Director Revenue Cycle Ops

Job Summary

The Director, Revenue Cycle Operations is responsible for the reimbursement operation function for the subsidiary to include; accounts receivable management, billing, collections and critical data reporting. Facilitates communication among all practice departments regarding information needs and time requirements to optimize reimbursement performance.

Responsibilities

• Responsible for daily managing of Reimbursement Operations functions and Team Member Human Resource related issues.
• Responsible for achieving AR goals discussed semi-annually.
• Must maintain or exceed cash goals monthly as well as cash goals on an annual basis.
• Prepares operating budgets and effectively analyzes performance against those budgets.
• Responsible for daily, weekly, and monthly analysis on accounts receivable and determine any fluctuations that can effect collect rates.
• Responsible for implementing and maintaining billing compliance policies and procedures according to company and governmental guidelines.
• Assists in the development and presentation of timely educational programs on reimbursement, and charge capture topics/issues.
• Reviews MDIV related accounts receivable reports to identify trends, issues and/or problems with charge capture, coding and/or billing activities of the subsidiary.
• Provides expert guidance on all reimbursement-related issues.
• Recognizes and reports any payment or payer trends to the National Director of Reimbursement Operations and/or Management towards problem resolution, and seeks assistance as necessary to assure the protection of the A/R.
• Effectively utilizes team members ensuring appropriate levels of productivity.
• Develops and implements action plans relating to accounts receivable to present to Management.
• Develops communication activities that support the Mission, Vision, and Values of Radiologix.

Requirements

• Knowledge of government/managed care arena including systems audits, analysis, payor strategies.
• Knowledge of developing budgets.
• Ability to communicate effectively through verbal and written communication.
• Proficient computer skills.
• Solid understanding of billing and reimbursement processes.
• Ability to demonstrate analytical problem-solving skills.
• Able to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.
• Ability to share information effectively and provide appropriate direction to staff.

Ideal Candidate Will Possess

• Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
• Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
• Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
• Follows OSHA regulations, RadNet and site protocols, policies and procedures.
• Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.

Pay

$95,000 - $110,000 per year