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Revenue Cycle Director

Revenue Cycle Director

GadjabDraper, UT, US
30+ days ago
Job type
  • Full-time
Job description

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 Specialist
  • CBCS) 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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    Director Revenue Cycle • Draper, UT, US