This role involves managing billing, collections, coding, and financial operations to ensure timely and accurate reimbursement for services provided.
Key Responsibilities- Oversee the daily operations of the revenue cycle process, including patient intake, coding, billing, collections, accounts payable, and accounts receivable.
- Develop and implement strategies to optimize revenue and reduce days in accounts receivable.
- Ensure agency adherence to federal, state, and local regulations related to home health care billing and reimbursement.
- Stay current with industry changes and updates to maintain compliance and avoid penalties.
- Advises senior management of issues that may affect billing, reimbursement, cash flow, etc.
- Partners with the team to resolve identified issues.
- Implements budgeting and accounting systems to oversee fiscal affairs of the agency.
- Prepares reports to analyze billing and AR.
- Manages month-end closing reports, as well as annual operations reporting and agency evaluation.
- Lead and mentor a team of revenue cycle professionals, including billing specialists, coders, and collections staff.
- Provide training and support to ensure team members are well-versed in procedures and compliance requirements.
- Identify opportunities for process improvements and establishes and implements benchmarks to develop strategies for improvement.
- Leverage technology and automation to streamline operations.
- Work with patients, healthcare providers, and insurance companies to resolve billing issues and address inquiries.
- Ensure clear communication and provide excellent customer service.
- Collaborate with other departments to ensure seamless integration of revenue cycle processes and support overall organizational goals.
- Bachelor's degree or minimum of 5 years of experience in healthcare billing/AR.
- Minimum 5 years of experience in home healthcare management preferred.
- Minimum 2 years of experience managing revenue cycle, billing, and accounts receivable departments.
- Proficient level experience in Homecare Homebase (HCHB).
- Strong fiscal management experience in Medicare home healthcare (preferably at the multi-site level).
- In-depth knowledge of different billing methodologies, including PDGM revenue cycle, fee for service, Review Choice Demonstration/PCR, and knowledge of ICD-10-CM, CPT, and HCPCS classification systems.
- Strong working knowledge of revenue cycle management systems and ability to manage multiple revenue cycle management systems for the agency.
- In-depth knowledge of home health care billing and reimbursement practices.
- Proficient level experience in Microsoft Office (Word, Excel, PowerPoint, Outlook).
- Strong organizational, analytical, and problem-solving skills.
- Excellent leadership and team management abilities.
- Exceptional communication and people skills.
- Competitive Pay
- Generous Paid Time Off (PTO) and Holidays
- Medical
- Dental
- Vision
- Company-paid life insurance & LTD/AD&D insurance
- Short-Term Disability
- Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More)
- 401(k) company match
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
-
Revenue Cycle Director
4 weeks ago
Houston, Texas, United States Transition Home Healthcare Full timeJob Summary:The Director of Revenue Cycle is a key leadership position responsible for overseeing and optimizing the entire revenue cycle process at Transition Home Healthcare. This role involves managing billing, collections, coding, and financial operations to ensure timely and accurate reimbursement for services provided.Key Responsibilities:Revenue Cycle...
-
Revenue Cycle Management Director
2 weeks ago
Houston, Texas, United States Memorial Hermann Health System Full timeJob SummaryThe Revenue Cycle Management Manager will be responsible for leading the development and implementation of assigned projects, taking them from concept to final implementation. This includes defining project scope and objectives, developing detailed work plans, schedules, project estimates, resource plans, and status reports.This role will work...
-
Revenue Cycle Management Director
2 weeks ago
Houston, Texas, United States Memorial Hermann Health System Full timeJob SummaryThe Revenue Cycle Management Manager will be responsible for leading the development and implementation of assigned projects, taking them from concept to completion. This includes defining project scope and objectives, developing detailed work plans, schedules, project estimates, resource plans, and status reports. The successful candidate will...
-
Houston, Texas, United States Inception Fertility Corporate Services Full timeJob DescriptionJob Summary:Inception Fertility Corporate Services is seeking a highly experienced Senior Vice President of Revenue Cycle Operations to lead our revenue cycle functions across the US and Canada. The ideal candidate will have a proven track record of managing revenue cycle activities to ensure cost effectiveness, organizational efficiency, and...
-
Revenue Cycle Specialist
5 days ago
Houston, Texas, United States Plaza OBGYN Full timeRevenue Cycle Specialist Job DescriptionPlaza OBGYN Assoc. is seeking a skilled Revenue Cycle Specialist to join our team. The ideal candidate will have experience in OBGYN coding and a strong understanding of the revenue cycle process.Key Responsibilities:Manage the accounts receivable (A/R) and perform necessary follow-ups and appeals.Coding, billing, and...
-
Senior Revenue Cycle Improvement Consultant
2 weeks ago
Houston, Texas, United States Pailin Group Psc Full timeJob Title: Senior Revenue Cycle Improvement ConsultantThe Pailin Group Psc is seeking a highly skilled Senior Revenue Cycle Improvement Consultant to join our team. As a key member of our revenue cycle team, you will be responsible for identifying, planning, leading, and implementing revenue cycle re-engineering solutions.Key Responsibilities:Lead revenue...
