Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Overview:
Job description
Revenue Cycle Management Delivery Lead
About Sciometrix
Sciometrix is a leader in telehealth -healthcare virtual care management. Our mission is to engage patients to deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since inception our patient count, technology solutions have been evolving.
Our healthcare organization seeks Revenue Cycle Management Delivery Lead proficient in leading credentialing and access management (PECOS, CAQH) for providers. The ideal candidate will maintain financial Scorecards for physicians/providers, generate patient analytics from EMRs, coordinate patient eligibility and payment source screening, and generate reports for financial analytics. Proficiency in different EMRs for analytics is essential. With over 10 years of experience in medical billing and a bachelor's degree, you will coordinate billing and collection activities, optimize payments, lead denial management for insurance providers, ensure compliance with HIPAA, and devise payment sources for new patient enrollment before treatment. Ideal candidate must have expert knowledge of professional billing and coding, device process of internal audit, and external audits, able to review and understand health plan policies related to medical billing.
What's in It for You:
Opportunity to create an impact: Take charge of revenue cycle management initiatives and make a significant impact on the organization's financial performance.
Professional Growth: Expand your expertise in leading credentialing, access management, and financial analytics within the healthcare industry.
Competitive Benefits: Enjoy a comprehensive benefits package, including paid time off, company stocks, paid holidays, 401k contributions, and medical, vision, and dental insurance.
Convenient Location: Work onsite in Royal Oak, MI, with downtown paid parking provided for your convenience.
Travel Opportunities: Openness to travel for work-related purposes allows for potential client meetings, training sessions, or conferences, enhancing your professional network and experience.
Inclusive Culture: Join a diverse and inclusive team at Sciometrix, where equal opportunity is promoted and everyone's contributions are valued and respected.
Telehealth Innovation: Be part of a pioneering organization dedicated to transforming healthcare through telehealth innovation, improving patient experiences, and provider satisfaction.
Responsibilities:
Qualifications:
Location:
· This role is an onsite position located at Royal Oak, MI, requiring presence Monday through Friday from 8 am to 4 pm.
· Must be open to travel for work-related purposes, such as client meetings, training sessions, or conferences, as needed.
· Flexibility in scheduling and availability to accommodate occasional travel is essential to fulfill job responsibilities effectively.
Benefits:
· Paid time off
· Company Stocks.
· Paid Holidays.
· 401k with company paid contributions.
· Medical, Vision, and Dental Insurance.
· Royal Oak, MI downtown Paid Parking.
Equal Opportunity at Sciometrix: Sciometrix is an Equal Opportunity Employer and is proud to offer equal employment opportunity to everyone regardless of race, color, ancestry, religion, gender, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, and more. Join us at Sciometrix and be part of a team dedicated to transforming healthcare through telehealth innovation!
Job Type: Full-time
Pay: $110,000 - $120,000 per year
Benefits:
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Experience:
Ability to Commute:
Ability to Relocate:
Work Location: In person
Job Type: Full-time
Pay: $110,000.00 - $120,000.00 per year
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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