Director of Revenue Cycle (Home Health)

About the Role

The Director of Revenue Cycle is responsible for overseeing and optimizing the entire revenue cycle process, including managing billing, collections, coding, and financial operations to ensure timely and accurate reimbursement for services provided. This role requires extensive experience in revenue cycle management, with a focus on home health care regulations, compliance, and best practices.

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 affecting billing, reimbursement, and cash flow; partner with the team to resolve identified issues.
• Implement budgeting and accounting systems to oversee fiscal affairs of the agency.
• Prepare reports to analyze billing and AR, including month-end closing reports and annual operations reporting.
• 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 establish benchmarks to develop strategies for enhancement.
• 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, and vision insurance.
• Company-paid life insurance & LTD/AD&D insurance.
• Short-term disability.
• Supplemental insurances (hospital indemnity, cancer policies, legal plans, and more).
• 401(k) company match.