Director of Revenue Cycle

Job Description

Job Description

Salary :

We are expanding our team to serve the needs of our community in the Lake of the Ozarks, Missouri area! Central Ozarks Medical Center (COMC) is excited to announce an opening for a Director of Revenue Cycle!

COMC is a Missouri non-profit, federally qualified health center that has served Pulaski, Laclede, Camden and Miller counties for over 40 years. Our goal is to provide the highest quality, affordable healthcare to the communities we serve. COMC is looking for a mission-driven team member who is comfortable working with patients with diverse backgrounds. Applicant must be a motivated, self-starter able to quickly adapt to new and changing conditions while maintaining a professional demeanor.

COMC offers a robust compensation and benefits package, (including medical, dental, vision, life insurance, long and short-term disability, and retirement). We have an excellent staff and a wonderful patient population. The scenic Lake Ozark area is a great location for raising a family and enjoying a variety of outdoor recreational activities.

We believe that health care is a right and not a privilege. Based on that belief, we have evolved into a health center that offers high-quality health care regardless of age, race, sex, disability, religion or ability to pay. Our mission continues to be successful because of committed, dedicated and caring staff.

Responsibilities : The Revenue Cycle Director reports to the CFO and assumes responsibility of revenue cycle to ensure fiscal viability through revenue maximization.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Revenue Cycle :

Manage all insurance payer and Medicare / Medicaid contracts

File Medicare Credit Balance Reports Quarterly

Review Charge Fee Schedules periodically to ensure appropriate rates are billed to payers

Analyze systems and procedures to recommend changes and improve workflow and efficiency in billing department.

Produce monthly statistical reports for management on billing-related tasks; maintains statistics for quarterly and annual reporting.

Develops standardized procedures for all areas of responsibility

Develops and supplies subject matter and expertise coding guidelines, medical terminology, and reimbursement schemes and payor-specific guidelines.

Share pertinent information and advise senior management on positive and negative changes that can impact COMC clinics.

Hiring, training, and annual evaluation of department staff

Manages Billing Staff, conducts regular meetings to discuss projects, make decisions, and share pertinent informaiton with team members.

Other duties as assigned

Performance Improvement Management- Collaborates with the Chief Quality and Risk Officer to :

Assists in tracking clinical quality and productivity aspects of the organizations services.

Work with CQRO in developing methods of collecting and reporting performance measures.

Assists CQRO in analyzing, evaluating, and presenting information such as population trends, clinical quality, and patient satisfaction to lead the clinic in performance improvement initiatives.

Assists CQRO to establish and revise clinical, quality, risk, and patient-related policies.

Assists the CQRO with completion of Quality Improvement reports, as well as reports required by Grants, State performance measures, and Federal UDS report performance measures.

Participates in Quality Improvement meetings.

Other duties as assigned

Qualifications Requirements : To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Some corporate purchasing experience preferred.

Education and / or experience : Bachelors degree in health care administration, business, or related field. Experience in health care management. Knowledge of CPT and ICD10 codes and medical experience required. 8-10 years Supervisory experience required. Experience in financial project management, financial data analysis, and reporting. Knowledge of state and federal laws and requirements relating to healthcare management. 8-10 years of professional experience in a healthcare setting preferred. Experience with accounting in a healthcare organization preferred. Experience with DRVS and Health Information Exchange implementation and maintenance preferred. EHR specialist; experience with e-Clinical Works highly preferred.

Language Skills : Ability to read, analyze, and interpret financial reports. Ability to respond to common inquiries or complaints from customers, vendors, and regulatory agencies. Ability to effectively present information to top management. High level of communication proficiency.

Mathematical Skills : Ability to work with accounting concepts such as income and expense statements, budgets, and controls on cash such as into and out of COMC for deposit to the bank. Understanding of financial data analysis and reporting. Financial management.

Reasoning Ability : Ability to define problems, collect data, establish facts, and draw valid conclusions.

Other Skills and Abilities : In-depth knowledge and full scope of information processing, telecommunications, and related technologies. Time management, ability to set priorities and meet deadlines; strong interpersonal communication and leadership skills. Ability to operate office equipment and computer skills required. Accounting, Corporate Finance, Reporting Skills, Analytical skills, Attention to Detail, Deadline-Oriented, Reporting Research Results, SFAS Rules, Organization, Confidentiality, Time Management, Data Entry Management. Problem solving. Decision making. Knowledge and compliance with HIPAA and 340B requirements is required. Confidentiality of patient information is mandatory.

Physical Demands : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This includes moderate physical effort consisting of occasionally lifting or moving over 35 pounds of weight.

Travel Requirement : To fulfill the responsibility of the position travel to all COMC locations may be required. Employee must have valid Missouri drivers license and availability of a motor vehicle.

Work Environment : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. Hours are flexible as approved by the CFO with increased hours for weekends and evenings during special events. Knowledge of, and compliance with, HIPAA and 340B regulations is required. Confidentiality of COMC and patient information is mandatory.

About COMC :

Central Ozarks Medical Center has been providing quality health care in Central Missouri since 1979. Central Ozarks Medical Centers staff members are committed to leading the way to healthier communities. COMC offers a wide range of services based on the needs of the communities we serve. We pride ourselves on offering high quality healthcare regardless of insurance status. If you are uninsured and would like to look at healthcare options, our staff are more than willing to help you navigate the process.

Our Mission

COMC is committed to leading the way to healthier communities by reducing barriers to care, ensuring access for all, and creating a positive working environment of engaged team members with a shared goal.

Our Values

At COMC, we use the following strategically anchored values to guide all our actions :

Selfless Service : We lead by example

Be Accountable

Treat others with respect

Assume the best

Act with self-awareness

Approachable : We communicate openly

Disagree with respect

Ask questions

Communicate effectively

Value different perspectives

Share a unified message with one voice

Resilient : We enable and Inspire

Celebrate success and accept setbacks

Remove barriers

Ensure inclusivity and diversity

Passionate : We promote community

Build Strong relationships

Be a good partner

Identify opportunities

Responsive : We take action

Look for solutions

Challenge the status que

Learn from the past, look to the future

Act with good intentions

Resourceful : We collaborate

Interact with colleagues

Promote multi-disciplinary teams

Serve as good stewards of COMC resources

Act with self-awareness