Director of Revenue Cycle Management

Job Description

Job Description

Description : WORK SUMMARY

The Director of Revenue Cycle Management is the leader of the entire revenue cycle. The director will oversee all frontend staff to ensure patient access and backend staff to ensure the capture, management, and collection of patient service revenue. The director will serve as a liaison to all payers and serve as an advisor and subject matter expert on all topics relating to revenue cycle management. This director will be responsible for the development, implementation, and monitoring of proper systems, policies, and processes that ensure the efficient operation of the agency while maintaining Haymarket’s high standards for patient care. This position will play a critical role in the agency’s current and future organizational strategy and will proactively identify opportunities and challenges as well as implement creative solutions.

ESSENTIAL FUNCTIONS

• Oversee the day-to-day revenue cycle processes including registration, eligibility verification, pre-authorization, charge capture, billing, collections, follow-up, and reporting.
• Implement a patient-focused registration process that ensures patient access. Monitor the process to identify challenges and opportunities for improvement.
• Partner with program and utilization review staff to identify payer requirements including documentation and establish standards that align with these requirements and maximize revenue. Monitor, track, and evaluate compliance with these standards and assist in the training and development of staff.
• Develop and implement processes that leverage technology and other resources to create effective and efficient workflows.
• Ensure outstanding authorizations, billing, collections, and accounts receivables are addressed within established time limits and that bad debt is within industry standards.
• Build productive and beneficial relationships with insurance plans and serve as a point of contact. Lead contract negotiations with payers and manage provider credentialing. Ensure the agency is always in good standing with regards to these requirements.
• Develop, coach, evaluate, and initiate corrective action for direct reports as appropriate. Coordinate training and support efforts to ensure team members can execute their job responsibilities and utilize relevant systems.
• Analyze activities and trends to ensure key performance indicators are met. Take appropriate action to address problems as they are identified.
• Contribute to the agency’s overall strategic vision. Recommend and implement processes and systems to enhance organizational operations and competitiveness with a particular focus on revenue generation efforts.
• Establish short- and long-range goals and objectives that will be used to analyze department performance.
• Prepare and present reports on key performance indicators and metrics monthly. Ensure the Finance Department has reports necessary for monthly close.
• Establish and implement policies and procedures for the collection of patient payments.
• Assist with audits as needed.
• Perform other duties and participate in special projects as assigned.

SKILLS

Requirements :

EDUCATION AND EXPERIENCE

SUPERVISORY RESPONSIBILITIES :