Job Openings

Director of Revenue Cycle Management

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Location
Eugene, OR
Job Type
Direct Hire
Date
Feb 12, 2020
Job ID
2679966

Director of Revenue Cycle Management


Location: Eugene OR


 


Job Description:


 


Our Client is recruiting for a Director of Revenue Cycle Management. This position, reporting to the CFO, is part of the Management Team and will direct and oversee all functions of the Revenue Cycle process, including coding, eligibility, prior-authorization, payment posting, patient account representatives, charge entry, EDI/claim submission/claims rejects, A/R follow up, patient statements, and external collections activities.  A successful candidate for this position will have a minimum of 5-7 years of management-level experience overseeing a healthcare revenue cycle and associated staff.  Bachelor’s degree in health care administration, business, or related field; or a combination of education and experience required. Experience in NextGen highly preferred. 


 



  • Oversees all functions of the Revenue Cycle process, including coding, eligibility, prior-authorization, payment posting, patient account representatives, charge entry, EDI/claim submission/claims rejects, A/R follow up, patient statements, and external collections activities.
  • Plans, develops, and implements programs, projects, strategies, processes, and technology to continuously improve and manage the revenue cycle and increase profitability.
  • Collects, organizes, analyzes, and disseminates significant amounts of information from various data sources with attention to detail and accuracy, including timeliness.
  • Develops and maintains department dashboards and distributes reports to the appropriate audience. This includes departmental KPIs and reports, executive dashboards, staff productivity, and quality reports, etc.
  • Provides data driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations. Monitors key performance indicators and escalates issues to senior management as appropriate 
  • Reports on daily operational statistics as requested by leadership, key findings, insights and recommendations to respective counterparts.
  • Analyzes data for insights into claims management, and for special prevention and denials management projects. This includes identifying denial trends by root cause, Payor-related issues, physician trends, etc.
  • Develops and ensures implementation of policies, guidelines, and implementation procedures; and ensures goals and objectives are properly defined and clearly established.   
  • Provides direction on the incorporation of new providers and client practices into existing patient accounts workflows, with a focus on optimizing AR collection for the group 
  • Motivates and leads high-performing teams; attracts, recruits and retains required members as needed. Hires and trains all revenue cycle personnel in coordinating with subordinate supervisors.
  • Develops staff that can analyze and recommend ongoing improvements to processes, procedures, systems and reports 
  • Determines and maintains appropriate staffing metrics and measurements based on client and business demands. 
  • Works closely with leaders in the areas of Operations, Finance, Human Resources, Information Systems, and Compliance to achieve business objectives and implement organizational strategy.
  • Develops and manages an annual budget. 
  • Works with the CFO and company leaders to develop and implement the revenue cycle strategy.
  • Works closely with IT department to optimize the use of technology to automate revenue cycle functions 
  • Analyzes and resolves problems that affect the revenue cycle, both inside and outside of the Business Office. 
  • Acts as a liaison to clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored and followed 
  • Develops and maintains appropriate internal controls in the Business Office and Coding departments.   
  • Other duties as assigned. 
  • Requirements
  • 5-7 years Healthcare Revenue Cycle Management experience overseeing a healthcare revenue cycle and associated staff
  • Strong background in financial management and knowledge of federal and state laws and requirements relating to healthcare management.
  • Extensive experience billing Medicare, Medicaid, VA/Government plans, and Commercial insurance.
  • Bachelor’s degree in health care administration, business, or related field; OR a combination of education and experience required.
  • Intermediate to advanced experience in Microsoft Office products with a strong emphasis in Excel. 
  • An effective communicator at all levels in the organization, with strong oral, written and persuasive skills
  • Strong analytical and problem-solving skills to identify trends and issues, and the ability to execute solutions to address issues.
  • Prior experience leading various areas of revenue cycle (billing, collections, denials etc.) with proven success in achieving revenue cycle efficiencies and improving cash flow
  • Demonstrated experience in directing and leading others
  • Knowledge of all regulatory reimbursement and insurance related requirements
  • Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups

 


Why we are a great place to work:


Health insurance available (coverage for medical, dental, vision, pharmacy, and alternative care) for employees and their families including discounted orthopedic care. 


Holidays (six paid holidays)


Generous Earned Time Off to cover vacation, sick leave, and personal days (a new full-time employee accrues approximately 19 days of ETO per year. At five years, this increases to 24 days per year. At ten years, it increases to 30 days per year, and at 15 years, it increases to 32 days per year. These days are in addition to the six paid holidays.)


401(k) entry on a quarterly basis with matching/profit sharing opportunity of up to 10 percent Life insurance/AD&D/STD/LTD coverage


Flexible Spending Account (FSA) pre-tax reimbursement account for childcare and medical expenses


Employee assistance program with free counseling sessions for employees and members of their households



  • Continuing education and tuition reimbursement
  • Alternative transport incentive program including emergency ride home program

Please note that this list is intended to give a general overview of benefits available to  employees. Individual items may be subject to change without notification