Director of Revenue Cycle Management
3 days ago
Description:
Role Summary
Sunbelt Healthcare LLC is a management service organization offering back-office support, contracting & credentialing, and financial analysis for our clients. Our goal is to create efficiencies between providers, patients, and payers in the healthcare revenue cycle management process.
The Director of Revenue Cycle Management is responsible for outstanding accounts receivable activities for several client accounts managed by the organization. They analyze performance metrics, act as a liaison for 3rd party billing, and work with the leadership and billing teams.
Qualified candidates have 5 years of RCM leadership experience with extensive knowledge of the medical billing and collections process, including patient registration, insurance verification, charge/payment posting, reconciliation, billing, A/R, and denials management. They must also have experience with specialty groups like surgical centers and physical therapy.
Key Responsibilities
- Participate in the entire revenue cycle system life cycle
- Achieve optimal performance of revenue cycle
- Supporting revenue cycle processes and staff functions
- Ensure continuous improvement in the revenue cycle
- Develop sound revenue cycle analysis and reporting
- Resolving revenue and cycle opportunities for improvement
- Identify issues related to revenue cycle performance
- Present data at weekly team meetings and participate in regular meetings with clients
- Develop the revenue cycle operational and budgetary decisions
- Identifying opportunities for improvement in the revenue cycle process
- Maintaining confidentiality of records aligning with HIPAA requirements
- Exceptional Customer service
- Engage with multiple payors and their interfaces
- Additional responsibilities as appropriate
Requirements
- Bachelor's degree (required)
- Years of RCM leadership experience (required)
- Bilingual (preferred)
- Knowledge of Microsoft 365 and applications
- Experience with electronic health records (EHR)
- Strong organizational, communication, and customer service skills
- Knowledge of integrated healthcare delivery models (preferred)
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