DIRECTOR OF REVENUE CYCLE MANAGEMENT

CHARACTERISTICS OF WORK:

This position will require very strong industry-based knowledge of revenue cycle management and best practices.  This strong leader must take a hands-on roll up their sleeves transformational approach to be successful.  The position will have immediate responsibility for two large billing operations totaling more than 25 million in accounts receivable with a disproportionate amount of it aging and needing immediate attention. The position has direct supervision of all employees in RCM and over both databases and accounts receivables. The Revenue Cycle Manager will also need to be strong enough to acquire additional databases for new practices, helping with integration and support as they are acquired into the platform.  The position will be expected to collaborate with senior management, provide weekly and monthly updating, but work independently.

EXPERIENCE / EDUCATIONAL REQUIREMENTS:

Education:

Bachelor’s Degree required, degree in Health Care Administration or Business Administration preferred

AND

Experience:

Eight (8) years’ experience in financial management including two (2) years in medical financials

Three (3) years’ experience in managing 15 employee department

ESSENTIAL FUNCTIONS:

The essential functions include, but are not limited to, the following:

• Orthopedic billing experience helpful
• Surgery Center billing experience helpful
• Manage and supervise 20 employees
• Participate with senior management and independently develop and design workflows to optimize efficiency and effectiveness in billing, collections, and cash posting
• Collaborate with the practice CEO and VP of RCM to set revenue cycle goals
• Remain current in all regulatory matters related to the position
• Manage the development of staff using performance measurement reports and tools
• Review and approve write-offs for private pay and insurance accounts
• Sign affidavits for collections agency
• Create and maintain year-round accruals: malpractice insurance, property, furniture and fixture taxes, Christmas Bonus, depreciation, and reconciliation to schedule, etc.
• Familiar with and remain proficient in ICD-10 and CPT codes and medical terminology
• Proficient with Microsoft Word, Excel, PowerPoint programs
• Assist human resources in hiring business department employees: billing, medical records, insurance, and transcription