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The Director of Revenue Cycle Management is responsible for accurate, appropriate and timely recognition of revenue across all service lines for hospital/healthcare client(s). In this role your responsibility will include patient, resident and client billing, patient access, financial clearance, pre-registration and authorization, collections, revenue integrity, charge capture and charge reconciliation, and CDM maintenance. Responsibilities include planning and organizing key initiatives including revenue management, and maintaining compliance with all regulatory requirements. You will direct and oversee staff and maintain knowledge of current events and innovations to enhance the revenue cycle. This position will also work collaboratively with our client’s physicians, nursing staff and health information staff to ensure accuracy and efficiency in coding, clinical documentation, and denials and appeals.
Job Responsibility:
Overseeing Revenue Cycle Operations: Directing and supervising all aspects of the revenue cycle process, including patient access, financial clearance, billing, collections, charge capture, and compliance
Strategic Planning: Developing and implementing strategic initiatives to optimize revenue cycle performance, enhance efficiency, and ensure compliance with regulatory requirements and industry standards
Staff Management: Leading and managing a team of revenue cycle professionals, providing guidance, training, and support to ensure high performance and adherence to organizational goals
Financial Management: Forecasting and managing financial budgets for revenue cycle departments, ensuring efficient resource allocation and cost-effective operations
Compliance: Maintaining up-to-date knowledge of regulatory requirements and industry best practices, and ensuring compliance with all relevant laws, regulations, and standards
Customer Satisfaction: Ensuring the highest level of customer satisfaction for both internal and external stakeholders, including patients, residents, clients, and healthcare providers
Performance Monitoring and Improvement: Monitoring key performance indicators (KPIs) and metrics to assess revenue cycle performance, identifying areas for improvement, and implementing corrective actions as needed
Collaboration: Collaborating with cross-functional teams, including physicians, nursing staff, health information management, and finance departments, to optimize coding accuracy, clinical documentation, and reimbursement processes
Continuous Learning and Innovation: Staying abreast of industry trends, technological advancements, and innovations in revenue cycle management, and implementing relevant strategies to enhance operational efficiency and effectiveness
Communication: Effectively communicating with senior leadership, departmental managers, and other stakeholders to provide updates on revenue cycle performance, challenges, and initiatives
Requirements:
Bachelor's degree in Finance, Accounting, Healthcare/Business Administration, or related field
Experience in Revenue Cycle Management: Three(3)- Five(5) years required – Ten(10) preferred
Strong Reimbursement knowledge preferred
Strong Billing knowledge preferred
Exceptional communication, interpersonal, and leadership skills, with the ability to influence and collaborate effectively at all levels of the organization
Strategic mindset, with the ability to anticipate market trends, assess risks, and develop proactive strategies to drive financial success
Experience in a customer service role / client facing, public accounting, consulting or advisory roles is advantageous
Nice to have:
Strong Reimbursement knowledge
Strong Billing knowledge
Experience in a customer service role / client facing, public accounting, consulting or advisory roles
What we offer:
Diversify and accelerate your work experience
elevate your career marketability
increase your earnings
opportunity to work with diverse clients and tackle challenging projects that will expand your skills and expertise
freedom and flexibility to choose your engagements, manage your workload and control your work life balance