Director of Revenue Cycle Appeals and Denials (Baltimore)

Job Responsibilities :

Reporting to the Executive Director of Revenue Cycle Management, this position is responsible for directing and administering the operations, programs and activities of the Central Business Office (CBO) ensuring that processes and data meet regulatory requirements and policies. Working through a management team and staff, the incumbent is responsible for providing guidance, leadership and direction to all of those who are involved or responsible for obtaining accurate and timely insurance benefit verification and authorization, and the timely billing and collection of accounts receivables in order to achieve and exceed cash collection goals in the most cost effective manner. Additionally, the incumbent is responsible for mentoring and coaching to produce optimum work habits and achieve highest level of competency of leadership and staff.

This position is responsible for managing components of the Revenue Cycle for multiple entities, and, as such, must establish relationships at all facilities and be familiar with each institutions computer environment and payer contracts, although they may not be under direct control of the incumbent.

Qualifications :

• Bachelors Degree in Accounting, Business Administration, Finance, or a related field. A Masters Degree in Business Administration, Health Administration, or Information Management is preferred.
• A minimum of ten (10) years of hospital receivables / operations management experience within a large academic medical center or health system, with at least six (6) of those years in a management capacity.
• Prior work experience must include revenue cycle management projects and / or responsibilities, and a significant role in a redesign project and / or management experience working in a highly automated, centralized business office environment.
• Experience in using team building and quality management concepts to positively influence the work environment.
• CRCE / CMPA / CHFP certification preferred, leadership role in industry organizations such as HFMA, AAHAM, or MHA strongly encouraged