Associate Director, Revenue Cycle Management

Company Description

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description

Reporting to the Sr. Director, Revenue Cycle Management (RCM), the Associate Director, Revenue Cycle Management is responsible for the success of revenue cycle operations in their assigned market(s). The Associate Director reviews and enacts policies, procedures and processes related to revenue cycle functions and holds teams accountable to established key performance metrics.

This individual works closely with the senior leaders in the market as well as the Performance Management leadership in their market to carry out strategic priorities, attain key metrics and ensure that market objectives are met. The successful candidate will provide leadership to staff; communicate and model the mission, vision, values and promises of Privia Health. He/she/they will adhere to the Privia Health Compliance Plan and privacy standards of the organization.

The Associate Director is responsible for the overall health of the Accounts Receivable (AR) for approximately 500 providers either in one market or across multiple markets. 

Primary Job Duties: 

• Serves as the market senior subject matter expert on all issues surrounding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management
• Conducts both weekly standup and monthly staff meetings. Prepares agendas and forwards meeting notes to Director
• Provides management, guidance and training to staff and will perform duties of subordinate staff when necessary to maintain practice operations
• Reviews daily, monthly and weekly A/R dashboards. Identifies opportunities for improvement and develops plans to implement necessary changes to meet performance expectations.
• Participates in annual market budget development, and is accountable for adherence to the market specific fiscal goals
• Manages teams responsible for the accuracy and financial viability of the accounts receivable
• Assigns/allocates resources as required ensuring company goals for aging and accounts receivable days are met
• Reviews AR on at least a monthly basis with each Market President and Regional Vice President to ensure it is within established standards
• Works with RVPs, Market Presidents and subordinate staff to create action plans to address variances in A/R to standards
• Responsible for staffing to include hiring, termination, coaching and training
• Provides ongoing feedback to subordinate staff regarding  performance throughout the year

Qualifications

• Bachelor of Science/Business Administration degree from an accredited institution is preferred
• Epic Professional Billing software experience required 
• AthenaHealth EMR experience required 
• Certified Professional Coder preferred
• Experience in managing physician revenue cycle
• Thorough understanding of all payers including all major commercial payers as well as Medicaid and Managed Medicaid across multiple markets
• Strong and effective results-oriented team leader with a minimum of four years of experience managing large, multi-specialty physician groups
• Above average analytical skills, facile with Microsoft Excel
• Must be able to critically evaluate data and make recommendations for change based on solid research and evidence
• Solid knowledge of industry trends, regulations, payment models and demonstrated skill in managing in a complex reimbursement model across multiple provider specialties
• Successful history of adding value to organizations through proactive root cause analysis and resolution of bottlenecks that negatively affect reimbursement and accounts receivable
• Must comply with HIPAA rules and regulations

Interpersonal Skills and Attributes:

• Strategic and tactical; able to help scale operations for growth
• Excellent communication skills, demonstrate the ability to work in a team environment and be able to effectively direct front and back-end work processes and personnel toward a common goal
• A demonstrated ability to understand, appreciate and embody how to manage through organizational ambiguity to achieve agreed upon objectives

The salary range for this