Revenue cycle management Jobs in Washington, DC

Company Overview

This position is responsible for the success of the revenue cycle management function, closely managing all billing, prior authorizations, and credentialing team members. The position will constantly analyze and optimize processes, perform root cause analysis of claim denials, and maximize both client satisfaction and revenue. They will also develop metrics and reporting that relate to authorization management, credentialing, contracting and the revenue cycle at Little Leaves, while ensuring compliance with all applicable regulations.

Responsibilities

Essential Job Functions :

• Develop objectives and key results related to RCM functions
• Drive optimization and standardization of processes to meet or exceed objectives
• Utilize revenue cycle analytics platforms, including dashboards and reporting tools, to improve short-term outcomes and develop long-term goals
• Partner with organizational leadership to ensure appropriate staffing levels and optimal balance of workload
• Partner with cross-functional leadership and key stakeholders in analysis of claim denials, underpayments, compliance risks, client satisfaction, client financial counseling, and change management procedures
• Partner with Accounting to reconcile each month the practice management system and general ledger
• Ensure compliance with all applicable billing regulations, payer guidelines, third-party regulations, and Little Leaves standards
• Actively seek out and implement process improvement opportunities
• Develop and implement strategic plan to address accounts receivable aging, including utilizing industry benchmarks and other available resources to set and achieve goals
• Drive innovation in economic and clinical performance as it relates to revenue cycle
• Develop and implement internal audit processes and performance criteria for all revenue cycle roles to support reaching goals and metrics, using results to identify training opportunities
• Provide revenue cycle leadership representation on committees and special projects
• Develop and maintain revenue cycle written standards, standard operating procedures (SOPs), and other policies and practices to achieve high performance objectives (e.g. DSO, provision rate, denial rate, etc.)
• Facilitate a partnership between revenue cycle and other internal management teams that optimizes coverage and reimbursement for services rendered
• Consistently demonstrate a high level of integrity, responsibility, accountability, teamwork and ethics
• Follow all Company policies and procedures and serve as a model for others to follow such policies and procedures
• Performs other duties, as requested

Positions Supervised (Direct Reports) :

Skills, Abilities, and Other Requirements :

Qualifications

Minimum Education or Training Equivalent to :

Minimum Additional Related Experience :

Posted Salary Range

USD $100,000.00 - USD $125,000.00 / Yr.