Revenue Cycle Director- Full Time

Lake Health District

$85K — $100K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Degree in business or related field, or 5 years experience in medical facility business operations.
  • Certified Professional Biller (CPB) or Certified Professional Coder (CPC) certification.
  • 5 years experience in medical facility operations preferred, 3-5 in a supervisory role required.
  • Experience with electronic health record systems is essential.
  • Knowledge of Medicare, Medicaid, and commercial insurance billing practices.

Responsibilities

  • Oversee daily operations of business office functions including patient accounting and billing.
  • Coordinate with third-party payors and manage data entry and collections processes.
  • Plan and supervise deployment of systems to manage financial data and records.
  • Create and maintain training programs for patient access and revenue cycle staff.
  • Develop analytical reports related to revenue and sales activities.

Benefits

  • Professional development opportunities for staff.
  • Collaborative work environment with open communication channels.
  • Training provided to enhance staff skills and knowledge.
  • Potential for growth in managing revenue cycle operations.
Full Job Description
Description

Position Summary:

Under the general direction of the CFO, the Revenue Cycle Manager will oversee the development and process of collecting and organizing analytical data related to the organization's revenue, sales, and other financial activities. This role gets the opportunity to help implement a strong revenue cycle team and set the organization up for success in the future.

Some of the responsibilities include the personnel and daily operations of all business office functions such as patient accounting, billing, switchboard, coordinating third-party payors, data entry, and credit and collections. The manager will plan, approve, and supervise the deployment of systems and processes to manage and analyze financial data and other records. The Revenue Cycle Manager will create, maintain, and administer training and professional development of the patient access and revenue cycle team to increase staff knowledge and skills.

Requirements

Education:

Degree in business or related field, and/or up to five (5) years on the job experience in business operation of a medical facility/clinic.

License/Certifications:

Certified Professional Biller (CPB), Certified Professional Coder (CPC).

Experience:

Five years' experience in business operation of a medical facility/ clinic, preferred. Three to five years' experience working in a supervisory capacity, with responsibility for day-to-day activities of staff and evaluations, required. Experience with electronic health record systems required.

Job Knowledge:

Knowledge of Medicare, Medicaid, Workers Compensation, preferred provider plans, HMO plans, including their regulations and billing practices. Knowledge of commercial insurance regulations and billing practices. Knowledge of electronic health record systems.

Skills:

Computer knowledge, skills, and use of software relative to medical practices/billing. Clerical skills, including 10-key calculator, word processing, and keyboarding with accuracy. Understanding and accurate coding capabilities relative to reimbursement. Ability to maintain open communication on a professional level with staff, department heads, physicians, and the public. Ability to maintain cooperative and harmonious relationships with District staff, administration, medical staff, and outside clinic office personnel.

Summary

Employment Requirements:

To apply, please fill out an application, attach a cover letter, and resume. Include gaps in employment and reasons for separation.

Applicants must be legally authorized to work in the United States.

Subject to satisfactory adjudication of background investigation and/or fingerprint check.

Successful completion of 500-hour probationary period.

Criminal background check and pre-employment drug screen required upon conditional job offer.

Disclaimer:

If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty, which shows dates of service and discharge under honorable conditions. If currently on active-duty you must submit a certification of expected discharge or release from active-duty service under honorable conditions not later than 120 days after the date the certification is submitted. Veteran's preference must be verified prior to appointment. Without this documentation, you will not receive veteran's preference and your application will be evaluated based on the material(s) submitted.

If claiming 10-point veteran's preference you must provide the DD214 or certification requirements (see above bullet), plus the proof of entitlement of this. Failure to submit these documents could result in the determination that there is insufficient documentation to support your claim for 10-point preference.

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