What are the responsibilities and job description for the Director, RCM position at Allergy Partners?
Job Details
Job Location
95-00-Corporate - Asheville, NC
Description
POSITION : Director of Revenue Cycle Management
RESPONSIBLE TO : Vice President of Financial Operations
JOB SUMMARY : The Director of Revenue Cycle will oversee and lead all aspects of our healthcare organization's revenue cycle operations, including external 3rd party billing teams. The Director of Revenue Cycle will be responsible for driving strategic initiatives that maximize revenue, reduce costs, and improve overall financial performance. This role will involve collaborating with senior leadership, optimizing revenue cycle processes, ensuring compliance with regulations, and driving improvements in billing, coding, collections, and reimbursement.
RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING :
- Leadership & Strategy : Lead and manage the entire revenue cycle function, including billing, coding, reimbursement, collections, and patient financial services. Develop and implement strategic plans to optimize revenue cycle performance.
- Revenue Optimization : Monitor and improve key performance indicators (KPIs) related to revenue cycle management. Identify opportunities to increase revenue, reduce denials, improve cash flow, and minimize accounts receivable aging.
- Financial Performance : Oversee financial reporting for the revenue cycle and work with finance and accounting departments to ensure accurate and timely reporting. Provide regular updates to executive leadership regarding the financial health of the organization.
- Compliance & Regulations : Ensure compliance with all healthcare regulations, billing practices, payer requirements, and insurance guidelines. Stay updated on industry trends and government regulations such as HIPAA, ICD-10, and CMS guidelines.
- Team Management : Lead, mentor, and develop a team of internal and external revenue cycle professionals. Foster a culture of accountability, excellence, and continuous improvement.
- Collaboration : Collaborate with clinical, IT, and administrative teams to streamline operations, improve workflows, and enhance the patient experience. Act as a liaison between various departments to resolve revenue cycle challenges.
- Technology Integration : Oversee the implementation and optimization of revenue cycle management technology, including electronic health records (EHR) and billing systems, to enhance efficiency and data accuracy.
- Denial Management : Lead efforts to identify and address denial trends, working to reduce denials and rejections. Develop and implement effective denial management strategies.
- Budget Management : Develop and manage the revenue cycle department's budget, ensuring cost-effective practices while maintaining the highest level of service and quality.
OTHER
SUPERVISORY RESPONSIBILITIES
This position supervises the Revenue Cycle Management department.
TYPICAL PHYSICAL DEMANDS
This position is a full-time, director-level position. Work is normally performed in a typical interior / office work environment. No or very limited exposure to physical risk. May require occasional travel to other locations as needed.
Qualifications
EDUCATIONAL REQUIREMENTS :
QUALIFICATIONS AND EXPERIENCE :
