Position Summary

The Senior Director of Revenue Cycle is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Senior Director of Revenue Cycle ensures and directs the accurate and timely processing and submission of all claims while complying with applicable laws and regulations. S/he is responsible for confirming accounts receivable is at or below company benchmarks.

Position Specific Responsibilities

• Manages all Revenue Cycle teams across the hospice line of business including Benefit Verification/Authorizations, Billing, Collections, Cash posting and Credentialing teams.
• Ensures appropriate, accurate, and timely billing claim submission and accounts receivable records.
• Oversees the development and distribution to the field reports related to AR, Bad Debt and Unbilled Revenue.
• Works with field leadership to implement mitigation strategies to achieve goals on all metrics.
• Interprets and implements established policies to all account receivable team members. Assists in adherence of program policies.
• Develops and supports systems for management and program compliance, including conflict and complaint resolutions.
• Sets and promotes program climate conducive to opportunities for staff development.
• Monitors operations for progress towards accomplishing operational/strategic plans.
• Directs, coordinates, and supervises account receivable team members.
• Ensures organizational compliance with legal, regulatory, and accreditation requirements and financial stability.
• Ensures all claim denials and claims in suspension are followed up on in a timely fashion and plan of resolution is developed and implemented.
• Ensures all adjustments are processed and posted timely.
• Timely submits claims, both electronic and paper.
• Ensures staff is submitting hospice elections timely.
• Supervises the manual input of Room and Board amounts into computer system.
• Supervises the timely review of Medicare claims for corrections.
• Ensures all billing information is HIPPA compliant.
• Supervises the update of billing system with comments and follow-ups on any denied claims.
• Supervises the processing of bills to patient or family as appropriate.
• Reconciles aged accounts receivable monthly.
• Performs other duties as assigned.

Education and/or Experience

• Bachelor's degree in Business Administration or related field preferred.
• Minimum of ten (10) years experience in accounts receivable required.
• Experience in hospice or home health billing preferred.

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy.

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.

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