Revenue Cycle Director

The Revenue Cycle Director will provide strong leadership and directly manage all functions of the billing and collections staff and indirectly influence all functions that impact the revenue cycle. The RCD’s objective is to maximize cash flow while maintaining and improving interdepartmental collaboration and maintaining excellent payor vendor, and patient relations. The RCD will contribute to the daily operations of all issues related to the revenue cycle function, provide analysis, create written processes, and train others in implementing a cross-functional revenue cycle team.

include the following but not limited to.

• Provide innovative workflow solutions to improve efficiency within the entire revenue cycle.
• Assures that Medicare credit report information is gathered timely for quarterly reporting.
• Monitor front office errors pertaining to billing procedures and provide timely feedback to CFO and Front Office Manager.
• Updates insurance manuals and provides appropriate guidance to billing staff.
• Provide leadership and direction of revenue cycle operations under the supervision of the CFO.
• Direct and oversee the strategic function and processes for the revenue cycle.
• Provide leadership in the planning, development, and implementation of departmental objectives; develop specific goals and standards that directly support the company’s strategic plan.
• Monitor the financial performance of the department, control staffing needs, operations budget and capital budget. Closely monitor variations in financial performance.
• Oversee regulatory compliance and contracts regarding insurance payers. Ensure adherence to and compliance of payer, government, and internal system regulatory policies as they relate to medical billing.
• Ensure all department practices are in compliance with external regulatory agencies such as the Health Insurance Portability and Accountability Act (HIPAA), Medicare, Medicaid and other third-party payers, and institutional policies.
• Manages staff relations including performance management, staff satisfaction and conflict management.
• Establishes standards of quality, productivity, and performance. Provides ongoing feedback and direction to direct reports.
• Works collaboratively with Providers and other departments.
• Recommends new approaches, policies, and procedures to influence continuous improvements in the department’s efficiency and services performed.
• Maintains oversight of all credentialing processes to ensure ability to bill for services rendered by newly hired providers as quickly as possible.
• Monitors changes in the medical insurance industry and adjusts procedures accordingly.
• Supervises, trains, and mentors assigned personnel. Evaluates performance and recommends merit increases, promotions and disciplinary actions.
• Maintains knowledge of and comply with established policies and procedures.
• Attend required meetings and participate in committees as requested.
• Participate in professional development activities and maintain professional affiliations.
• Develop and implement solutions to optimize revenue collections.
• Evaluate and develop data driven action plans for efficient, ethical, and productive business practices that lead to patient, employee and physician satisfaction.
• Oversee the daily operations of EDI workflows related to revenue cycle processes.
• Oversee and collaborate on all coding audit functions both internally and externally.
• Conduct meaningful performance appraisals and implement development plans for staff.
• Assist with Accounting tasks as assigned as it relates to the revenue cycle.
• Effectively analyze meaningful financial data as needed and as assigned in order to improve and maintain productivity, performance, and financial outcomes…