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Senior Director of Revenue Cycle Management

2 months ago

Washington, United States MFA Co Full time
Job Summary

The Senior Director of Revenue Cycle is a strategic leader responsible for providing direction and oversight to the Revenue Cycle team. This role requires a strong understanding of revenue cycle management, leadership, and customer service.

Key Responsibilities
  • Provide strategic direction and oversight to the Revenue Cycle team
  • Lead and manage complex revenue cycle projects
  • Develop and implement policies, procedures, and workflows related to revenue cycle functions
  • Ensure compliance with CMS regulations, company policies, and standards for third-party payers
  • Foster a culture of excellence in customer service
  • Build trust and collaboration amongst the team
Leadership
  • Use a proactive leadership style to model and promote a culture of trust and collaboration
  • Responsible for effective identification of staffing resources, recruitment, allocation of resources, retention, recommending salary changes, and progressive discipline
  • Provide leadership and mentoring to individuals reporting directly to this position
  • Ensure performance feedback is provided and use evaluations as management tools for coaching and development
Customer Service/Continuous Improvement
  • Promote a service-oriented culture within the organization
  • Responsible for solution planning, including defining scope and planning for new solutions and applications
  • Assess and respond to current and future internal and external healthcare trends
  • Continually seek opportunities for improving the delivery and support of revenue cycle activities and programs
Revenue Cycle Management
  • Oversight for Credentialing, Claims Management, Billing, Accounts Receivable Management, Systems Analyst, and HIM functions
  • Claims Management Responsibility: thorough understanding of EDI standards for electronic claims submission, knowledge of third-party payer requirements for billing specialty services
  • Credentialing Responsibility: understand the role and responsibility for delegated credentialing status, support and adhere to NCQA standards for credentialing
  • Accounts Receivable Management: analyze the various methodologies for reimbursement and their contractual impact across the organization
Requirements
  • Bachelor's Degree in Business/Healthcare Administration
  • Minimum of 8 years' experience in a large academic group practice with emphasis on back-office functions
  • Comprehensive knowledge of claims management, HIPAA standards, CMS requirements, managed care, CPT, and HCPS coding
  • Demonstrated leadership qualities and abilities
  • Strong organizational skills with the ability to work on multiple, complex projects with high-quality results