Revenue Cycle Director

JOB DESCRIPTION: REVENUE CYCLE DIRECTOR

JOB TITLE: Revenue Cycle Director

OBJECTIVE:

The primary purpose of this position is to maximize the collection of professional and technical revenue by ensuring the efficient and productive operation of Medical Business Services’ (MBS) Billing Department. This includes responsibility for the following areas: prepping & assembly, coding, charge entry, insurance, payment posting, compliance, internal and external collections and customer service. Ultimately, the role is responsible for capturing 100% of collectible dollars.

SPECIAL CHARACTERISTICS:

This position requires a comprehensive understanding of physician professional services reimbursement and account management in a healthcare setting. The practice currently uses the software platforms GE GPMS, GE Centricity and MedInformatix. This position requires a strong working knowledge of insurance carriers, CPT, coding and documentation guidelines. Strong organizational and communication skills are essential. Also required is an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge of Medicare Compliance and HIPAA.

REPORTS TO: CEO of MBS

SKILLS DESIRED:

1. Demonstrated results orientation (a passion for excellence)

2. 3 years in physician practice billing roles

3. Line management experience

4. Bachelor's or Master's degree

5. Proven critical thinker and problem solver

6. Working knowledge of managed care networks & insurance carriers

7. Working knowledge of accounts receivable functions, including CPT coding.

8. Proficiency with computers, the Internet and MS Windows.

9. Understanding of current Medicare compliance and HIPAA regulations.

10. Knowledge of medical terminology

11. Strong written and verbal communication skills

12. High degree of organization and attention to detail/quality

13. Ability to prioritize and multi-task

14. Flexibility

RESPONSIBILITIES:

1. Set Billing Department objectives and obtain results. Be a resource for, and role model to, staff and department managers. Teach, train, and coach, as necessary.

2. Ensure compliance with state and federal laws, third party payer regulations, and other pertinent regulatory bodies (Medicare, OSHA, HIPAA, etc.).

3. Oversee monthly reporting and financial analysis of Billing Department activities.

4. Oversee the workflow and day to day activities of each section.

5. Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.

6. Work with billing managers/supervisors to:

· Distribute work to optimize performance

· Interview and hire new staff members

· Monitor attendance and complete payroll

· Engage in disciplinary action, as necessary

· Conduct performance appraisals

· Provide hands-on assistance, as necessary (working manager)

7. Oversee:

· Provider insurance credentialing

· Billing platform maintenance

· Setting up new insurances

· Updating fee schedules

· Creating/updating claim adjustment codes

· Creating/updating claim status

· Assisting with streamlining of processes

· Posting of all credit and debit adjustments to patient accounts

· Insurance claim follow-up

· Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills

· External collection agency relationship

8. Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates

9. Service existing MBS customers.

10. Recommend strategic projects/initiatives to CEO that support growth, efficiency, and/or innovation

11. Create a template to track quality and productivity

· Set minimum standards of performance

· Implement quality improvement initiatives

12. Maintain an organized, efficient and professional work environment

13. Other duties as assigned

PERFORMANCE MEASURES:

· Ensure billing and coding compliance at all times

· Optimize cash to bank

· Exceed MBS budgeted net income

· Exceed gross charge goals

· Exceed charge entry timeline goals

· Exceed cash collection (payment) goals

· Exceed MBS net income goal

· Exceed AR days goals

· Exceed AR > 120 days goals

· Keep customer service phone call and mail backlog at zero

· Ensure each staff position has a trained back-up

· Ensure adequate staffing (in numbers and technical skill set)

Employment in this position will be conditioned on satisfactory results of a criminal background check as determined by Minneapolis Radiology.

Salary range: $100k - $160k

Job Type: Full-time

Pay: $100,000.00 - $160,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift

Work Location: In person

Salary : $100,000 - $160,000