Revenue Cycle Management Director
4 weeks ago
Job Summary
The Director of Revenue Cycle Management at USA Clinics Group is responsible for leading the revenue cycle functions and activities to optimize revenue collection. This strategic leader will ensure compliance with third-party payor requirements, state, and federal laws and regulations.
Key Responsibilities
- Directs all activities for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience, and ensuring compliance.
- Provides direction on the incorporation of new providers and client practices into existing patient accounts workflows, with a focus on optimizing AR collection for the group.
- Works closely with the IT department to implement RPA (Robotic Process Automation) to resolve barriers impacting optimal collections.
- Acts as a liaison to clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored, and followed.
- Develops key performance indicators, dashboards, and system improvements to improve visibility and efficiency of the revenue cycle process.
- Works closely with the SVP to develop and maintain appropriate internal controls for internal and external auditor or customers.
- Analyzes accounts receivable and denial reports to identify and develop system and IT improvements.
- Develops staff that can analyze and recommend ongoing improvements to processes, procedures, systems, and reports.
- Ensures compliance with USA Clinics Group policies and procedures, health plan requirements, and federal and state laws and regulations.
Requirements
- Bachelor's Degree required; Masters preferred in a related field.
- Minimum of 12 years of progressive responsibility in a revenue cycle department, required.
- Minimum of 7 years prior revenue cycle experience in a physician-driven Patient Accounts department, required.
- Thorough understanding of physician billing practices and procedures, including knowledge of state, local, and federal laws, required.
- Experience with practice management systems, required.
- Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables), required.
- Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing, preferred.
- Prior experience leading various areas of revenue cycle (billing, collections, denials etc.) with proven success in achieving revenue cycle efficiencies and improving cash flow.
- Strong people management experience.
Benefits
- Health
- Dental
- Vision
- 401K & Match
- PTO
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