Director of Revenue

Job Description

Job Description

Position Duties :

The position requires the following primary duties to be successful :

• Managing the multiple components of the revenue cycle include pre-authorization, eligibility and benefits verification, claims submission, payments and payment posting, claims denial management, reporting, and any other functions which involve patient revenue management.
• Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing of quality control audits
• Implementing and managing a system to ensure that accurate billing information is entered into the billing system
• Setting and meeting collections goals by department and for the organization overall by managing the collection processes for individual patients, attorneys, and insurance companies.
• Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings
• Overseeing the hiring and training of staff
• Attendees monthly and / or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes
• Planning and structuring the department workflow and staffing
• Correctly coding diagnoses and procedures
• Ensuring proper timely filing of all claims by implementing a timely standard of charge entry
• Annually reviewing and updating of charge master
• Negotiating contracts with insurance companies
• Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request
• Keeping updated records and tracking reports as required by management
• Insuring proper filing of liens
• Other duties as requested of the Director of Revenue that are consistent with and appropriate for this position title and role.

Position Metrics :

The execution of the position is quantifiably measured by the following :

Position Requirements :

Position Miscellaneous :