Director of Revenue Cycle and Reimbursement

1 week ago


Geneva, New York, United States ASHE MEMORIAL HOSPITAL Full time
Job Summary:

As a key member of the Ashe Memorial Hospital team, the Director of Revenue Cycle and Reimbursement will be responsible for maximizing reimbursement and ensuring compliance with all organizational and regulatory standards related to governmental and third-party payor requirements.

Key Responsibilities:
  • Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.
  • Onboard and train new employees and provide ongoing education to current staff.
  • Maintain systems and applications that support hospital claim processing to maintain accounts receivable inventories at acceptable levels.
  • Perform other duties and responsibilities as assigned.
Requirements:
  • 10+ years of medical billing management experience in a hospital and clinic environment.
  • 4+ years of Revenue Cycle management experience.
  • Knowledge of state and federal healthcare regulations and programs.
  • Knowledge of records management, coding, managed care, and A/R policies and processes.
  • Knowledge of billing and collections of various insurance payors.
  • Experience in ABOD will be considered.
  • Knowledge of Meditech preferred.
  • Bachelor's Degree or equivalent experience.
Essential Functions:
  • Maintain confidentiality.
  • Support the hospital and promote a positive attitude.
  • Adhere to dress code, appearance is neat and clean.
  • Wear identification while on duty.
  • Adhere to the HIPAA and privacy policies and procedures.
  • Report any violation or appearance of violation of the policies and procedures and/or laws and regulations addressed in the Compliance Plan and the hospital Code of Conduct to the Compliance Officer or to a member of Senior Leadership.


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