What are the responsibilities and job description for the Director of Revenue Cycle Management position at Rheumatology Associates?

Job Description

Description :

The Director, Revenue Cycle Management primary responsibility is to be managing the company's revenue cycle from scheduling to check-in to check out and billing / collections. The Director, Revenue Cycle has responsibility for staffing, including hiring and firing, training, team development, patient management, reporting and technology to support the RCM department.

Our organization’s focus is on culture, change, and efficiency. We stand by our values of being : Compassionate, Collaborative, Innovative and Patient focused.

External Title : Director, Revenue Cycle

Reports to : CEO

Works with : CFO, Director of Technology, Director of Operations

Responsibilities :

Assist with oversight of the Revenue Cycle line of business operations
Work collaboratively with Revenue Cycle leaders to exceed KPI expectations
Innovate and implement strategies to increase retention and efficiency
Report regularly on delivery timelines
Communicate changes, feedback, and trends to the Revenue Cycle team
Maintain positive client relationships
Meet with Providers monthly to discuss and review coding results, denials, and opportunities
Complete audits for providers by doing in-depth analysis on their coding and denial rates
Assist with defining and revising roles and responsibilities for team members
Review metrics for intake, billing, collections, and payment posting, determines team goals and develops strategic processes to maximize team efficiency and revenue
Complete month end reports and analysis, including board meeting presentations and dashboards
Management of EMR RCM related systems (maintenance and initial set up of new mods)
Manage uploading of new and annual increases of contracts
Contract analysis and assisting with contract negotiations, in addition to, working with contract managers to resolve contractual issues
Assist the organization or management companies in determining carveout requests, rate increases, and contract terms
Identify process improvements, software needed for increased productivity and revenue, and other suggestions to the center to streamline the RCM process
Create a strong team environment and culture by working with each department Manager and staff member to ensure the team has all the tools necessary for high quality and productive work output
Other duties as assigned, such as : special projects assigned

Organizational Parameters :

Work with all senior leadership of the Revenue Cycle team to determine appropriate staffing levels, staff development, process improvement, and client relationships

Work with the human resources team for initiatives related to recruiting, recruiting forecasting, talent development, learning, teammate onboarding, and performance.

Requirements :

Required Knowledge, Skills, Abilities & Education :

High school diploma or equivalent

Minimum of 6 years’ experience leading specialty RCM departments, and a track record as a mentor while providing quality assurance leadership in a test lead capacity

Experience with E-Clinical Works, and Waystar clearinghouse

Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook

Ability to manage multiple projects, meet deadlines, and adjust priorities appropriately in an evolving work environment with shifting time frames; self-starter with high degree of initiative, urgency, and follow through

Demonstrated strengths in organizational, attention-to-detail, follow-through, reasoning, critical thinking, and problem-solving skills

Strong written, verbal, and interpersonal communication skills with an acute ability to listen attentively and to communicate information clearly and effectively throughout all levels of the organization with audiences of varying degrees of familiarity with technical material

Strong analytical skills with the ability to seek underlying assumptions through probing, questioning, and listening

Experience with managing a team in similar organization size and scope

Successful track record of effective coordination, prioritization, collaborations, organization, and project delivery

Extensive knowledge of revenue cycle performance, including knowledge of best practices required

Knowledge of basic accounting procedures with some accounting background in a medically related environment

Knowledge of medical terminology and coding

Innovation for all parts of the business including innovative use of technology

Calm, approachable attitude with a passion to help others

Ability to work independently and as part of a team

A high degree of flexibility and professionalism

Excellent organizational skills

Outstanding communications skills; both verbal and written

Preferred Knowledge, Skills, Abilities & Education :

Bachelor's degree in related field preferred

Experience working with specialty physician practices, prior approval processes, and insurance denials

Coding certification

Experience working with Ancillary Services, Lab, Imaging, injections

Strong Microsoft Office skills in Excel, Outlook, and Teams

Physical Demands :

Sitting and typing for an extended period of time

Reading from a computer screen for an extended period of time

Speaking and listening on a telephone

Working independently

Frequent use of a computer and other office equipment

Work environment of a traditional fast-paced and deadline-oriented office

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