Director Of Operations - Healthcare Rcm

DIRECTOR OF OPERATIONS – JOB DESCRIPTION:

Working under the general direction of the CEO, the Director of Operations serves as the primary contact between designated healthcare clients and NuScript team in all aspects relating to Revenue Cycle Process Management and Clinical Documentation. The position requires a self-starting, independent person with good client relationship skills who can effectively work and communicate closely with assigned healthcare client administration/leadership and our team. This role requires active participation with healthcare clients, acting as the active liaison able to proactively manage client accounts.

This position requires a thorough understanding of billing practices of all processes that encompass the full revenue cycle spectrum. This includes experience with insurance billing, denials management, account resolution including a good understanding of DRGs. The ideal candidate would also have some knowledge of EMR systems, clinical documentation, transcription, coding, compliance, auditing, analytics, patient access, and health information management. This includes a thorough understanding of systems, processes, and services specific to coding and billing requirements and would be responsible for proactively identifying opportunities for revenue cycle improvement opportunities.

This position takes an active part in developing and executing identified opportunities/issues and providing healthcare clients with the status and analysis of standard operational, financial, billing and budget statistics.

DUTIES AND RESPONSIBILITIES:

·Establishes and manages effective ongoing communication with assigned healthcare clients to identify and address business needs.

·Provides guidance and timely responses to customer service questions and requests.

·Conducts regular meetings with client’s administrative staff and NuScript team.

·Communicates with practice(s) within the framework of the Revenue Cycle.

·Provides analysis and context for monthly performance data. This includes projections and comparison to budget figures.

·Effectively manages healthcare client’s expectations regarding financial performance.

Maintains ongoing issues and priority list for healthcare clients.

·Completes analysis of issues for action, presents this information and implements or supervises action plans.

·Prioritizes initiatives with healthcare clients or administrative leadership on key performance issues.

·Proactively identifies sources of billing/denial issues and communicates these to the appropriate parties.

Assesses impact of new regulations or codes from a coding, compliance and reimbursement perspective.

·Develops expertise for assigned healthcare client(s) and ensures that all implementation tasks are completed accurately and in a timely fashion.

·Does periodic quality assurance checks to ensure that process is running as expected.

·Establishes and develops collaborative relationships with internal staff.

Works collaboratively with RCM department and Medical Records/HIM department of the various healthcare clients to ensure efficient processing and follow-up on all professional matters.

·Performs other responsibilities that may be assigned by the CEO.

QUALIFICATIONS:

·Bachelor’s Degree strongly preferred or equivalent experience required.

·3-5 years’ experience in a professional healthcare setting required. facility experience preferred.

·Proficiency in Microsoft Office suite (Excel, Word, Access, Outlook) required.

·Proficiency in various EMR/EHR applications like EPIC, Meditech, Cerner, CPSI, Cognos, eClinicalWorks, Kareo, etc. preferred.

·Ability to learn and assimilate electronic systems.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

·Understanding of healthcare billing, finance and accounting principles, clinical documentation, and medical transcription and coding processes.

·Strong understanding of the full-spectrum Revenue Cycle and AR aging processes.

·Motivated to achieve service excellence.

·Ability to build a team from the ground up and successfully manage numerous tasks simultaneously.

·Requires excellent oral and written communications skills.

·Ability to present to multiple levels of staff from VPs, Administration, Managers, Providers, Billing Managers, etc.

·Define problems, collect data, establish facts and draw valid conclusions.

·Ability to conduct training sessions.