Senior Director of RCO

2 weeks ago


Fairport New York, United States RadNet Full time
Job Description:
JOB SUMMARY

Reporting to the SVP of Revenue Cycle Operations, the Senior Director of Revenue Cycle Operations (R
CO) is responsible for all assigned operational functions and related operations supporting revenue cycle operations.  The functional areas may, but not, limited to oversight of insurance and patient responsibility: charge capture, claims production, third party & government AR collections, self-pay AR collections, denial management, bad debt accounts, forecasting and data analytics. Facilitates communication among all RCO departments regarding information needs and time requirements to optimize reimbursement performance. As a member of the senior leadership team within the division, overall objective is driving results in ensuring maximum financial return on reimbursement and timely resolution accounts receivable associated financial classes. The Sr. Director is expected to demonstrate, through coordination, plans and actions, a consistent standard of excellence to which all departmental work is expected to conform. The Sr. Director is also responsible for ensuring all accountable department functions, systems, policies and procedures are updated and maintained; aligning with best practices and objectives defined by Executive Leadership.  As a revenue cycle leader, Senior Director is expected to provide leadership, strengthen collaboration, and uphold the Company's standard of excellence.

 

Senior Director of Revenue Cycle Operations will:

 

Direct the leadership team (and ultimately all employees involved in specific revenue cycle operations functions to include: internal operations, business partner relationships, self-pay, bad debt (vendors) and new business.

Maintain a solid understanding of all production workflows and systems supporting the revenue cycle operations.  Engage and lead continuous process improvement initiatives related to achieving organizational and division goals. 

Responsible for achieving AR goals and defining any challenges and solutions for overcoming barriers to achieving or exceeding performance targets.

Must maintain or exceed cash goals monthly as well as cash goals on an annual basis.

Prepare operating performance reports and effectively analyze performance against those objectives.

Responsible for daily, weekly, and monthly analysis on accounts receivable and determine any fluctuations that can affect collect rates.

Responsible for implementing and maintaining billing compliance policies and procedures according to company and governmental guidelines.

Assist in the development and presentation of timely educational programs on reimbursement, and charge capture topics/issues.

Provide expert guidance on all reimbursement-related issues.

Recognize and report any payment or payer trends towards problem resolution, and seeks assistance as necessary to assure the protection of the A/R.

Effectively utilize team members ensuring appropriate levels of productivity.

Develop and implement action plans relating to accounts receivable to present to Management.

Work with Reimbursement Operations team members to develop better accounts receivable reporting tools.

Set deadlines for team members completed reports and monitors timely filing deadlines.

Analyze all payers and monitor trend statistics.

Display willingness and ability to make tough decisions.  Demonstrate sound judgment.

Recognize and provide coaching, counseling, and discipline as appropriate.

Provide team members development opportunities as appropriate.

 

PLEASE NOTE: This is not an exhaustive list of all duties, responsibilities and requirements of the position described above. Other functions may be assigned and management retains the right to add or change duties at any time.

 

Ideal Candidate will possess:

Knowledge of government/managed care arena including systems audits, analysis, payer strategies.

Knowledge of developing budgets.

Ability to communicate effectively through verbal and written communication.

Knowledge and proficiency with computer systems and skills.

Solid understanding of billing and reimbursement processes.

Ability to demonstrate analytical problem-solving skills.

Able to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.

Ability to share information effectively and provide appropriate direction to staff.

Ability to delegate responsibility and authority to staff.

The above knowledge, skills, and abilities may be demonstrated by a Bachelor’s degree in related field and ten (10) years progressively responsible, related experience including at least three (3) years in a supervisory capacity.

 

 

PHYSICAL DEMANDS

 

This position often requires sitting, standing, walking, bending, twisting reaching with hands and arms, using hands and fingers, handling, constant talking, and hearing. Visual acuity to read computer screens and written materials. Also, must be able to lift over 10 pounds, occasionally.  The position requires the ability to travel (~20% of the time), drive a vehicle, and utilize

other forms of transportation.

 

 

WORKING ENVIRONMENT

 

Works in an office setting with low to moderate noise level.

 

Pay Range:
USD $(phone number removed) - USD $(phone number removed) /Yr.


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