Director, Revenue Cycle

Job Description

Warbird Consulting Partners seeks experienced candidates to be considered for a hands-on Revenue Cycle Director role with a mid-sized community hospital system in the Pacific NW.  This is a Full-Time/Direct Hire opportunity.  Reporting to the CFO, the Revenue Cycle Director will be responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner that follows federal, state and payer-specific billing requirements. The Director will oversee the overall policies, objectives, and initiatives of our healthcare facilities’ revenue cycle activities to optimize the patient financial interaction along the care continuum.  Must have a strong understanding of billing, follow up, charge capture, chargemaster and operational experience at a minimum.

Systems Environment - Oracle/Cerner

Location – Onsite, Pacific NW

KEY RESPONSIBILITIES

• Oversee and support the daily operations of all Revenue Cycle functions.
• Work closely with other departments to streamline procedures that will help ensure correct billing to patients and payers in a timely manner, thereby expediting hospital receivables.
• Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Maintain appropriate internal controls for the safeguarding of cash.
• Follow and monitor compliance with hospital policies and standards.
• Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions.
• Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks.
• Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors.
• In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current workflow.
• Monitors daily productions of claims, denials, and appeals.

Job Requirements

• Bachelor’s degree in Healthcare Administration, Business, Accounting, Finance or related field
• Three (3) years of management-level experience in hospital revenue cycle with expertise in billing and collections.  Cost-based reimbursement experience preferred.
• General knowledge of patient registration, finance, and data processing.
• Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.

E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program. Warbird is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion or other legally protected status. INDS