Revenue Cycle Management Leader

3 weeks ago

Summersville, West Virginia, United States Seneca Health Services, Inc. Full time

Job Summary

The Revenue Cycle Director is responsible for providing operational leadership and oversight of all aspects of revenue cycle management at Seneca Health Services, Inc. This role requires strong strategic leadership to coordinate all revenue cycle activities with the goal of optimizing all processes from client scheduling to final collection of accounts receivable balances.

Key Responsibilities

  1. Responsible for overall supervision of administration and billing, including recruitment, orientation and training, and performance evaluation.
  2. Develop departmental policies and procedures.
  3. Implement processes and procedures to ensure efficiency and accuracy; provide directives and training to ensure compliance.
  4. Establish performance goals, metrics, guidelines, and standards to evaluate efficiency and effectiveness; identify opportunities for improvement.
  5. Assess and evaluate the needs of administration and billing to ensure operations run smoothly, efficiently and maximize staff performance and productivity.
  6. Monitor key performance indicators, such as days in A/R, clean claims rates, collection rates, denial rates, and ensure targets are met.
  7. Develop and present regular reports to leadership regarding detailing performance and identifying areas for improvement.
  8. Manage relationships with third-party vendors.
  9. Perform EHR updates and maintenance to ensure accuracy across administrative operations.
  10. Monitor operations for compliance with safety procedures; ensure clean/safe environment; free of discrimination and harassment.
  11. Maintain knowledge of all policies and procedures, program manuals and laws/regulations; monitor operations and staff for compliance.
  12. Ensure staff follow Seneca Code of Conduct & Ethical Practices.
  13. Ensure security and appropriate use of cash collections, company credit card and petty cash and report per Seneca guidelines.
  14. Secure information and protect operations by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca policies and keeping client and corporate information confidential.
  15. Maintain professional knowledge by participating in development opportunities.
  16. Other duties as assigned by supervisor.

Requirements

Bachelor's degree in business or related field is preferred. Five years' supervisory experience in Revenue Cycle Management with excellent interpersonal, communication and organizational skills required. Experience with successful management of a medical office, insurance verification, accounts receivable, provider enrollment, and medical records. Valid driver's license and vehicle required. Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen.

Skills and Knowledge

Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca's Code of Conduct & Ethical Practices. Demonstrated knowledge of computer skills and ability to use personal computer applications including Microsoft Outlook, Excel and Word required. Problem-solving skills and excellent customer service skills required.

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