What are the responsibilities and job description for the Director of Revenue Cycle Management position at Physicians Revenue Group?
Overview
We are seeking a detail-oriented and experienced Revenue Cycle Specialist to join our dynamic team. This role is critical in ensuring the efficient management of the revenue cycle processes for our clients across the US. In this role as Director of Revenue Cycle Management, you will oversee the teams managing client medical billing, quality assurance, compliance with Federal, state and local guidelines, training & development as well as fostering a competitive work environment that is aligned with the company core values.
Duties
- Act as a direct client liasion between our internal billing teams and their assigned clients.
- Develop revenue cycle management best practices & procedures to ensure the teams are following best practices in accordance with Federal & state regulations.
- Responsible for direct oversight of successful operations of revenue cycle following industry best practices & regulations.
- Regularly provide improvements to existing SOPs and requirements.
- Coach & develop managers to foster an environment of "learn & grow".
- Ensure the billing managers and team are following the complete revenue cycle process from patient registration through billing and collections.
- Ensure compliance with JCAHO standards and other regulatory requirements.
- Review and analyze claims for accuracy and completeness prior to submission.
- Collaborate with various departments to resolve billing discrepancies and improve overall revenue cycle efficiency.
- Monitor accounts receivable aging reports and follow up on outstanding claims.
- Provide training and support to staff regarding best practices in revenue cycle management.
- Prepare regular reports on revenue cycle performance metrics for management review.
Qualifications
- 10 years of experience in revenue cycle management and preferably in a leadership position or managing a department of resources.
- Bachelor's degree or higher in business administration or relevant field of study, or equivalent work experience.
- Excellent understanding of comprehension of insurance contracts, EOBs, and other medical billing methodologies.
- Experience in hospital and/or clinic setting or practice including patient billing, patient access and insurance follow ups greatly preferred.
- Medicare & Medicaid billing experience .
- Proven experience in medical management or healthcare management is required.
- Excellent understanding of the Inpatient Prospective Payment Diagnosis-Related Groups (IPDRG)
- Strong analytical skills with attention to detail.
- Excellent communication and interpersonal skills to effectively collaborate with team members and other departments.
- Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
- Proficiency in relevant healthcare software systems and Microsoft Office Suite.
- Strong ability to work in a self-directed approach.
- High ethical standard, integrity and "doing the right thing, always" approach.
Core Values
- Going Above & Beyond
- Learn & Grow
- Innovation
- Integrity
- Passion
- Persistence
- Respect
- Teamwork
- Transparency
Join us as we strive to enhance our revenue cycle processes while delivering exceptional patient care. Your expertise will contribute significantly to our mission of providing quality full-practice RCM services to our clients allowing them to focus on their patients and providing the best health care possible.
Job Type: Full-time
Pay: $110,000.00 - $145,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Ability to Commute:
- Downers Grove, IL 60515 (Required)
Ability to Relocate:
- Downers Grove, IL 60515: Relocate before starting work (Required)
Work Location: In person
Salary : $110,000 - $145,000
