Director, Revenue Cycle Management

Test Med-Metrix

Job Purpose

The Director, Revenue Cycle Services will provide leadership to Revenue Cycle managers and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. The goal is to meet or exceed national AR KPI benchmarks and client specific KPI’s. Maintain or exceed productivity and quality standards set for departments assigned. Understand and communicate the economic impact of upstream revenue cycle errors causing denials and provide data and recommended effective processes to correct actions. Rely on extensive experience and judgment to plan and accomplish goals.

Duties and Responsibilities

• Plan, organize and direct overall operations of the Accounts Receivable areas as it relates to insurance billing, collections and follow up
• Serve as the visionary for Accounts Receivable management and work in conjunction with leadership to set target performance levels
• Ensure department stays current with billing regulations and industry requirements and/or trends
• Convey opportunities/risks to Executive Management and other leaders
• Maintain an overall objective of maximization of cash collections, minimization of A/R inventories, and the minimization of write-offs/non-collectible adjustments
• Analyze reports, and utilize other work tools to review trends in charges and collections and proactively address potential issues
• Provide concise reporting to Executive Leadership on performance benchmarks (i.e., collections, rejections, days, etc.) as they relate to national and client based KPI’s
• Provide management and supervisory duties related to educating and training staff, evaluating staff performance and monitoring productivity
• Interview, hire, train, evaluate, and develop subordinate staff, where applicable
• Develop and maintain quality control programs, including in-depth and individual performance reviews
• Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility
• Perform a variety of tasks including MSO special projects. Act as a leader, processes escalated issues
• Serve as facilitator and lead on special projects. Finding the “best practice” solutions looking at the whole process
• Represent the Company on Client Projects and provide communication back to leadership
• Provide professional and summarized quantitative analysis to Executives through presentation and reporting
• Provide summarized analysis to Operations Leadership and staff
• Attend external seminars/training as needed
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• Bachelor’s Degree required
• 7 yrs. min. experience directing and leading a physician business office/professional services CBO or MSO
• Must be experienced in and have extensive working knowledge of all systems related to the revenue cycle
• Ability to work well individually and in a team environment
• Must be reliable, responsible, goal oriented and flexible
• High degree of integrity including ability to successfully deal with sensitive or confidential information
• Ability to exhibit poise, composure and confidence when confronting stressful or high-pressure situations
• Must be able to demonstrate analytic and problem-solving skills
• Must be able to demonstrate excellent interpersonal/listening, organizational, written and verbal communication skills

Working Conditions

• Occasional travel to client locations
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.