Director of Revenue Cycle Management

Position Summary:

• The Director of Revenue Cycle Management is responsible for the overall management of the Revenue Cycle Team. This includes oversight of the Credentialing and Enrollment, Billing, A/R Management, and payment posting within the RCM Team. This position will also have oversight responsibilities for the billing platform/software to ensure accurate billing. This role will communicate regularly with leadership across the KVC Health Systems and subsidiaries.

Education:

• Bachelor's Degree from an accredited college or university

Experience:

• 5 years minimum supervisory experience
• 15 years finance/accounting experience managing accounts receivable and/or supervising healthcare revenue cycle operations; or equivalent combination of education and experience

Preferred Experience/Skills:

• Requires proficient computer skills in typing/keyboarding, Microsoft Office Programs, and accounting software programs

Certification/Licensure:

• At least 21 years old
• Valid Drivers License
• Valid Auto Insurance

Job Duties/Responsibilities:

• Develop, implement and maintain controls and procedures for all points of revenue cycle including, but not limited to, charge capture, date entry, payment posting, insurance follow up, collections and denials management.
• Manage day to day operations of all related sub-departments including, but not limited to: licensing and credentialing, eligibility, collections of co -pays and deductibles, charge-adjustment-payment posting, accounts receivable, appeals process, aging collections, cash reconciliations, and reporting all of the above on a regular basis to accounting leadership.
• Review trends in increased AR days, trends in decreased cash collections, and trends in various other key performance indicators to determine process inefficiencies and present corrective action plans.
• In collaboration with Business Unit Leaders, monitors the payments of third-party payers for accessing compliance with established contracts. Troubleshoots problems associated with missed or unbilled charges, payment delays, denials, and other revenue cycle issues.
• Collaborates with the IT department in set-up, implementation and enhancement duties as related to the EMR and ancillary systems.
• Provide analysis and monthly reporting to business unit leadership and departments impacted by RCM department needs and provide guidance and direction that helps the department measure and exceed operational and corporate goals.
• Manage and prepare accounts receivable reconciliations and follow-up on payment discrepancies.
• Manage cash receipts making sure all are applied appropriately and timely.
• Prepare financial reports relating to accounts receivable productivity and provide them to management.
• Consistently monitor aged accounts receivable, follow up with the appropriate KVC staff, the revenue cycle management partner and other appropriate entities for status of accounts.
• Assists in maintaining tables and information in the practice management system that supports patient and insurance billing.
• Prepare month end billing needed to generate monthly journal entries.
• Compares the AR balances in the detail accounts receivable trial balance to the general ledger and makes corrections as necessary.
• Assist with national provider identifiers and taxonomies as needed
• Manage third party company contracted for credentialing and paneling.
• Responsible for clear, detailed communication with all internal and external customers.
• Maintain familiarity with HIPPA requirements.
• Complete related tasks as required.

Join us:

• We're an equal opportunity employer committed to diversity and inclusion. We welcome applications from individuals of all backgrounds and experiences.