Director of Revenue Cycle Management responsible for financial operations across multiple healthcare facilities. Leading compliance and efficiency in billing, collections, and vendor management.
Responsibilities
Position is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care inpatient, post-acute care, and outpatient facilities in the healthcare system.
Oversee all administrative and technical aspects of Operations, and design and implement effective systems, processes, and procedures to ensure accurate and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit balances and vendor management.
Establish productivity and quality standards for the department, and is accountable for creating a culture of compliance, adherence to coding clinic guidelines, governmental and payer regulations, ethics, integrity and performance across the multi-facility healthcare system.
Provides strategic guidance and direction for system-wide financial services; create and manage a strong financial services culture.
Leads large teams in areas of Revenue Cycle Services including Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, and Customer Service.
Oversight includes up to 17 Acute Care Facilities, 163 Outpatient Facilities, or 300+ physicians.
Develops short and long term plans for operation that is compatible with department and organizational goals.
Contribute to initiatives with Net Revenue Improvement while maintaining oversight of an accounts receivable in excess of $2.6 Billion, Annual Cash Collections $4.3 Billion, and Annual Billed Claims volume 2 Billion.
Provides leadership to revenue cycle management team regarding monthly trending analysis of operational performance including weekly and monthly financial reports.
Requirements
Minimum 5-10 years hospital system and AR vendor related experience
Minimum of 5 years management/supervisory experience
Must have Epic experience
Vast amount of AR Revenue Cycle management experience
Experience managing AR vendors
Bachelor's degree in Business or related field preferred
Requires ten (10) years of hospital/healthcare business office or financial management experience with a minimum of five (5) years in a supervisory role.
Requires demonstrated pattern of growth and ability to lead, motivate, develop, and mentor others.
Requires proven analytical ability and organizational skills necessary to organize/assess information and evaluate recommendations based on data analysis.
Must demonstrate excellent verbal and written communication skills to support interaction and participation in meetings with physicians, payer representatives, and representatives of other departments within the organization.
Expertise in Regulatory Guidelines with CMS, DHS, FDCPA, EMTALA, and NCCI Coding Guidelines to ensure compliant billing and collection follow-up.
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