Sr. Director – Revenue Cycle Management

Sr. Director – Revenue Cycle Management

Requirements

• Bachelor of Science/Business Administration degree preferred
• Experience in managing physician revenue cycle. Thorough understanding of all payers including all major commercial payers as well as Medicaid and Managed Medicaid across multiple markets.
• Must have experience with AthenaHealth
• Strong and effective results-oriented team leader with a minimum of seven years of experience managing large, multi-specialty physician groups (50+) of varying levels of complexity
• Excellent analytical skills, facile with Microsoft Excel.
• Must be able to critically evaluate data and make recommendations for change based on solid research and evidence.
• Solid knowledge of industry trends, regulations, payment models and demonstrated skill in managing in a complex reimbursement model across multiple provider specialties.
• Must possess a thorough understanding of medical information systems for billing and accounts receivable, spreadsheet analysis, reporting applications, medical terminology, and coding and office procedures.
• Successful history of adding value to organizations through proactive root cause analysis and resolution of bottlenecks that negatively affect reimbursement and accounts receivable.
• Demonstrates a record of significantly improving patient accounts receivable.
• Must comply with HIPAA rules and regulations.

Responsibilities

• Oversees and manages end to end Revenue Cycle Management for assigned markets and other national RCM projects.
• Serves as the senior subject matter expert on all issues surrounding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management.
• Responsible for root cause analysis and resolution of market issues, and escalating issues to RCM and Market Operations leadership, as necessary.
• Serves as the liaison to market or national committees such as Compliance, Payer & Audit and other committees as assigned.
• Conducts both weekly standup and monthly staff meetings.
• Provides management, guidance and training to staff and will perform duties of staff when necessary to maintain practice operations.
• Reviews daily, monthly and weekly A/R dashboards. Identifies opportunities for improvement and develops plans to implement necessary changes to meet performance expectations.
• Participates in annual budget development, and is accountable for departmental adherence to budget and/or other fiscal goals.
• Manages teams responsible for the accuracy and financial viability of the accounts receivable. Assigns/allocates resources as required ensuring company goals for aging and accounts receivable days are met.
• Reviews accounts receivable on at least a monthly basis with each Market President and Regional Vice President to ensure A/R is within established standards.
• Works with RVPs, Market Presidents and subordinate staff to create action plans to address variances in A/R to standards.
• Responsible for departmental policies and procedures, providing recommendations when appropriate and ensuring compliance.
• Responsible for staffing to include hiring, termination, coaching and training.
• Provides ongoing feedback to staff of performance throughout the year to subordinate staff.
• Counsels employees in disciplinary matters and obtains assistance from human resources appropriately for disciplinary actions and/or employee termination process.
• Recruits, interviews and hires personnel as necessary.

Preferred Qualifications

No preferred qualifications provided.