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Corporate - Director of Revenue Cycle Management
4 months ago
The Director of Revenue Cycle Management oversees all RCM activities for Blue Sky Telehealth, a division of CarePoint Health. This position reports to the Blue Sky Neurology Vice President of Operations and is responsible for the operational and strategic oversight of end-to-end revenue cycle management, including facility/client engagement, across 28 states and multiple large hospital systems. This position does not have direct reports and instead oversees a third party billing vendor and will liaison with multiple internal teams to create strategy and identify and resolve issues. The Director of Revenue Cycle Management is a self-starter and problem solver who is excited to work in the quickly evolving landscape of inpatient professional telehealth billing.
Position Requirements
Education:
Master’s degree or equivalent experience required.
Experience:
A minimum of five years of supervisory experience in a medical billing environment. Telehealth experience preferred. Full cycle billing experience preferred.
Knowledge/Skills/Abilities
Maintains knowledge of compliance with state & federal laws, regulations for Medicare, Medicaid, managed care and other third party payers Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service. Proficient with Google Suite and Microsoft Suite. Strong written and verbal communication skills. Ability to manage projects from end-to-end. Able to work as part of team and independently.
Job Responsibilities
Works across Blue Sky and CarePoint teams to access data, RCM resources, payer contracting services, and legal services to create and implement an RCM strategy for Blue Sky Telehealth. Implements payer billing practices for existing and new facility/client contracts to include facility/client engagement, vendor engagement, and Professional Service Agreement amendments. Conducts daily, weekly, and monthly monitoring of all outstanding claims and invoices to ensure timely resolution of issues and payment. Ensures analysis and correction of root causes of denials, billing errors, vendor errors, etc. Researches and identifies denial trends and collaborates with insurance carriers and others to resolve issues and reduce the impact to the claims. Documents, communicates, and provides training on all findings to the clinical and operational leadership team. Resolves escalated reimbursement issues with payers. Other duties as assigned.