8+ years in medical billing across multiple states
5+ years of management experience
Extensive background in the healthcare sector
Strong leadership and organizational skills
Advanced knowledge of accounts receivable and collection processes
Proficiency in Excel, Word, and PowerPoint
Responsibilities
Lead the insurance and patient collections management team
Support daily staff functions related to revenue cycle and denial management
Ensure compliance and internal controls over accounts receivable
Hire, train, and evaluate staff performance
Monitor work assignments and workflow efficiency
Prepare revenue cycle performance reports for executives
Analyze and address denial trends and improve cash flow
Benefits
Health insurance
Retirement plan
Paid time off
Professional development opportunities
Flexible working environment
Full Job Description
The Position: We are looking for a Revenue Cycle Director to join the team!
Summary:
The Revenue Cycle Director reports to the Vice President of Rehab Medical. This position is responsible for insurance collections, patient collections, payer reimbursement performance, denial management and overall accounts receivable performance.
Responsibilities:
Lead Insurance Collections and Patient Collections management team.
Monitor and support daily staff functions in all areas related to the scope of the manager's responsibility. Participate in revenue cycle, denial management, and access management work teams.
Maintain appropriate internal control safeguards over AR records and collection of cash.
Maintain compliance standards for providing accurate information on all billing activities.
Hire and evaluate staff performance.
Monitors the assigning of work and workflow.
Exercise initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Prepare and present revenue cycle performance reporting to executive leadership.
Monitors A/R and respond to problems as needed.
Monitor write-off and denial trends with the objective of minimizing losses.
Ensures that all billing and collection activities meet and adhere to Medicare and Medicaid and other insurance regulations, rules and laws.
Improve administrative processes in order to increase cash flow.
Actively pursue all non-payments identifying root cause and identifying the corrective solution.
Ensures the activities of the departments are conducted in a manner that is consistent with overall department protocols, in compliance with federal, state and payer regulations, guidelines, and requirements.
Analyze trends affecting charges, collections, and accounts receivable and take appropriate action to realign staff.
Analyze reports and perform audits to determine areas of improvement and determine appropriate plan of action.
Other duties as assigned.
Skills and Qualifications:
Bachelor's Degree required
8+ years of medical billing experience in a multi-state environment
Minimum of 5 years of management experience
Extensive experience in the healthcare industry
Strong leadership and management skills including interpersonal communications, organizational development, and time management within the department
Advanced understanding of accounts receivable management, insurance collections, patient collections, reimbursement performance, and denial management
Knowledge and ability in Excel, Word, and PowerPoint
