Associate Director Revenue Cycle - Patient Access - UMMC Greenwood

Job Summary

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.

Responsibilities

• Provides operations oversight of Revenue Cycle billing and collection activities, ensuring that functions are aligned with strategic goals and objectives that meet or exceed 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, measures volume and source of charge and collection activity, and recommends and implements measures to improve benchmarks and mitigate negative trends.
• Monitors and ensures compliance with all applicable regulations, contractual agreements, and billing policies; maintains current knowledge of governmental, legal and regulatory provisions related to medical billing, practice management and collection activity.
• Reviews payer guidelines and policies and effectively communicates changes to staff.
• Establishes and monitors performance goals and objectives for the assigned team; manages and oversees 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.
• Ensures teams have the necessary tools, resources, training and mentoring to support a high‑functioning revenue cycle.
• Recommends and establishes 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.
• Works collaboratively across the enterprise as an integral part of the revenue cycle leadership team.
• Promotes and ensures UMMC standards of professionalism across the team.

Education & Experience

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

Knowledge, Skills & Abilities

• In‑depth knowledge of large‑group physician billing and government and other payor billing rules 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.

Physical and Environmental Demands

Requires occasional working hours significantly beyond regularly scheduled hours, occasional travelling to off‑site locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 75 pounds, occasional climbing, occasional crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (occasional – up to 20 %, frequent – 21 % to 50 %, constant – 51 % or more).

Schedule

Full‑time, day shift.

Pay

Salary position, exempt status, 100 % FTE.