What are the responsibilities and job description for the Revenue Cycle Director position at Center For Mental Health?
Full-Time / Exempt
Great Falls
Position Overview: Oversees MRWH revenue cycle. Plans, organizes and implements activities and procedures to effectively administer revenue cycle best practices. Maintains key performance indicators, quality controls, compliance measures and performance standards to meet SMT strategic planning objectives.
Job Duties:
- Effectively manage the daily billing process in Revenue Cycle.
- Train, develop, support, and manage Revenue Cycle staff while supporting a team environment.
- Develop and prepare operational strategies to increase cash flow, reduce aged accounts receivable, and reduce bad debt.
- Provide leadership with revenue/payment data, reports, metrics, and presentations.
- Ensures analysis and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims.
- Resolves escalated reimbursement issues with payers.
- Maintain monthly dashboard including KPIs, production numbers, etc., monthly.
- Research and collaborate on regulation updates to ensure all necessary changes are incorporated into daily workflows.
- Create double check process for postings to
systemelectronic health record software on a - Assist Controller/CFO on payment analysis for the various commercial payers as it relates to fee schedules, contracts, and the various plan offerings under each insurance plan.
- Reviews and investigates the gaps in providers that are credentialed with client insurances and receives approval from Controller/CFO.
- Oversees maintenance, updates of the relevant modules, set-up, and data tables in the electronic health record systems and related billing engines.
- Collaborates with the Revenue Cycle team to ensure billing functions are being maintained or added as necessary in the electronic health record systems.
- Collaborate with Revenue Cycle Team for improved data mining and financial reporting tools as it relates to revenue cycle.
- Collaborates with other departments/programs to achieve workflow efficiencies and monitor and implement changes needed to ensure effective and timely billing and cash collection.
- Collaborates with the front desk Intake employees for billing procedures, insurances, client payments, petty cash, etc.
- Working in collaboration with Controller/CFO and accounting employees as it relates to revenue cycle management.
- Adhere to HR/Company policies and procedures, evaluate, and approve timecards and time off requests.
- Comply with all CMS, Federal and State regulations, payor guidelines and ensure consistent and complaint coding application.
- Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters.
- Performs other duties as assigned.
Minimum Qualifications:
- Bachelor’s degree in accounting or business related field required.
- Eligibility may be established on the basis of six (6) years experience in lieu of a degree.
- Minimum three (3) years progressive experience in health care billing field, preferably mental health services.
- This experience should include supervisory and/or leadership duties.
Sign on bonus $4,000
Salary $77,272 DOE
Benefits:
- 401K Matching Contributions
- Health Insurance
- Dental Insurance
- Flexible Spending Account
- Health Savings Account
- Flexible Work Schedule
- Paid Holidays
- Paid Birthday
- Pet Insurance
All Positions at Many Rivers Whole Health must pass Background Checks, Urinalysis Testing, and Motor Vehicle Record.
About Us:
Since 1976, we have been dedicated to 14 counties in Montana and seek to serve a variety of both individuals and groups in all settings. We define resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress — such as family and relationship problems, serious health problems, or workplace, school place and financial stressors — alongside those of chronic, severe disabling behavioral health conditions. with an integrated team of specialists and a personal approach to wellness. Today, we are focused on becoming Montana's healthcare provider of choice.
We are committed to recruiting qualified employees, continually striving for advancement, and above all, working as a team to meet the health needs of clients living in our 14 counties. Our vision is to be the healthcare provider of choice for clients and employer of choice for employees and providers. We will achieve this vision by committing to a culture of integrity, safety, evidence based exceptional care, compassionate customer service, and great work environment.
Our Mission: Many Rivers Whole Health partners with people and communities to serve the whole person – body, mind, and spirit – by providing expertise in wellness, mental health, and substance use disorders, addressing prevention and treatment with a recovery-based approach.
Vision: To be a community based, highly respected organization known for excellence in mental health and addiction recovery services, offering compassionate, client-focused, professional support.
Our Values: Ambassador of Many Rivers, Own it, Individuals Matter, Create Joy, Embrace Change, Show Up. Step In.
EQUAL OPPORTUNITY EMPLOYER:
Many Rivers Whole Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability, or any other basis protected by applicable law.
Monday thru Friday 8am-5pm
Salary : $77,272
