Director of Revenue Cycle Management

The Director of Revenue Cycle Management (DRCM) will oversee patient accounts and the utilization review department, advancing patient care by ensuring superior customer experience.

In this role, the Director of Revenue Cycle Management will lead and manage all billing, collections, accounts receivable, and revenue cycle operations. The focus will be on ensuring efficient, accurate, and customer-centric billing processes that align with the company's core values. Key responsibilities will include improving insurance billing and collections, streamlining workflows, and enhancing the customer experience by promptly addressing patient inquiries and concerns.

Responsibilities

· Manage insurance verification, billing, coding, collections, customer service, and payment posting.

· Develop and implement policies and procedures.

· Monitor and analyze accounts receivable.

· Oversee courtesy billing for patients with out-of-network benefits.

· Supervise the collection process and identify strategies to enhance revenue while reducing denials.

· Prepare financial reports.

· Ensure compliance with all federal, state, and local regulations related to billing and collections, demonstrating a commitment to ethical and legal practices.

· Ensure proper integration of Meditech electronic health records (EHR) with clearinghouses.

· Develop and maintain positive relationships with patients and their representatives, ensuring their billing and payment experiences are smooth and transparent.

· Manage and address patient billing inquiries and disputes promptly.

· Conduct regular audits and assessments to identify compliance risks and areas for improvement.

· Collaborate closely with clinical and administrative departments to ensure alignment and cooperation in revenue cycle processes.

Qualifications and Experience

· Education: Bachelor’s degree in healthcare administration, Business Administration, Finance, or a related field; master’s degree preferred.

· Certified Professional Coder (CPC) certification is required.

· Minimum of 10 years in healthcare revenue cycle management, with at least 7 years in leadership.

· Proficiency in Meditech EMR required.

· Strong background in the managed care payer market is preferred.

· Experience in a Behavioral Health setting is required.

· Strong verbal and written communication skills are essential.

· Detail-oriented and organized.

· Strong skills in Microsoft Office Suite, including Excel, Word, Outlook, and PowerPoint.

· High integrity, including the maintenance of confidential information.

· Proven knowledge of all revenue cycle functions and federal and state laws.

· Support customer satisfaction through a customer-centric approach to billing and payment resolution, recognizing the team's vital role in ensuring a positive patient experience.