What are the responsibilities and job description for the DIRECTOR, REVENUE CYCLE MANAGEMENT position at Callen-Lorde Community Health Center?
Job Details
Description
About Us:
Callen-Lorde is the global leader in LGBTQ healthcare. Since the days of Stonewall, we have been transforming lives in LGBTQ communities through excellent comprehensive care, provided free of judgment and regardless of ability to pay. In addition, we are continuously pioneering research, advocacy and education to drive positive change around the world, because we believe healthcare is a human right.
Our Mission:
Callen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York’s lesbian, gay, bisexual, and transgender communities — in all their diversity — regardless of ability to pay. To further this mission, Callen-Lorde promotes health education and wellness, and advocates for LGBTQ health issues.
About the Role:
We are seeking a dynamic and experienced Director of Revenue Cycle Management to oversee and optimize end-to-end revenue cycle functions, including pre-service insurance verification, billing, accounts receivable follow-up, denials management, and payment posting. This role will also manage the credentialing and payor relations processes for licensed staff. The Director will collaborate with cross-functional teams to monitor financial operations, mitigate risks, and maximize patient services revenue..
Key Responsibilities:
As the Director of Revenue Cycle Management, your responsibilities will include:
- Revenue Cycle Oversight: Lead all aspects of revenue cycle operations, including billing, A/R follow-up, denials management, and reimbursement processes.
- Operational Monitoring & Reporting: Develop and maintain reporting to assess revenue cycle health, identify risks, and provide insights to senior leadership and the Finance Department.
- Team Leadership: Supervise the Patient Accounts Manager and department, ensuring productivity, performance management, and a positive, equitable work environment.
- System Optimization: Collaborate with the HIT team to maintain electronic billing configurations, ensuring compliance with payer policies and industry standards.
- Provider & Patient Process Management: Ensure accurate patient registration, insurance verification, and provider coding compliance to optimize reimbursements and minimize claim denials.
- Credentialing & Payor Relations: Oversee provider credentialing, payor enrollment, and contract renewals to ensure compliance with regulations and network participation.
- Audit & Compliance: Assist in annual fiscal audits, government reporting, and payer-requested audits while maintaining compliance with accreditation and regulatory standards.
Qualifications
Qualifications (Education, Certifications, Experience, Skills, Language)
- Bachelor’s degree in Business Administration, Finance or other related field required. Master degree preferred.
- 7 years of experience in health care-related accounts receivable management, with FQHC experience required.
- 5 years of leadership/management experience required.
- Primary care billing experience strongly preferred.
- Professional certification in coding preferred
- Demonstrated relevant experience with electronic practice management systems.
- A track record of building diverse, high-performing teams and cross functional partnerships.
- Prior experience in a social services or healthcare setting and/or a non-profit organization highly desirable.
- Effective communication skills with patients, colleagues, and other healthcare professionals.
- Ability to handle multiple tasks and work under stress in a dynamic environment, managing patient care needs effectively.
- Strong leadership and management skills.
- Proficiency in conflict resolution
- Strategic thinking and planning skills.
- Bilingual (Spanish/English) preferred.
Desired Characteristics
- Demonstrate cultural competence and a proven ability to work respectfully and effectively with diverse populations, including LGBTQ communities and people from various cultural, socioeconomic, and educational backgrounds.
- Commitment to continuous learning and professional development.
- Commitment to community-based healthcare, understanding its vital role in promoting health equity and improving population health outcomes.
- Commitment to the mission of Callen-Lorde.
Salary : $140,000 - $190,000
