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Full Job Description
The Director of Revenue Cycle Management (“RCM”) provides leadership
and execution to the billing, collections, authorizations and
credentialing teams. This position will complement the existing
Director of Revenue Cycle Management as the result of tremendous
growth of the company.
Based on the candidate’s experience,
the department will be bifurcated to split oversight and execution of
reimbursement transactions, day-to-day oversight, training and
performance management of all billing, collections, authorizations,
payment posting and credentialing team members. The Director of RCM
will lead process development and implementation of best practices to
achieve organization revenue cycle goals and outcomes through a
collaborative approach with outside vendors and business partners,
clinical and operations team members, parents, and all other payer
representatives. The candidate will be expected to exemplify
integrity, responsiveness, and drive results while creating a positive
team environment. The candidate will be responsible for the
management, motivation, education, and monitoring of the output of the
billing support staff and is expected to maintain the highest level of
confidentiality department wide.
This role will be based in
our Deerfield Beach Headquarters.
ESSENTIALS FUNCTIONS
Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.
Manage billing and collections team and provide comprehensive
oversight in solution-oriented reimbursement performance
Provide department leadership, training and guidance
Proactively provide training and routine assessment to team members
in systems and company processes related to revenue reimbursement to
ensure productivity and compliance. Develop, operating procedure to
establish consistency for proactive effective reimbursement
processes
Set daily team member priorities, develop
strategy for execution and measure success against the goals
Develop productivity metrics and measure against them
Maintain billing accuracy through monitoring mechanisms and address
variances and/or claims denials timely
Monitor established
key performance indicators and communicate status daily
Promptly identify trends in accounts receivables and determine the
root cause(s)
Demonstrate ability to analyze information
and think critically
Ensure timely and accurate claims
submission, payment posting, and denials management
Monitor
billing and collections of patient financial responsibility. Ensure
client billing process meets standard operating procedure
Collaborate with other departments and assist to resolve A/R and
payer issues
Perform quality audits at predetermined time
intervals
Work collaboratively with team members on the
floor to assist and obtain results
COMPETENCIES
Confidentiality: Conform to agency policies and practices related to
confidentiality, HIPAA, conduct, and ethical business practices.
Continuing Education: It is an expectation that all employees
assume an active role in personal and professional development. Job
requires engaged participation in all company and agency sponsored
continuing education.
Electronic Records: Using computers
and computer systems, including Domo, MS Office and Electronic Medical
Records programs and the ability to enter transmit and process
information is essential to agency success.
SUPERVISORY
RESPONSIBILITY
Effectively manage and provide feedback and
support Billing, Collections, Posting, Authorizations and
Credentialing team members.
REQUIRED EDUCATION AND
EXPERIENCE
Bachelor’s degree in Business Administration,
Health Administration, Finance, or Accounting
10 years of
Healthcare revenue reimbursement management, payment processes,
collections, and denials management experience, and or related
experience.
PREFERRED EDUCATION AND EXPERIENCE
Master’s degree
ICD-10 Certification
Knowledge
of practice management systems
#INDBCBA
