Revenue Cycle Director jobs in Denver, CO

POSITION SUMMARY

EVP Eyecare is a privately held portfolio company of The Cortec Group. Based in Denver, Colorado, EVP owns and operates a super-regional network of eyecare practices and surgical centers that conduct business under premier brands in Colorado, Texas, and Arizona. We believe that delivering on an outstanding patient experience starts with building an outstanding employee experience.

Our mission is to improve people’s lives through better vision and outstanding patient experiences.

The Director of Revenue Cycle Management will lead revenue cycle strategy and implement tactics for network wide best practices spanning the entire revenue cycle. The Director will analyze and improve processes and results while developing teams and managing outsourced partners.

ESSENTIAL DUTIES AND RESPONSIBILITIES

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

• Provides overall oversight for all revenue cycle functions for the enterprise.
• Reviews, designs, and implements processes surrounding patient registration, provider credentialing, insurance plan participation and reimbursement, preauthorization, billing, and coding compliance, as well as collection of patient accounts and management of bad debt.
• Develops, monitors, and assesses business metrics related to the patient engagement cycle. Optimizes processes based on business metrics to improve efficiencies and revenue and accelerate and maximize collections while minimizing costs.
• Manage a team of Regional RCM Managers; inclusive of hiring, training, providing regular feedback, performance reviews, and ongoing development.
• Responsible for managing the relationship with outsourced partners and all payor contracts.
• Monitor cash collections, posting, denial processing, and recovery to identify trends and opportunities to bill compliantly and maximize reimbursement.
• Periodic review of commercial and government payer medical policy guidelines to identify changes in compliant billing practices required.
• Address escalated reimbursement issues while partnering with internal and external parties to achieve optimal insurance participation and reimbursement.
• Drives implementation and support of recommended action plans and technology solutions that have clear accountability with key performance measures

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

• Minimum of five (5) years of progressive revenue cycle leadership roles in fast-paced multi-unit healthcare organization.
• Bachelor’s degree in finance or business; preferred
• Ability to lead at both a strategic and tactical level with deep analytical skills.
• Strong knowledge of healthcare insurance billing and collections with coding and terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).
• Demonstrated ability to partner with accounting, operations, and medical leadership teams to maximize results.
• Ability to articulate complex ideas in writing and verbally to various audiences.
• Must be willing to travel to EVP clinics and vendor sites as needed.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or listen. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand, walk, sit, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is low to moderate.