5 Director of Revenue Cycle Operations Jobs in Milwaukee, WI
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Sixteenth Street Community Health Centers
Milwaukee, WI | Full Time
$115k-153k (estimate)
2 Months Ago
S
Sixteenth Street Community Health Centers
Milwaukee, WI | Full Time
$115k-153k (estimate)
2 Months Ago
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Director of Revenue Cycle Operations
$115k-153k (estimate)
Full Time
2 Months Ago
Sixteenth Street Community Health Centers is Hiring a Director of Revenue Cycle Operations Near Milwaukee, WI
Join our team who is committed to the delivery of the highest quality health care service. We are seeking a full-time Director of Revenue Cycle Operations that is self-motivated, energetic, and a take charge individual.
Position Summary:
Reporting directly to the CFO, the Revenue Cycle Director manages all functions of the organization’s billing
and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. Reviews, designs, and implements processes and procedures surrounding admissions, pricing, billing, third party relationships, coding, compliance, collections, cash posting, account management, and contract analyses. Manages relations with payers and providers to ensure appropriate level of reimbursement. Develops dashboards and other tools to ensure all phases of the revenue cycle as well as staff productivity is world class. Supervises and oversees all the revenue cycle staff.
Job Responsibilities:Qualifications:XJ6
Position Summary:
Reporting directly to the CFO, the Revenue Cycle Director manages all functions of the organization’s billing
and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. Reviews, designs, and implements processes and procedures surrounding admissions, pricing, billing, third party relationships, coding, compliance, collections, cash posting, account management, and contract analyses. Manages relations with payers and providers to ensure appropriate level of reimbursement. Develops dashboards and other tools to ensure all phases of the revenue cycle as well as staff productivity is world class. Supervises and oversees all the revenue cycle staff.
Job Responsibilities:
- Develop, implement, and manage efficient and effective operational policies, processes, and best practices within all functions of the revenue cycle
- Implement policies and procedures to ensure appropriate compliance with all Federal, State and Local billing regulatory guidelines and requirements. Ensure compliance with federal and state laws specifically pertaining to the revenue cycle by analyzing internal policies and implementing appropriate changes.
- Establish and maintain proper internal control throughout the organization. Participate in and support scheduled Revenue Cycle external audit to prevent internal control weaknesses and to ensure an independent and objective evaluation of the operation.
- Champion revenue cycle improvements throughout the organization including working with appropriate individuals or departments.
- Maintain knowledge of Intergy Practice Management and successor systems and their capabilities. Identify and implement ways to automate and streamline revenue cycle processes by maximizing Intergy and other system(s) utilization. Develop action plans for successful implementations to ensure best practice outcomes.
- Set annual goals for revenue cycle performance and report departmental performance around goals and national benchmarks to the Chief Financial Officer. Manages the Revenue Cycle budget.
- Perform ongoing trend analysis on third party payer payment levels to ensure that reimbursement is in accordance with allowable amounts stated in agreements and contracts. Works with the appropriate individuals to resolve discrepancies.
- Perform ongoing trend analysis of third-party payer rejects and denials. Develop training programs for registration, billing, and coding staff to eliminate/reduce rejects/denials. Develops strong appeals procedures.
- Monitor and make decisions regarding the value and collectability of accounts receivable. Make recommendations and enhance processes to keep AR Days at acceptable levels. Prepare monthly analysis and reports pertaining to AR.
- Implement and monitor collection procedures, minimizing contractual and bad debt write offs, and maximizing cash collections. Develop, audit, and enforce policies regarding account adjustments and write-offs.
- Provide financial support and analysis to providers through communication and education. Review all encounter forms/ coding sheets for appropriate CPT and ICD-10 information. Coordinate updates with each department, as necessary. Audit provider coding and E/M levels on an ongoing basis and meet with providers to review specific coding issues.
- Provides oversight of payer enrolment process to ensure that physician participation with payers is accurate and completed without delay.
- Manage all payer relationships. Coordinate agency enrollment in third party payors including Medicare and Medicaid. Maintain knowledge base of payer billing regulations, timely filing deadlines, and payment and appeal procedures.
- Prepare financial analysis for use in the third party and managed care negotiation payer process. Actively monitor and participate in the review and negotiation of third-party payer contracts.
- Hire, train, supervise, direct, and evaluate revenue cycle staff.
- Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or related field.
- Five years of work experience in a multi-specialty physician group practice, managing the Revenue Cycle Operations. Two years of supervisory experience in billing/collections.
- Strong working knowledge of medical terminology, CPT, HCPCS, ICD9 and ICD10, physician billing knowledge, and health care compliance.
- Knowledge of pertinent Federal, State, and local laws, codes, and regulations related to patient billing and collection.
- Systematic approach to problem solving for all types of issues.
- Strong skills in fostering working relationships. Must have high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact, and diplomacy.
- Effective, clear, and persuasive oral and written communication skills with individuals and groups.
- Advanced skills in computer programs, particularly in Microsoft Excel.
Job Summary
JOB TYPE
Full Time
SALARY
$115k-153k (estimate)
POST DATE
05/06/2023
EXPIRATION DATE
08/26/2024
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The job skills required for Director of Revenue Cycle Operations include Billing, Analysis, Problem Solving, Written Communication, CPT, etc. Having related job skills and expertise will give you an advantage when applying to be a Director of Revenue Cycle Operations. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Director of Revenue Cycle Operations. Select any job title you are interested in and start to search job requirements.
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