Director of Revenue Cycle and Reimbursement (FT)

At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient-centered, high quality health care."

Ashe Memorial Hospital is proud to be Voted Ashe's Best Place to Work 2022 & 2023! Come be a part of our dynamic team; you'll join Ashe's 2022 & 2023 Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice!  This is your opportunity to make a large difference in a small community!

 Hours: Mon. - Fri., General business hours, ON SITE | Supervisory Responsibilities | No Travel | Pay commensurate with experience

JOB SUMMARY:  Responsible for maximizing reimbursement, including Payor Contracts. Overall responsibility for current processes and future adaptability to changes in healthcare reimbursement. Management of all business office functions. Ensures compliance with all organizational and regulatory standards related to governmental and third-party payor requirements.

Minimum Job Qualifications:

Experience:

• 10 years medical billing management experience/hospital and clinic environment.
• 4 years Revenue Cycle management experience.
• Knowledge in state and federal healthcare regulations and programs.
• Knowledge of records management, coding, managed care, and A/R policies and processes.
• Knowledge of billing and collections of various insurance payors.
• Experienced in ABOD will be considered.
• Knowledge of Meditech preferred

Education: Bachelors Degree or equivalent experience.

ESSENTIAL FUNCTIONS:

1. Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.
2. Onboarding and training of new employees and ongoing education of current staff.
3. Maintenance of systems and applications that support hospital claim processing in order to maintain accounts receivable inventories at acceptable levels.
4. Other duties and responsibilities as assigned.
5. Maintains confidentiality.
6. Supports the hospital and promotes a positive attitude.
7. Adheres to dress code, appearance is neat and clean.
8. Wears identification while on duty.
9. Adheres to the HIPAA and privacy policies and procedures. Reports any violation or appearance of violation of the policies and procedures and/or laws and regulations addressed in the Compliance Plan and the hospital Code of Conduct to the Compliance Officer or to a member of Senior Leadership.

Must be willing to receive all required vaccinations (i.e., flu shot, etc.). All new employees working must be fully vaccinated as a condition of employment (unless the new hire has requested and received an exemption). Candidates for employment will be notified of this policy requirement prior to the start of employment. After receiving an offer of employment, new employees must provide proof of vaccination or request and receive an exemption before beginning work.

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

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

***Benefits apply the 1st of the month following employment, per policy.***

*For full job description and benefits, please contact Human Resources.

Ashe Memorial Hospital is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.  Employment decisions are made without regard to race, age, religion, color, sex, national origin, physical or mental disability, marital or veteran status, sexual orientation, genetic information, or any other classification protected by law. All employment requirements mandated by local, state, and federal regulations will be observed.