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Revenue Cycle Director (ID:46200)

Versique Executive, Professional & Interim Recruiting
Osceola, NE Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 4/28/2025
The Revenue Cycle Director leads the Revenue Cycle team and functions, including billing collections, coding, and medical records, focusing on Claims, Denials, and A/R Management. The position serves as a subject matter expert (SME) on Critical Access Hospital and Rural Health Clinic billing and works closely with Senior Leadership on all revenue-related activities. Oversee Revenue Cycle Team by managing processes, productivity, and financial results for the area(s) assigned, including, but not limited to, key aspects of coding, billing, medical records, collections, and accounts receivable. Ensuring efficient, accurate, compliant, and timely activities in all functional areas. Serves as a supportive mentor/coach for the performance and development of revenue cycle team members, driving engagement throughout the department.

Roles & Responsibilities

Revenue Cycle Management:

  • Develop and implement revenue cycle strategies that optimize financial performance.
  • Monitor and analyze revenue cycle metrics, ensuring compliance with regulations and best practices.
  • Lead initiatives to improve billing and collections processes.

Leadership And Team Development

  • Manage and mentor revenue cycle staff, fostering a culture of excellence and accountability.
  • Conduct regular training sessions to ensure team members are knowledgeable about policies and procedures.
  • Collaborate with other departments to enhance overall revenue cycle efficiency.

Financial Analysis

  • Analyze financial data to identify trends, variances, and areas for improvement.
  • Prepare regular reports for executive leadership on revenue cycle performance.
  • Develop forecasts and budgets related to revenue cycle operations.

Compliance And Risk Management

  • Ensure compliance with federal, state, and local regulations, including billing and coding guidelines.
  • Conduct audits to identify and mitigate risks related to revenue cycle processes.
  • Implement corrective action plans when necessary.

Patient Engagement

  • Enhance patient experience by ensuring clear communication regarding billing and payment processes.
  • Address patient inquiries and concerns related to the revenue cycle.
  • Work to improve patient collections and satisfaction scores.

Technology Utilization

  • Leverage technology and systems to streamline revenue cycle operations.
  • Stay current with industry trends and innovations related to revenue cycle management.
  • Collaborate with IT to implement and maintain effective revenue cycle software solutions.

Required Skills & Experience

  • Bachelor's Degree with five years experience with hospital and clinic billing and collections preferred.
  • CAH and RHC experience preferred.
  • Four years of previous professional experience working in a leadership role, preferably within healthcare.
  • Certified Revenue Cycle Executive (CRCE) or similar certification is preferred.
  • Demonstrate OMC's core behavioral standards and values in daily work.
  • Exceptional communication and interpersonal skills.
  • Excellent analytical, problem-solving, and decision-making skills.
  • Strong knowledge of healthcare regulations, billing practices, and reimbursement methodologies.
  • Knowledge of ICD-10, CPT, and other coding systems.
  • Proficient computer skills, Microsoft Office, and working knowledge of billing software.
  • Epic EMR knowledge is preferred.

About Versique

At Versique, we believe people are more than a resume. People invent, propel, unearth, and build. They transform teams, markets, industries, and bottom lines. People do more than fill an open position. They open greater potential. We're here to help fill your human potential and build your human capacity. The Versique brand represents a powerful combination of "versatile" and "unique," hinting at the concept of "search" in its pronunciation.

In 2023, Versique made the Inc. 5000 list of fastest-growing private companies and the Minneapolis-St. Paul Business Journal's Fast 50 list for fastest-growing private companies in Minnesota. Additionally, for the past four years, Versique has been recognized as a Star Tribune Top Workplace and awarded a Best Place to Work in 2022 by the Minneapolis/St. Paul Business Journal, which speaks to the incredible culture we've fostered.

We believe people are the ultimate business advantage. Let's find your people together. And make the best possible.

Versique is an equal opportunity employer committed to creating a diverse workforce. We consider all qualified applicants regardless of race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability, or veteran status.

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