Associate Director Revenue Cycle-PAU

Job Requisition :

R

Professional and Technical

Rev Cycle - Patient Access

Central Billing Office-Clinton

Associate Director Revenue Cycle-PAU

To manage daily Revenue Cycle operations and to oversee any support functions of authorizations, pre-service financial clearance, revenue integrity, billing, payment posting, denials management, scheduling, customer service and insurance follow up. Responsible for leading departmental success through data analysis, strategic planning, staff recruitment and retention with a focus on continual growth and development.

Education and Experience

Required:

Degree (Associate’s or Bachelor’s) and five (5) years of revenue experience including two (2) year of supervisory experience.

Certifications, Licenses, or Registration required:

N/A

Knowledge, Skills, and Abilities:

In-depth knowledge of large group physician billing and government and other payor billingrules and regulations. Verbal and written communication skills. Organizational and analytical skills. Ability to design and implement measures to increase productivity, maximize collections, attain or exceed accounts receivable goals and industry benchmarks, and improve customer service. Ability to train, motivate, and supervise staff.

Responsibilities

• Provides operations oversight of Revenue Cycle billing and collection activities, ensuring that functions are aligned with the strategic goals and objectives that meet or exceeds peer group benchmarks
• Designs and implements measures to increase productivity and maximize cash flow by attaining or exceeding industry standards for accounts receivable management, pre-service financial clearance, excellent customer service, cost containment, automation and resource utilization
• Assists in establishing and implementing short- and long-range billing and collections goals and objectives; provides feedback to staff and implements policy and procedure changes necessary to accomplish goals
• Reviews, daily, weekly, and monthly reports and dashboards to spot trends and support performance improvement; performs monthly analysis to observe trends and measures volume and source of charge and collection activity; recommends and implements measures to improve benchmarks and mitigate negative trends
• Monitors and ensures compliance with all applicable regulations, contractual agreements, and billing policies. Maintain current knowledge of governmental, legal and regulatory provisions related to medical billing, practice management and collection activity.
• Review payer guidelines and policies and effectively communicate changes to staff
• Establish and monitor performance goals and objectives for assigned team. Manage and oversee employee performance through training, coaching and performance improvement plans. Performs quality checks to minimize errors in billing and insurance denials/rejections. Reports quality and productivity results to upper leadership along with performance improvement plans
• Ensure teams have the necessary tools, resources and training and mentoring to support high functioning revenue cycle
• Recommend and establish policies and procedures to support revenue cycle functions, improvement initiatives, and regulatory compliance
• Ensures timely and thorough account inquiry responses to internal and external customers demonstrating excellent communication and customer service practices. Work collaboratively across enterprise as an integral part of the revenue cycle leadership team
• Promote and ensure UMMC standards of professionalism across the team
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be…