Revenue Cycle Director
3 weeks ago
Join Groups: Recover Together as we continue to make treatment for opioid addiction respectful, accessible, and affordable. We empower our members to regain control of their lives through a combination of community support, outpatient weekly group therapy, and medication to manage withdrawal using buprenorphine and naltrexone.
Key Responsibilities:- Provide strategic direction for the revenue cycle function at Groups, driving innovation, operational, and technological enhancements, and standardization by leveraging best practices and processes.
- Develop a comprehensive strategy to respond to current and future challenges presented by legislation and compliance in order to monitor and address changing revenue cycle practices.
- Maintain functional accountability for the insurance claim function, including monitoring the status of claims and denials management.
- Ensure compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
- Manage the relationship with outsourced billing partners to ensure accuracy and efficiency of claims handled via third party.
- Provide timely and accurate reporting to the finance team to support the month-end close process.
- Collaborate with the corporate team to establish and drive departmental and organizational key performance indicators (KPIs) and dashboards around revenue cycle operations.
- Develop and implement operational policies and procedures governing revenue cycle management and billing compliance for the organization.
- Investigate and analyze issues, root causes, patterns, or trends, and identify and implement process improvement actions in support of revenue cycle objectives.
- Optimize revenue cycle management systems to improve efficiency and accuracy of both billing and collections efforts.
- Bachelor's in Business, Finance, Accounting, Health Management, or related field.
- At least ten years of experience in billing or revenue cycle operations.
- Minimum of two years of behavioral health treatment experience required.
- Minimum of two years of physician practice billing preferred.
- Minimum of three years of supervisory experience, including hiring, training, and evaluation of direct reports.
- EHR and/or billing software experience required.
- Certified Coder Certificate strongly preferred.
- Paid holidays and vacation time that starts on day one.
- Paid time off for all Groups employees to rest and recharge.
- Medical, dental, and vision insurance for your whole family, plus HSA and FSA.
- Refunds for career training, certifications, license fees, and STAR LRP.
- 401k plan with a 3% match after 90 days - ROTH option available.
- Flexibility with a hybrid schedule.
This is a full-time position that requires schedule flexibility to work evenings and weekends, as needed. While this role is primarily remote, there is a 1-day a week in-person requirement in the home office location of Burlington, MA.
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