Director, Revenue Cycle

Description

Summary

The Director, Revenue Cycle is responsible for developing strategic plans and ongoing performance improvement initiatives, billing and collections. Responsibilities also include but are not limited to delivering quality services and reports, managing cash collections, deploying associated technology and ensuring support for multiple locations, while complying with related regulations.

Essential Duties and Responsibilities

•  Directs the process of identifying, developing, and communicating systems, policies and procedures related to A/R and billing.
•  Oversees training of Revenue Cycle Management (RCM) associates to ensure compliance with policies, procedures and State and Federal regulations.
•  Reviews daily aging and collection reports and monthly A/R reports with the VP of Revenue Cycle
•  Organizes and plans quarterly meetings with the VP on topics related to A/R, billing and collections.
•  Trains and monitors performance of direct reports; provides direction, fosters teamwork, addresses concerns and resolves problems to retain a motivated and professional workforce.
•  Monitors changes in Federal and State regulations regarding collections and gives updates accordingly.
•  Maximizes collection for all third-party payers, maintaining minimum days in accounts receivable and performs financial analyses of current accounts receivable and identify problem areas.
•  Communicates with internal and external parties to resolve problem accounts, achieves maximum collections and establishes relationships with all third party and contract payers
•  Implements and maintains processes to appeal low reimbursement.
•  Identifies and communicates opportunities to improve cash flow.
•  Establishes and revises procedures, performance standards and quality control measures to manage workload and the quality of work performed.
•  Builds and maintains a positive working relationship with contacts at all agencies, patients, insurance companies, government entities, clinical personnel, other staff and management, to promote teamwork and cooperation.
•  Other duties as assigned
•  Ensures all policies and procedures are current, works with leadership to ensure the department policies and procedures are comprehensive
•  Identifies and creates new policies and procedures along with billing department leadership to identify and create new policies and procedures.

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
• Technical Skills - Strives to continuously build knowledge and skills; shares expertise with others.
• Customer Service - Responds promptly to customer needs.
• Interpersonal Skills - Maintains confidentiality.
• Oral Communication - Responds well to questions; participates in meetings.
• Written Communication - Presents numerical data effectively.
• Teamwork - Balances team and individual responsibilities; contributes to building a positive team spirit.
• Quality Management - Demonstrates accuracy and thoroughness.
• Business Acumen - Understands business implications of decisions; displays orientation to profitability.
• Cost Consciousness - Works within approved budget; develops and implements cost saving measures; contributes to profits and revenue; conserves organizational resources.
• Diversity - Promotes a harassment-free environment.
• Ethics - Keeps commitments; works with integrity and ethically; upholds organizational values.
• Organizational Support - Follows policies and procedures.
• Judgment - Exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions.
• Motivation - Sets and achieves challenging goals; demonstrates persistence and overcomes obstacles.
• Planning/Organizing - Prioritizes and plans work activities; uses time efficiently; organizes or schedules other people and their tasks.
• Professionalism - Reacts well under pressure; accepts responsibility for own actions; follows through on commitments.
• Quality - Monitors own work to ensure quality.
• Adaptability - Changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
• Dependability - Keeps commitments; commits to long hours of work when necessary to reach goals.

Education and/or Experience High sch