Director, Revenue Cycle Services - Remote

Job Type Full-time Description

Job Purpose

The Director, Revenue Cycle Services is responsible for managing all operational aspects of our AR outsourcing engagements including overseeing their teams and maintaining a positive relationship with their clients.

Duties and Responsibilities

• Provide assistance/resolution to external and internal client inquiries 
• Prepare reports or logs as required 
• Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members 
• Maintain a current working knowledge of all healthcare related issues and regulations especially Government payors. 
• Responsible to report any detected trends in payments or denials, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported. 
• Maintain a professional attitude 
• Maintain confidentiality at all times 
• Learn and comply with organizational and departmental policies and procedures 
• Analyze and solve problems quickly and thoroughly 
• Establish realistic goals and priorities concurrent with organizational objectives 
• Strong verbal and written skills in order to effectively communicate with patients, co-workers, insurance companies, hospital staff, and clients 
• Knowledge of governmental, legal and regulatory provisions related to collection activity 
• Knowledge of insurance company practices regarding reimbursement 
• Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adheres to all applicable laws and regulations and the company's governance/compliance program. 
• Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation. Assists with internal control failure remediation efforts. 
• Becomes knowledgeable of internal control responsibilities through training and instruction. Responsible and accountable for internal control performance within their area of responsibility. Participates in the internal controls self-assessment process. 
• Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management. 
• Possesses a full and complete understanding of the internal control requirements within their area of ownership/responsibility. Responsible and accountable for internal control implementation and performance within their area of ownership/responsibility. Ensures proper internal control change management protocol is followed. 
• Establishes accountability for internal control performance with subordinates. Promotes the importance, residual benefits and high priority nature of effective internal control performance with subordinates. Ensures subordinates are adequately trained as to their specific internal control responsibilities. Ensures subordinates are adequately cross trained or otherwise have plans to sustain internal control performance during employee turnover/movement. 
• Ensures the internal control self-assessment process is implemented and testing results are documented and evaluated. Helps manage internal control failure remediation efforts. Ensures subordinates’ historical internal control performance is monitored and results incorporated into the performance review process.   
• Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
• Understand and comply with Information Security and HIPAA policies and procedures at all times and ensure all direct reports are trained and in compliance of said policies and procedures at all times.
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and enforce such for all direct reports
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team
• Report any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion

Requirements

Qualifications

• Bachelor’s Degree required
• 10 years min. experience in a hospital business office setting or similar setting
• 7 years minimum experience managing hospital receivables in an Acute care setting or equivalent 
• Prior Management experience required,
• Ability to work well individually and in a team