Director - Revenue Cycle

Description

Join our amazing team at The Steadman Clinic, and be an integral part of a cutting-edge organization that is amongst the best in the world at what they do. This is an excellent opportunity to take your health care career to the next level in a unique and highly valuable role, or kick it off with a world-class organization in an amazing facility. Vail, Colorado is one of our nation's iconic mountain destinations, and highly desirable spot to live if you love the outdoors. This position is eligible for our excellent benefit packages and perks (including a wellness benefit you can use for your ski pass!), and strong work-life harmony.

Manages all aspects of the organization’s revenue capture operations including billing, coding, collections and denial management. Works in close relationship with third-party administrators, insurance companies and internal physician groups, and is central to creating comprehensive and seamless revenue cycle processes throughout the company. This is an "in office" role, and our ideal candidate will be on-site for 80% - 100% of work days. Travel to all locations is also expected as necessary.

Applications for this position will be accepted until 30 days from the posting date. If the position is not filled during this time, the application window will be extended. Candidates who are selected to move through the interviewing process will be contacted directly.

Major Job Responsibilities/Essential Functions:

• Monitor reimbursement activity and provide trend reports with assessment of the trends to management
• Perform detailed reviews on aged accounts including risk analysis and trending
• Build strong relationships with physicians and shares RCM data with individual physicians and Finance on a regular basis
• Evaluate and monitor current reimbursement policies and ensure that legislative and regulatory changes impacting medical billing are anticipated and communicated to appropriate staff and entities
• Researches and resolves claim denials, pre-bill edits and pre-bill errors
• Act as liaison among third-party administrator and physicians
• Seek ways to add value to patients and the practice
• Other related duties as assigned

Requirements

• Bachelor’s degree in Accounting, Healthcare Administration or equivalent preferred
• 5-7 years’ experience Revenue Cycle Management and healthcare billing required
• Orthopaedic billing and coding experience highly preferred
• Medical coding certification preferred such as CCS
• Experience using an EHR system required.
• Knowledge of third-party physician specialty billing, contractual and compliance regulations, along with a demonstrated understanding of automated processes and claims submission
• Considerable knowledge of medical office operations, professional fee billing, reimbursement and third-party payer regulation and medical terminology is required
• Strong problem-solving skills and ability to make timely decisions in a fast-paced environment
• Ability to work, plan, research and conduct projects with minimal supervision
• Proven ability to interface well with leadership and physicians to engender trust and confidence

Benefits:

• Health Insurance (medical, dental, vision)
• Company 401k Contribution
• Paid Time Off
• Sick Time
• FAMLI Leave
• Paid Holidays
• Life Insurance
• Short and Long Term Disability Insurance; AD&D; Hospital Indemnity
• Referral Program Incentive
• Parking Available
• Discretionary Bonus Program and Ski Pass Benefit
• And more!