Job Description
Job Description
Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. We are committed to delivering high-quality services and improving the health outcomes of our patients. Our team consists of skilled professionals who are passionate about making a difference in the lives of others.
We are seeking a dynamic and experienced Revenue Cycle Director to create a billing team and oversee all billing operations for Medicare, Medicaid, and various insurance providers for our doctors and advanced practice providers within skilled nursing facilities. The Director will play a critical role in ensuring accurate and timely billing processes, maximizing revenue collection, and maintain compliance with regulatory requirements.
Key Responsibilities :
1. Billing Operations Management :
- Oversee the end-to-end billing process for Medicare, Medicaid, and insurance claims submitted by doctors and advanced practice providers.
- Develop and implement efficient billing procedures to streamline operations and improve revenue cycle management.
- Monitor billing performance metrics and implement strategies to optimize collections and reduce denials.
2. Compliance and Regulatory Compliance :
Ensure compliance with Medicare, Medicaid, and insurance billing regulations, including coding guidelines and documentation requirements.Stay up-to-date with changes in billing regulations and implement necessary updates to policies and procedures.Conduct regular audits to identify compliance issues and implement corrective actions as needed.3. Team Leadership and Development :
Develop, lead and mentor a team of billing specialists, providing guidance and support to ensure high performance and professional growth.Conduct regular performance evaluations and provide constructive feedback to team members.Foster a culture of accountability, collaboration, and continuous improvement within the billing department.4. Relationship Management :
Collaborate with internal stakeholders, including clinical staff, administrators, and finance teams, to resolve billing-related issues and improve communication processes.Build and maintain positive relationships with external stakeholders, including Medicare, Medicaid, and insurance representatives, to facilitate efficient billing processes and resolve reimbursement issues.Qualifications :
Minimum of 5 years of experience in healthcare billing, with specific experience in billing for Medicare, Medicaid, and insurance claims for a physicians practice. Experience billing codes for skilled nursing visits a plus.In-depth knowledge of Medicare and Medicaid billing regulations, including CMS guidelines and documentation requirements.Strong leadership and team management skills, with a demonstrated ability to motivate and develop a high-performing team.Excellent communication and interpersonal skills, with the ability to collaborate effectively with internal and external stakeholders.Detail-oriented and analytical mindset, with the ability to identify trends, analyze data, and implement process improvements.Certified Professional Coder (CPC) or Certified Billing and Coding SpecialistCBCS) certification preferred.Benefits :
Competitive salary commensurate with experience.Comprehensive benefits package including health insurance, retirement plans, and paid time off.Opportunities for professional development and career advancement within a growing healthcare organization.Gadzoom Health is an equal opportunity employer and welcomes applicants from diverse backgrounds to join our team. If you are a motivated and experienced billing professional looking to make a difference in healthcare, we encourage you to apply for the Revenue Cycle Director position.
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