Director Of Rcm - Simply Biotech

Director of RCM- Simply Biotech
Overview
Are you looking for a new career opportunity with an exciting biotech company?! Then we've got the right team for you! In this role, you're responsible for the duties listed below.
Immediate opening for a Director of RCM with a biopharmaceutical company in Plano, TX who possesses:

• Bachelor's degree in business, Health Administration or similar
• 5+ years of experience managing internal RCM teams and RCM vendors
• Multi-site healthcare experience required

Email resumes to [email protected] or call 858.356.6772
FULL DESCRIPTION: The Director of Revenue Cycle Management will work under the general supervision of the VP of Finance. This position is responsible for ensuring that patient billing and processing of payment receipts are consistently completed in a timely manner and in accordance with policy. The Director of Revenue Cycle will minimize bad debt, improve cash flow and effectively manage accounts receivable by managing both 3rd party billing resources and internal billing management practices. This position will coordinate effective management of revenue cycle activities across the organization to include, but not limited to front desk, billing, collections, financial counseling for patients and staff training.
The Selected Candidate Will Be Responsible For

• Coordinate with the Practice Managers to stay current on credentialing issues, especially in the case of new providers, with an emphasis on scheduling mainly self-pay patients for the new providers until they are credentialed with third party organizations
• Responsible for ensuring the timeliness of processing and correction of rejected claims
• Maintain a regular schedule for writing off bad debts, including a process which requires, and documents attempts to collect or resubmit prior to removing the charge from outstanding receivables. Submit Bad Debt Write Off Report to the VP of Finance
• Coordinate the Revenue Cycle Management team to address any deficiencies in staff performance uncovered by internal audits
• Actively participates in and complies with all aspects Corporate Compliance Programs, follow the Program Code of Conduct and obey all relevant laws, statutes, regulations and requirements applicable to Medicaid, Medicare and other State and Federal health care programs
• Monitor data integrity for the practice management system. Report problems to the VP of Finance or other appropriate personnel in a timely manner
• Monitor and identify any patterns in remittance advices which would indicate the PSRs are not properly collecting insurance information. In coordination with Practice Manager, initiate retraining and/or other corrective action indicated
• Monitor coding practices among providers to determine potential patterns of under coding or other irregularities
• Ensure accuracy of deposits, demographic and other information entered the patient billing system
• Provide monthly report on the status of credit balances. (Unapplied Credit Analysis Report)
• Participate in preparation of annual UDS report
• Compile and prepare various status reports for management to analyze trends and make recommendations
• Monitor volume of charge and collection posting on a monthly basis to confirm that Billing Specialists are keeping up with patient encounter volume. Recommend and/or implement changes to work schedule or billing resources, as needed
• Supervise and evaluate assigned support staff in a timely manner to ensure needed support for RCM processing and growth
• Maintain regular schedule for sending out billing statements in accordance with the Financial Policies and Procedures
• Participate in program/service evaluation activities; facilitate changes in provision of service based on Continuous Quality Improvement results
• Provide a monthly summary on the status of outstanding charges in the oldest column of the Accounts Receivable Aging report for all balances over designated amounts
• Keep Billing Specialists up to date on third party coverage contracts, assuring that current contractual terms are understood and applied correctly
• Participate in CQI, other internal committees, special projects/observances or activities that promote improvements in organizational performance and/or advance the mission, goals and objectives of the company
• Work with Practice Managers to assure that patients are informed of requirements such as income and/or insurance verification at the time that the appointment is scheduled. Confirm that patients who have coverage that is not accepted at our organization are made aware of this fact before an appointment is scheduled

The Selected Candidate Will Also Possess

• Must be an effective communicator with strong oral, written and presentation skills
• Minimum bachelor's degree in business administration, Health Care Administration or related field is preferred, and at least seven years' experience management in a healthcare revenue management role, or master's degree in health administration, Public Health, Business or related field and five years' experience
• ICD-10 medical coding certification is preferred
• Has knowledge of quality management process
• Must have strong financial management knowledge and experience

Salary Range: $120k-150k/yr
For immediate and confidential consideration, please email your resume to [email protected] or call 858.356.6772. More information can be found at www.simplybiotech.com