Director of Revenue Cycle Management

1 month ago

Chandler, Arizona, United States Aspen Infusion Full time
Job Title: Director of Revenue Cycle Management

Aspen Infusion is seeking a highly skilled and experienced Director of Revenue Cycle Management to join our team. This is a critical role that will be responsible for leading and directing all aspects of the revenue cycle functions to ensure timely, legally compliant, and accurate billing in order to maximize cash flow related to the collections of Accounts Receivables.

Key Responsibilities:
  • Develop, organize, direct, and manage all aspects of the revenue cycle functions.
  • Lead and direct local revenue cycle functions, including registration, pre-cert/per-authorization, insurance verification, documentation completion and improvement, timely charge entry, coding, denial management, patient collections, and Charge Description Master (CDM).
  • Be a subject matter expert on CMS, Medicare, Medicaid, and other primary Third-Party Payer rules and requirements for all billing.
  • Directly supervise the staff of the Intake and Billing departments.
  • Work collaboratively with the President, COO, and Director of Finance to develop and maintain the revenue cycle structure, duties, and procedures within the department.
  • Monitor and make decisions regarding the value and collectability of accounts receivable.
  • Implement and monitor collection procedures, minimizing contractual and bad debt write-offs, and maximizing cash collections.
  • Develop benchmarks and standards for each duty within the revenue cycle for a reportable analysis, monthly.
  • Ensure compliance with state and federal statutory requirements, including the Centers for Medicare and Medicaid Services (CMS), Arizona Medicaid program, and all Third-Party payers.
  • Manage and maintain relationships with all payers to improve patient revenue.
  • Lead continuous performance improvement efforts and continually seek mechanisms to streamline and automate processes within the department.
  • Create and monitor reporting to identify revenue gaps, denial issues, and areas of opportunity for maximizing revenue.
  • Develop and implement plans to close revenue gaps, resolve denials issues, and maximize revenue.
  • Perform ongoing analysis regarding third-party payment levels to ensure reimbursement is correct and analysis of third-party payer rejections and denials.
  • Prepare financial analysis for use in the third-party and managed care negotiation payer process.
  • Oversee all month-end processes.
  • Work collaboratively with departmental leaders who have a direct correlation to the revenue cycle on areas of improvement concerning compliance and revenue generation.
  • Provide leadership, team building, and supervision to include hiring, training, disciplinary actions, and performance reviews for direct reports.
  • Participate in professional development activities, including keeping current with trends and best practices in health center operations, and personal leadership and management development.
  • Provide leadership and management of special projects as assigned.
Requirements:
  • Bachelor's degree in Business, Healthcare Administration, or related field preferred or equivalent combination of experience and education.
  • 5+ years of progressive revenue cycle experience to include Medicaid, Medicare, and Third-Party reimbursement preferably in a Critical Access Hospital & Rural Health Clinic setting.
  • Demonstrated mastery of critical thinking, analytics, problem-solving, and sound decision-making skills.
  • Established leadership and management skills, effective communication skills, professionalism, integrity, responsibility, and dependability.
  • Ability to work in a fast-paced and high-volume environment.
  • Technically proficient in platforms such as Google Suite, Gmail, Paylocity, RingCentral/Glip, and Caretend (EMR system) experience is a plus.
Competencies:
  • Business Acumen
  • Customer Service
  • Leadership
  • Managing People
  • Quality Management
  • Teamwork
  • Visionary Leadership

Aspen Infusion offers a competitive salary range of $95,000-$105,000 and a comprehensive benefits package.

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