Director of Revenue Cycle- Home Health

About the Role

Transition Home Healthcare is an elite home health agency serving Houston, TX and surrounding areas since 2010. We are a group of passionate people dedicated to delivering the highest quality services to our patients, families, team members, and the community. Our team is growing and looking for an experienced Director of Revenue Cycle-Home Health to join us on site (77081).

Key Responsibilities

• Oversee the daily operations of the entire revenue cycle process, including patient intake, coding, billing, collections, accounts payable (AP), and accounts receivable (AR)
• Develop and implement strategies to optimize revenue and reduce days in accounts receivable
• Ensure agency adherence to federal, state, and local regulations related to home health care billing and reimbursement
• Stay current with industry changes and updates to maintain compliance and avoid penalties
• Advise senior management of issues which may affect billing, reimbursement, cash flow, etc.
• Partner with team to resolve identified issues
• Implement budgeting and accounting systems to oversee fiscal affairs of the agency
• Prepare reports to analyze billing and AR
• Manage month-end closing reports, as well as annual operations reporting and agency evaluation
• Lead and mentor a team of revenue cycle professionals, including billing specialists, coders, and collections staff
• Provide training and support to ensure team members are well-versed in procedures and compliance requirements
• Identify opportunities for process improvements and establishes and implements benchmarks to develop strategies for improvement
• Leverage technology and automation to streamline operations
• Work with patients, healthcare providers, and insurance companies to resolve billing issues and address inquiries
• Ensure clear communication and provide excellent customer service
• Collaborate with other departments to ensure seamless integration of revenue cycle processes and support overall organizational goals

Qualifications

• Bachelor's degree or minimum of 5 years of experience in healthcare billing/AR
• Minimum 5 years of experience in home healthcare management preferred
• Minimum 2 years of experience managing revenue cycle, billing, and accounts receivable departments
• Proficient level experience in Homecare Homebase (HCHB)
• Strong fiscal management experience in Medicare home healthcare (preferably at the multi-site level)
• In-depth knowledge of different billing methodologies: PDGM revenue cycle, Fee for service, Review Choice Demonstration/PCR
• Knowledge of ICD-10-CM, CPT, and HCPCS classification systems
• Knowledge of UB04 and HMO billing; all associated fields for billing purposes
• Strong working knowledge of revenue cycle management systems; ability to manage multiple revenue cycle management systems for the agency
• In-depth knowledge of home health care billing and reimbursement practices
• Proficient level experience in Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Strong organizational, analytical, and problem-solving skills
• Excellent leadership and team management abilities
• Exceptional communication and people skills

Benefits

• Very Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical, Dental, Vision
• Company-paid life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)
• 401(k) company match