Revenue Cycle Management Director

4 weeks ago


San Antonio, Texas, United States Mpower Healthcare Full time
Revenue Cycle Management Director

MPOWERHealth is seeking a highly skilled Revenue Cycle Management Director to lead our revenue cycle management functions and drive efficient, accurate, and compliant billing activities to maximize reimbursement.


  • Leads, directs, and oversees operations and activities for all of the RCM functions aligned to the goals of the organization.

  • Develops and implements revenue cycle strategies, processes, and improvement initiatives to continuously improve the RCM process to maximize our billings and collections.

  • Determines the structure of the revenue cycle management team to maximize RCM operations and cost.

  • Ensures compliance in all aspects of RCM activities including coding and billing rules and regulations by payer and state.

  • Monitors and responds to any legislation/regulatory billing changes.

  • Ensures the identification, analysis, and implementation of solutions designed to improve collection rates.

  • Drives the design, execution, monitoring, and assessment of key RCM performance metrics to refine processes and improve efficiencies/productivity to reduce overall costs.

  • Leads and manages large revenue cycle projects such as audits, budgets, and technology enhancements.

  • Builds and designs a high-performance management team by function and infrastructure to scale with the projected sales growth of the business.

  • Develops and implements strategies, processes, and technology to continuously improve and manage the revenue cycle in a fast-paced, high-volume, evolving healthcare market.

  • Consults and works directly with leadership across managed care, payers, and with technology to advise and consult on key processes and resource needs to improve operations, productivity, and collection rates.

Requirements:

  • Bachelor's degree in Finance, Accounting, Business Management, or related field.

  • At least 5 years of experience in healthcare receivables management.

  • 3 years of experience in a senior management role.

  • Extensive knowledge of medical insurance billing and collections across Medicare, Medicaid, and managed care, including ICD-10 and HCPC coding and terminology.

  • Extensive knowledge in collecting, analyzing, and reporting revenue cycle management data used to identify opportunities and strategies for improvement.

  • Proven record of managing and coordinating concurrent projects, competing priorities, and critical deadlines.

  • Ability to present and communicate with various audiences, including the Executive team.

  • Proficient in Microsoft Office (Outlook, Excel, Word, and PowerPoint).

Work Environment:

The position will spend long hours sitting and using office equipment and computers. The position may also entail light lifting of supplies and materials occasionally, up to and including 20 pounds, in addition to reaching, stooping, standing, and walking. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. The standard office working environment may be busy and noisy at times.



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