Revenue Cycle Management Director

JOB SUMMARY:

We are searching for a Revenue Cycle Management Director (RCMD) to provide leadership and oversight of our team. We are a leading family practice providing a complete complement of care and treatment options for our patients throughout six states. As a premiere healthcare facility, we are committed to helping every member of your family stay as healthy as possible at every age and every stage of life. Through staff, directs the management of Accounts Receivable and Collection function for all clinic entities, according to Companies policies, procedures, and practices to ensure maximum cash flow and to protect the integrity of Company assets.

MAJOR DUTIES AND RESPONSIBILITIES:

• Determines biller production levels as well as department capacity, compares this with current billing needs and annual new clinic, visit, and claims growth to accurately project current billing staffing and new hire needs
• Develops specific action plans to address identified areas of underperformance and to meet department metric performance goals.
• Evaluates operational, procedural and personnel situations and identifies appropriate solutions based on a thorough understanding of business conditions, corporate objectives and policies, strategic customers, and the long-term impact of implementation.
• Ensures an effective onboarding and new biller training program is implemented to prepare new staff.
• Manages staff including performance management, salary planning and administration, training and development, workflow planning, department structure, metric tracking, hiring and placement, and disciplinary actions.
• Identifies, analyzes, and assists Billing Manager and billers with the oversight of global issues pertaining to proper billing, deposits, holds, payment posting and collections of center accounts receivable.
• Plans and coordinates special accounts receivable projects as required.
• Communicates with Billing Dept, operations, credentialing, accounting and executive leadership teams on pertinent accounts receivable issues.
• Implements policies to verify the integrity and control of the accounts receivable system data efficiencies.
• Develops and monitors Billing Department staffing model and staffing performance.
• Participates in Payor meetings as required, keeping appropriate leadership team members aware of reimbursement rules, fee schedule initiatives, and other projects aimed at improving AR collection.
• Occasional travel as required.
• Compiles, analyzes, and presents weekly, monthly, and quarterly accounts receivable reports with Billing Department Manager and/or Supervisors and actively monitors adherence to department performance goals.
• Regular and timely attendance.
• Maximizes the use of available technology in the order to improve cash collection and AR collection process.
• Develops direct relationships with payers and employers to promote positive working relationships.
• Works closely with operations leaders to track point of sale collection performance and helps develop training to improve point of service collection.

OTHER DUTIES:

• Performs additional duties as assigned.
• Duties, responsibilities, and activities may change at any time with or without notice.

REQUIRED QUALIFICATIONS:

• Bachelor's Degree in accounting, finance or business administration or equivalent experience.
• 7+ years experience in finance positions of increasing scope and responsibility including 5 years managing accounts receivable.

PREFERRED QUALIFICATIONS:

• Experience in healthcare industry accounts receivable with multi location practice.
• Primary care, urgent care, rural health clinic experience
• Athena experience

DEMONSTRATED JOB-RELATED SKILLS/COMPETENCIES:

• Excellent problem-solving skills and ability to handle multiple tasks
• Ability to communicate verbally and in writing
• Ability to develop and manage a professional staff in a dynamic fast paced environment
• Proven track record in creating, implementing, and improving AR processes and procedures
• Effective team building skills
• Ability to work under tight time schedules
• Microsoft Word and Excel knowledge and experience
• Strong managerial, planning, and organizational skills
• Proven leadership qualities with influencing and negotiating skills
• Able to lead cross-functional projects
• Ability to communicate effectively and tactfully with all levels of personnel
• Strong customer service and communication skills
• Experience with computerized accounting systems

WORKING CONDITIONS/PHYSICAL DEMANDS:

This position is fully remote. The job does occasionally require traveling to attend meetings, as requested by leadership of the company. Individual must be able to work 8:00 am to 5:00 pm central standard time.

Work cannot be performed from outside of the United States.

This role routinely uses standard office equipment such as computers, phones, printers, etc.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to handle or type; and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.