Divisional Vice President of Operations at DaVita Integrated Kidney Care overseeing operations for kidney care services. Leading a large team of healthcare professionals dedicated to patient care and clinical excellence.
About the role
- Director of RCMS US Operations at Qualifacts managing client service delivery and revenue cycle operations. Overseeing operations, team performance, and ensuring compliance with billing and regulatory requirements.
Responsibilities
- Manage and support a team of Relationship Managers, Configuration Analysts, and/or other customer onboarding staff.
- Ensure staff meet performance expectations and service-level goals.
- Oversee workload distribution, day-to-day operations, and coordination of tasks.
- Conduct regular team meetings, performance reviews, and provide coaching and support.
- Function as the main point of contact for clients during issue escalation or complex situations.
- Ensure clients are receiving timely responses, accurate billing services, and consistent support.
- Monitor customer KPIs, performance metrics, and revenue cycle processing to ensure operational targets are achieved.
- Address client concerns promptly and follow-up on open items to ensure resolution.
- Oversee billing setup, fee schedule updates, and maintenance of revenue cycle settings in the EHR system.
- Validate successful configuration with clearinghouses and monitor ongoing revenue cycle settings.
- Coordinate with internal teams to complete customer onboarding and configuration accurately and on time.
- Ensure contract terms and billing requirements are properly implemented and maintained.
- Support compliance with payer rules, state and federal regulations, and internal company policies.
- Research and share relevant billing, payer, and insurance updates with the team and clients.
- Identify operational issues or risks and collaborate with teams to develop practical solutions.
- Provide oversight into month-end billing, invoice review, and payment validation processes.
- Collaborate with internal departments (e.g., Product, Customer Success, Customer Support, Finance) to support client needs and resolve issues.
- Coordinate with team members to ensure all client deliverables are completed and contracts are adhered to.
- Support cross-functional projects that improve client outcomes and internal workflows.
- Maintain clear documentation and communication for all client-related activities and team performance.
Requirements
- Bachelor’s degree required.
- Master’s degree preferred but not required.
- 10+ years of experience in client success, healthcare billing, or revenue cycle operations.
- At least 5 years of experience in managerial or leadership role.
- Experience working with Electronic Health Records (EHRs), clearinghouses, or medical billing platforms.
- Knowledge of behavioral healthcare billing is a plus.
Benefits
- Qualifacts is an equal opportunity employer.
- We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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