Director of Revenue Cycle Management

Responsibilities

• Provides management supervision and operational direction for assigned Revenue Cycle Management departments.
• Designs and oversees an industry-leading patient access and financial services operational model that ensures high physician and customer satisfaction, organizational efficiency, and strong financial performance while assuring accurate and complete data collection, streamlined financial clearance functions prior to service and sound cash collection processes.
• Communicates performance expectations of Patients First and supports corporate goals for revenue cycle management.
• Promoting revenue cycle and being a champion of change, to set and achieve shared outcomes.
• Facilitate a collaborative team that provides customer-friendly services to patients, payers, and vendors.
• Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
• Will report and assist the CFO to implement strategic growth plans.
• Working with the finance team to ensure revenue is consistent with GAAP.
• Design and administer all revenue cycle policies and procedures.
• Spearhead contract negotiations with payor sources (i.e. federal health care programs and Third-Party).
• Develop and lead new models of care using technology to meet consumer expectations.
• Responsible for billing charge master, revenue integrity, insurance follow-up, denials management, payment variance, and collections.
• Participates with leadership in developing budget, salary administration, equipment purchases and establishment of annual goals and objectives.
• Ensures confidentiality is maintained by entire team regarding patient/client information in accordance with HIPAA, professional and departmental standards.
• Promotes and practices AMM mission and values and follows its policies and procedures.

Qualifications

• A Minimum Bachelor's Degree in Business Administration and/or Accounting.
• At least Five years’ experience working in areas of Healthcare revenue cycle management.
• Medical Billing Certification (preferred).
• Knowledge of Third-Party clinical billing, contractual and compliance regulations, along with a demonstrated understanding of automated processes, electronic data interchange and associated operational processes is preferred.
• Advanced knowledge of NC Medicaid managed care reform and regulations.
• Understanding of Advanced Medical Home Care Management requirements and functions.
• Strong communication and presentation skills, training/meeting facilitation skills essential.
• Solid relationship building and interpersonal skills.
• Excellent writing, research and analytical skills.
• Excellent coordination skills, including multitasking and setting priorities on work assignments.
• High degree of independence, flexibility, initiative and commitment.