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Revenue Cycle Management Director

Merraine Group Inc
Woodbridge, NJ Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 5/21/2025

Exciting Leadership Opportunity in a Rapidly Growing Organization!

Be a part of an organization dedicated to empowering children to achieve their fullest potential! As the Revenue Cycle Management Director, you will play a crucial role in driving our financial stability and operational growth as we aim to double in size over the next year. This position offers a unique challenge requiring innovative thinking and leadership in a dynamic environment. If you're ready to make a significant impact, we invite you to join us on this transformative journey!

Location : On-site daily in Montvale, New Jersey. (Relocation assistance may be available in certain cases).

Key Responsibilities for Revenue Cycle Management Director :

  • Lead and manage the revenue cycle team, ensuring accountability and establishing clear performance standards.
  • Oversee the Billing, Quality Assurance, Authorizations, and Credentialing Operations teams.
  • Manage billing, collections, and payment processes, ensuring timely claims submissions and effective accounts receivable management.
  • Identify and implement process improvements aimed at minimizing revenue leakage and increasing efficiency.
  • Act as the OMIG Compliance Officer for Medicaid, ensuring adherence to regulatory standards and effective audit management.
  • Conduct audits on medical records and insurance documentation to ensure accuracy in billing practices.
  • Analyze claim denials and develop strategies to reduce recurrence, thereby optimizing revenue.
  • Build strong relationships with finance, clinical, and operations teams to enhance end-to-end processes.
  • Prepare detailed reports on revenue cycle performance, trends, and forecasts to assist in strategic planning.
  • Stay updated on payer policies and lead compliance initiatives throughout the organization.
  • Mentor and develop the revenue cycle team, fostering a culture of accountability and continuous improvement.
  • Facilitate interdepartmental communication and lead weekly meetings to ensure alignment with financial goals.

Your opportunity for an exceptional growth journey awaits—join our team today!

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