-
Revenue Cycle Specialist II
2 weeks ago
Houston, Texas, United States Senior PsychCare Full timeJob Title: Revenue Cycle Specialist IIJob Summary:Senior PsychCare is seeking a highly skilled Revenue Cycle Specialist II to join our Billing Team in Houston. As a key member of our team, you will be responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence.Key...
-
Revenue Cycle Project Specialist
3 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Description**About Privia Health LLC**Privia Health LLC is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.**Job...
-
Revenue Cycle Manager, Denials and Collections
3 weeks ago
Houston, Texas, United States Baxter Full timeAbout This RoleBaxter is a leading healthcare company that is deeply connected by its mission to save and sustain lives. As a Revenue Cycle Manager, Denials and Collections, you will play a critical role in leading and overseeing the strategic direction, operations, and performance of the Reimbursement Services team.Key ResponsibilitiesLead the RCM...
-
Revenue Cycle Specialist II
1 week ago
Houston, Texas, United States Senior PsychCare Full timeJob SummarySenior PsychCare is seeking a skilled Revenue Cycle Specialist II to support our Billing Team in Houston. As a key member of our team, you will be responsible for processing follow-up actions on claims denied for eligibility-related reasons and responding to health plan correspondence.Key ResponsibilitiesManage and maintain a workload of...
-
Revenue Cycle Collections Professional
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeJob SummaryPremier Medical Resources is a leading healthcare management company dedicated to delivering exceptional medical services. We are seeking a highly skilled Medical Accounts Recovery Specialist to join our team.The ideal candidate will possess a strong background in medical collection and revenue cycle management. As a Revenue Cycle Collections...
-
Revenue Cycle Manager, Denials and Collections
3 weeks ago
Houston, Texas, United States Baxter Full timeAbout the RoleBaxter is a leading innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.Key ResponsibilitiesLead the RCM Collection & Denials team across all of Bardy Cardiology to align with the Revenue Cycle Management...
-
Revenue Cycle Specialist
2 days ago
Houston, Texas, United States West Oaks Hospital Full timeJob SummaryWest Oaks Hospital is seeking a skilled Patient Accounts Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for collecting payments due from insurance companies.Key Responsibilities:Establish and maintain effective communication with insurance companies to ensure timely payment of claims.Document all...
-
Houston, Texas, United States Baxter Full timeAbout This RoleBaxter is a leading innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.Your Key ResponsibilitiesLead the RCM Collection & Denials team across all of Bardy Cardiology to align with the Revenue Cycle...
-
Medical Claims Project Specialist
4 weeks ago
Houston, Texas, United States Privia Health Full timeJob DescriptionCompany OverviewPrivia Health is a leading technology-driven company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings.The Privia Platform is a scalable operations and...
-
Revenue Management Director
1 week ago
Houston, Texas, United States ALH Corporate Full timeJob Title: Director of Revenue ManagementAt ALH Corporate, we are seeking a highly skilled and experienced Director of Revenue Management to join our team. As a key member of our revenue optimization team, you will play a critical role in driving revenue growth and maximizing RevPAR across our portfolio of 10+ locations.Key Responsibilities:Develop and...
-
Houston, Texas, United States Sherloq Solutions Full timeMedical Billing Specialist, Insurance Revenue CycleSherloq Revenue Solutions is seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for resolving healthcare claims, verifying patient and insurance information, and analyzing payer denials.Key Responsibilities:Resolve...
-
Revenue Management Director
4 days ago
Houston, Texas, United States ALH Corporate Full timeJob Title: Director of Revenue ManagementALH Corporate is seeking a highly skilled and experienced Director of Revenue Management to join our team. As a key member of our revenue optimization team, you will be responsible for maximizing revenue across our portfolio of 10+ locations.Main Responsibilities:Provide strategic guidance to Revenue Analyst/Manager...
-
Revenue Management Director
2 weeks ago
Houston, Texas, United States ALH Corporate Full timeJob Title: Director of Revenue ManagementALH Corporate is seeking a highly skilled Director of Revenue Management to join our team. As a key member of our revenue optimization team, you will be responsible for maximizing revenue and optimizing ancillary revenue across our portfolio of 10+ locations.Key Responsibilities:Provide guidance to Revenue...
-
Houston, Texas, United States Sherloq Solutions Full timeJob SummarySherloq Solutions is seeking a highly skilled Medical Billing Specialist, Insurance Revenue Cycle to join our team. As a key member of our revenue cycle team, you will be responsible for resolving healthcare claims through verbal or online inquiries to health insurance payers.Key ResponsibilitiesEffectively navigate and utilize various healthcare...
