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Revenue Cycle Director
1 month ago
Job Summary:
We are seeking a highly skilled Revenue Cycle Director to oversee our billing, coding, collections, and denial management processes. This position requires a strong understanding of revenue cycle management, compliance regulations, and the ability to collaborate effectively with third-party administrators, insurance companies, and internal physician groups.
Key Responsibilities:
- Manage all aspects of revenue cycle operations, including billing, coding, collections, and denial management.
- Work closely with third-party administrators, insurance companies, and internal physician groups to streamline and improve revenue cycle processes.
- Monitor reimbursement activity and provide trend reports to management.
- Perform detailed reviews of aged accounts, conduct risk analysis, and identify trends.
- Build strong relationships with physicians and regularly share RCM data with the finance team.
- Stay updated on legislative and regulatory changes impacting medical billing and ensure compliance.
- Research and resolve claim denials, pre-bill edits, and errors.
- Act as a liaison between the organization and third-party administrators.
- Continuously seek opportunities to add value to the patient experience and practice operations.
Qualifications:
- Bachelor's degree in Accounting, Healthcare Administration, or equivalent preferred.
- 5-7 years of experience in revenue cycle management and healthcare billing required.
- Experience using an EHR system required.
- Strong knowledge of third-party physician specialty billing, compliance regulations, and automated claims submission processes.
- Orthopaedic billing and coding experience is highly preferred.
- Medical coding certification such as CCS is preferred.
- Excellent knowledge of medical office operations, reimbursement, third-party payer regulations, and medical terminology.
- Strong problem-solving skills and the ability to make timely decisions in a fast-paced environment.
- Proven ability to work independently and collaborate effectively with leadership and physicians.
Benefits:
- Health Insurance (medical, dental, vision)
- Company 401k Contribution
- Paid Time Off & Sick Time
- FMLA Leave
- Paid Holidays
- Life Insurance
- Short and Long Term Disability Insurance; AD&D; Hospital Indemnity
- Referral Program Incentive
- Parking available
- Discretionary Bonus Program and Ski Pass Benefit
- And more
This is an on-site role, with the expectation that the candidate will be on-site for 80%-100% of workdays, contributing to our seamless revenue cycle operations across the organization.
Medix is acting as an Employment Agency in relation to this vacancy.