Associate Director Revenue Cycle

Associate Director Revenue Cycle

Reporting to the Director of Revenue Cycle, the Associate Director of Revenue Cycle is responsible for daily management of the revenue cycle team dedicated to billing and collections. Position will be responsible for the coordination and management of all revenue cycle functions to optimized and maximized collections.

Responsibilities:

• Oversees all functions of the Revenue Cycle process, including claim submissions, payment reconciliation and posting, patient account representatives, claims rejections/ denials, A/R follow up, patient statements, refunds and recoupments, revenue integrity, and external collections activities.
• Collects, organizes, analyzes, and disseminates significant amounts of information from various data sources with attention to detail and accuracy, in a timely manner.
• Provides data driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations. Monitors key performance indicators and escalates issues to senior management as appropriate.
• Analyzes data for insights into claims management, and for special prevention and denials management projects. This includes identifying denial trends by root cause, Payor-related issues, physician trends, etc.
• Oversees and manages payer related issues, including identifying and trending underpayments and overpayments, and communicating with payer representatives, and collaborating with our Managed Care team and Credentialing.
• Develops and ensures implementation of policies, guidelines, and implementation procedures; and ensures goals and objectives are properly defined and clearly established.
• Conducts site visits and regular meetings with site managers to discuss their billing issues.
• Oversees mergers and acquisitions and ensures a successful transition.
• Determines and maintains appropriate staffing metrics and measurements based on business demands.
• Assess and ensure adequate staffing is available to support and manage centralized functions for existing and new business needs.
• Works closely with leaders in the areas of Operations, Finance, Human Resources, Information Systems, credentialing, and Compliance to achieve business objectives and implement organizational strategy.
• Works with the Director if Revenue Cycle and company leaders to develop and implement the revenue cycle strategy.
• Works closely with IT department to optimize the use of technology to automate revenue cycle functions.
• Strong understanding of Rendr payer contracts; fee schedules, rules, and guidelines.
• Other duties as assigned.

Skills and Qualifications:

• Bachelor's Degree in a healthcare or related field with 8 years of revenue cycle experience, 4 of which must be supervisory.
• Bilingual in English and Chinese preferred.
• Demonstrated proficiency with physician billing platforms.
• Demonstrated skills in revenue cycle management, problem assessment, project management, analytical skills, and resolution and collaborative problem-solving in complex, interdisciplinary settings.
• Demonstrated experience in being responsible for large groups of employees in a complex operational setting.
• Strong analytical capacity.
• Proficiency with excel, including experience in formatting, formulas, pivot tables, etc.
• Mandarin and Cantonese are a plus.

Benefits:

• Competitive pay
• A friendly and fast-paced environment working with passionate people
• Medical, vision, and dental insurance
• PTO benefits
• Paid Holidays
• 401k retirement plan