Description

Are you a seasoned professional with a passion for maximizing revenue and enhancing financial operations in the healthcare sector? Aurora Mental Health & Recovery (AMHR) is excited to announce an opportunity for an experienced Revenue Cycle Director to join our team! Under the leadership of our Chief Financial Officer, you will play a pivotal role in managing all claim-related activities from eligibility verification to final adjudication and payment of claims.

Schedule. The position offers a hybrid schedule, allowing you to work in our office two days per week while enjoying the flexibility to work remotely three days per week. This hybrid arrangement ensures that you benefit from the best of both worlds: effective in-person collaboration with your team and the flexibility to manage your workload efficiently from a remote location.

Why AMHR? At AMHR, we are committed to making a difference in our community by providing exceptional mental health and recovery services. Join a team that values innovation, collaboration, and professional growth while working in a supportive and dynamic environment. The position 

Essential functions:

• Senior Leader Accountabilities: Lead a team of managers or individual contributors. Ensure that managers provide focus and direction to their respective teams. Foster development of leaders and create a culture of accountability. Develop goals, strategic plans, company policies, and make decisions on the direction of the organization. Mobilize and influence external stakeholders and outside resources. Effectively communicate sr. leadership decisions and organizational strategy and plans to managers. Also, share key external updates with team. Set performance indicators.
• Establish and implement revenue cycle policies, processes, controls, and reporting systems.
• Lead the revenue cycle team in all processes related to coding, billing, and collections with ongoing process improvement analysis.
• Direct staff to ensure that accurate submission of all claims and timely collections occur in accordance with all third-party contract terms including, Medicaid, Medicare, managed care, commercial insurance, and direct patient pay.
• Perform internal billing audits to ensure coding compliance, charge capture, and reimbursement based on medical record documentation consistent with payer regulations and guidelines.
• Work collaboratively with the quality improvement team to facilitate the improvement in coding and clinical documentation practices which support appropriate billing and reimbursement for the level of service rendered.
• Ensure that unprocessed claims and denials are reviewed, reworked, and resubmitted to ensure revenue maximization.
• Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
• Collaborate with clinical leaders, Quality team, and Client Experience team to ensure appropriate training in and adherence to revenue cycle policies and procedures.
• Develop a deep understanding of EHR product capabilities and end-to-end processes as pertains to Revenue Cycle functions; leveraging this understanding to ensure product use is maximized and providing direction and oversight of billing setup and configuration. Work closely with the IT Enterprise Application Services team to identify development opportunities to enhance the EHR system.
• Create and maintain strong relationships with payors to ensure that contracts are current, fee schedules negotiated, the organization is properly credentialed, and any payment related issues are resolved timely.
• Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes such as bad debt expense, AR days outstanding, and other KPIs.
• Maintain current and in-depth knowledge of government and third-party payer billing regulations and guidelines. Communicate major changes to leadership, and coordinate with IT for any necessary system changes.
• Manage the resolution of client billing issues and ensure appropriate follow-up is done to manage client relationship.

Qualifications

Requirements:

• Bachelors degree in accounting, finance, business or similar required.
• Three to five years of revenue cycle management experience required.
• Previous revenue cycle experience in behavioral health setting is preferred.
• Familiarity with healthcare billing systems and Microsoft Office products required
• Ability to execute work plans independently and with flexibility
• Ability to multitask, prioritize work and meet deadlines
• Creative and positive approach to communication and problem solving.
• Contribute to building a positive team spirit; put success of the team above own interest; support everyones efforts to succeed; must be able to work well in multidisciplinary team settings
• Strong customer service skills exhibited in excellent customer service to clients and colleagues
• Must have excellent written and verbal communications skills and presentation skills; focus on solving conflict in cooperative manner
• Efficiently manage time and prioritize activities

Required Vaccinations and TB Test.

AMHR has prioritized the health and safety of our clients and staff and requires all employees to be fully vaccinated against Covid-19, receive an annual influenza (flu) shot, and receive negative TB test results prior to their first day of hire. Proof of both vaccinations and negative TB test will be required upon your first day of employment. Medical and religious exemptions may be requested for the COVID 19 vaccine, annual flu shot or TB test.

Salary for this role.

Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Salary is also based on experience and company equity.

• $79,449.25 – $147,548.61 per year.

Benefits:

• Health insurance: Kaiser
• Dental, vision, and flexible spending accounts (dependent care & health care)
• Company paid basic life and AD&D insurance
• Long-term disability coverage*
• 403(b) retirement plan which provides 100% vesting immediately, and matching contributions up to 4% after one year of employment
• Accrued Vacation pay up to 12 days and accrued Sick Pay up to 12 days per year, plus 10 Paid Company Holidays, and 2 floating holidays (hours calculated pro-rata basis based on full-time equivalency)
• Employee Assistance Program
• Voluntary term life insurance
• Short term disability*

*Eligible for benefit if working 30 hours per week or more

Our Mission, Vision and Core Values.

Mission: Deeply rooted in our diverse community, we deliver state-of-the-art care and meaningful outcomes that impact emotional well-being and addiction recovery.

Vision: To foster hope and healing through compassionate, quality care.

Core Values: Passionate caring; Rising to the challenge; Honoring and respecting all persons; Believing in resilience; Putting clients and community first; Commitment to collaboration and teamwork

We are an Equal Opportunity Employer.

AMHR and subsidiaries are dedicated to the principles of equal employment opportunity. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, sex, color, religion, national origin, disability, military status, genetic information, or any other status protected by applicable state or local law. We are committed to maintaining an environment that respects the dignity of each individual in our community. We do not tolerate discrimination in any form or context including harassment or exclusion.

Diversity Statement.

We are committed to the values of diversity, equity, and inclusion, and strive to ensure that it is interwoven into the fabric of our organization. We support and nourish an inclusive and welcoming environment for employees from diverse backgrounds.