Director - Revenue Cycle Services

2 days ago

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Med-Metrix

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Revenue Cycle Management • Business Intelligence • Revenue Recovery • Managed Care Improvement • Physician Advisor Services

1001 - 5000

💰 Private Equity Round on 2021-09

Description

• The Director, Revenue Cycle Management will provide leadership to RCM/AR Follow Up Managers and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. • The goal is to meet or exceed national AR KPI benchmarks and client specific KPI’s. • Maintain or exceed productivity and quality standards set for departments assigned. • Understand and communicate the economic impact of upstream revenue cycle errors causing denials and provide data and recommended effective processes to correct actions. • Rely on extensive experience and judgment to plan and accomplish goals. • Plan, organize and direct overall operations of the AR Follow Up areas as it relates to insurance billing, collections and follow up. • Serve as the visionary for AR Management and work in conjunction with Med-Metrix leadership to set target performance levels. • Ensure that Med-Metrix stays current with billing regulations and industry requirements and/or trends. • Convey opportunities/risks to VP, Physician Services and other Med-Metrix leaders. • Maintain an overall objective of maximization of cash collections, minimization of A/R inventories, and the minimization of write-offs/non-collectible adjustments. • Analyze AR reports, and utilize other work tools to review trends in charges and collections and proactively address potential issues. • Provide concise reporting to Executive Leadership on performance benchmarks (i.e., collections, rejections, days, etc.) as they relate to national and client based KPI’s. • Provide management and supervisory duties related to educating and training staff, evaluating staff performance and monitoring productivity. • Interview, hire, train, evaluate, and develop subordinate staff, where applicable. • Develop and maintain quality control programs, including in-depth and individual performance reviews. • Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility. • Perform a variety of tasks including MSO special projects. • Act as a leader, processes escalated issues. • Serve as facilitator and lead on Med-Metrix Special projects. • Finding the “best practice” solutions looking at the whole process. • Represent Med-Metrix on Client Projects and provide communication back to Med-Metrix Leadership. • Provide professional and summarized quantitative analysis to Med-Metrix Executives through presentation and reporting. • Provide summarized analysis to Operations Leadership and staff. • Attend external seminars/training as needed.

Requirements

• Bachelor’s Degree required • 7 yrs. min. experience directing and leading a physician business office/professional services CBO or MSO • Must be experienced in and have extensive working knowledge of all systems related to the revenue cycle • Ability to work well individually and in a team environment • Must be reliable, responsible, goal oriented and flexible • High degree of integrity including ability to successfully deal with sensitive or confidential information • Ability to exhibit poise, composure and confidence when confronting stressful or high-pressure situations • Must be able to demonstrate analytic and problem-solving skills • Must be able to demonstrate excellent interpersonal/listening, organizational, written and verbal communication skills