What are the responsibilities and job description for the Director of Revenue Cycle Management (On-site, NOT REMOTE) position at Merraine Group, Inc.?
A Pivotal Leadership Opportunity in a High-Growth Organization!
Join a rapidly expanding organization with a mission to empower every child to reach their fullest potential. As the Director of Revenue Cycle, you’ll be at the heart of this growth, leading a team that fuels our operations and keeps them financially strong as they double their size over the next year. This is more than a role – it's a challenge where you’ll need to grow and innovate to keep pace. If you're ready to make a real impact in an environment that never stops evolving, they want you to be a part of their journey!
Location - On-site daily in Montvale, New Jersey. (Relocation fee possible in certain cases).
Director of Revenue Cycle Management – Key Responsibilities:
- Leads the revenue cycle team, establishing accountability and clear performance standards.
- Oversees the Billing, QA, Authorizations, and Credentialing Operations teams.
- Manages billing, collections, and payment processes, ensuring timely claims submission and effective accounts receivable management.
- Identifies and implements process improvements to minimize revenue leakage and boost efficiency.
- Acts as the OMIG Compliance Officer for Medicaid, overseeing regulatory compliance and audit management.
- Directs audits for medical records and insurance, ensuring accurate documentation and billing.
- Analyzes claim denials, developing strategies to reduce recurrence and optimize revenue.
- Cultivates relationships with finance, clinical, and operations teams to streamline end-to-end processes.
- Prepares comprehensive reports on revenue cycle performance, trends, and forecasts to support strategic planning.
- Stays current on payer policies and spearheads compliance initiatives across the organization.
- Mentors and develops the revenue cycle team, fostering a culture of accountability and continuous improvement.
- Facilitates interdepartmental communication and leads weekly EOS meetings to ensure alignment with financial goals.
Qualifications:
- Bachelor’s degree in business, finance, healthcare administration, or a related field; Master’s preferred.
- Over 7 years of revenue cycle management experience, with a minimum of 3 years in a leadership role.
- In-depth understanding of healthcare billing practices, payer regulations, coding (CPT, ICD-10), and financial processes.
- Proficiency in revenue cycle software, EHR, and analytics tools such as Power BI.
- Exceptional analytical, communication, and leadership skills focused on team development and motivation.
An exceptional growth journey awaits—join the team today!
