Director of Revenue Cycle Optimization

5 days ago


Northbrook Illinois, United States USA Clinics Group Full time
Director of Revenue Cycle Management

The Director of Revenue Cycle Management plays a pivotal role in driving revenue growth and optimizing financial performance for USA Clinics Group. Reporting to the Senior VP of Revenue Cycle Management, this strategic leader is responsible for overseeing all revenue cycle functions and activities, ensuring compliance with third-party payor requirements, and adhering to state and federal laws and regulations.

Key Responsibilities:
  • Directs revenue cycle operations, ensuring optimal revenue collection and patient satisfaction with the billing experience.
  • Provides strategic direction on the incorporation of new providers and client practices into existing patient accounts workflows, focusing on optimizing AR collection.
  • Collaborates with the IT department to implement RPA (Robotic Process Automation) to resolve barriers impacting optimal collections.
  • Serves as a liaison to clinical and non-clinical departments to ensure accurate implementation, monitoring, and adherence to new initiatives and contracts.
  • Develops key performance indicators, dashboards, and system improvements to enhance visibility and efficiency of the revenue cycle process.
  • Works closely with the SVP to establish and maintain internal controls for internal and external auditors or customers.
  • Analyzes accounts receivable and denial reports to identify and develop system and IT improvements.
  • Ensures compliance with USA Clinics Group policies and procedures, health plan requirements, and federal and state laws and regulations.
Requirements:
  • Bachelor's Degree required; Master's preferred in a related field.
  • Minimum of 12 years of progressive responsibility in a revenue cycle department, required.
  • Minimum of 7 years prior revenue cycle experience in a physician-driven Patient Accounts department, required.
  • Thorough understanding of physician billing practices and procedures, including knowledge of state, local, and federal laws, required.
  • Experience with practice management systems, required.
  • Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables), required.
  • Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing, preferred.
  • Prior experience leading various areas of revenue cycle (billing, collections, denials, etc.) with proven success in achieving revenue cycle efficiencies and improving cash flow.
  • Strong people management experience.
Benefits:
  • Health
  • Dental
  • Vision
  • 401K & Match
  • PTO


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