What are the responsibilities and job description for the Revenue Cycle Director position at Aptiva Health?
About Us:
Aptiva Health is a rapidly expanding multi-specialty group with locations throughout Kentucky. Our goal is to create a truly valuable and unrivaled experience for our providers, our team members, and our communities. If you value transparency, fairness, and innovation, we would love to have you join our team!
We are looking for an experienced Revenue Cycle Director to lead our RCM in Louisville, KY.
Job Summary
The Director of Revenue Cycle manages all functions of the organization’s billing and revenue cycle to ensure compliance and oversees all stages of the revenue cycle from coding, billing, and A/R follow-up to preauthorization, benefits and eligibility, and credentialing. The Director is responsible for leadership and oversight of the revenue cycle management department and reports directly to executive leadership.
Responsibilities
- Directs and oversees the overall policies, objectives, and initiatives of an organization's revenuecycle activities to optimize the patient financial interaction along the care continuum.
- Assist with maintaining state and federal requirements for medical billing operations
- Interview, hire and train new staff on practice's policies and protocols
- Manage daily staffing to ensure optimal operation of the practice
- Review accounts receivable, patient responsibility and other billing reports monthly
- Coordinating with physicians on appeal documentation
- Establish, maintain, and track KPI’s for all persons within the department
- Report monthly to executive team with productivity metrics, billed charges, collections, issues, and recommendations.
- Assist with RCM medical record oversight and review – providing education and assistance w/ best practice.
- Responsible for all collection activities on identified accounts
- Understands medical billing requirements for governmental, auto, workers' compensation, contracted and commercial payers
- Reviews and research insurance correspondence and makes necessary corrections to ensure claims payment
- Oversee processing and follow up on clearinghouse rejections;
- Oversee creating and processing of pre-collection letters;
- Data entry and patient demographics;
- Perform all other responsibilities as may be assigned by management.
Skills
- 5 years of experience and knowledge of healthcare management principles, including medical billing and coding practices. .
- Excellent analytical skills with attention to detail for managing complex data sets.
- Proficient in using electronic health record (EHR) systems and revenue cycle management software.
- Effective communication skills, both verbal and written, to interact with various stakeholders within the organization.
- Critical thinking skills – using logic to identify alternative solutions, conclusions or approaches to problems;
- Excellent organizational, written and verbal skills;
Job Type: Full-time
Pay: $80,000.00 - $110,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Revenue cycle management: 5 years (Required)
License/Certification:
- Medical Coding Certification (Preferred)
Ability to Commute:
- Louisville, KY 40299 (Preferred)
Work Location: In person
Salary : $80,000 - $110,000
