Director - Revenue Cycle Management

6 days ago

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Logo of PM Pediatric Care

PM Pediatric Care

Pediatrics β€’ Urgent Care β€’ Emergency Medicine

501 - 1000

Description

β€’ Lead a department of 10+ individuals and offshore outsourcing partner with 100+ FTEs to perform all key functions of revenue cycle: authorization, billing, coding, patient collections, and payer collections. β€’ Develop Revenue Cycle strategy, including credentialing and enrollment processes, and establish a metric driven approach to managing revenue cycle functions, report on performance, and analyze data and KPIs to ensure functions are operating at maximum efficiency. β€’ Develop strategies across all functional departments to accelerate cash collections and reduce bad debt write-offs. β€’ Partner with operations and front desk teammates to share best practices and improve collections. β€’ Develops and monitors Key Performance Indicators. β€’ Follows through by monitoring qualitative and quantitative performance to ensure achievement of targeted financial goals. β€’ Develops clear, concise operational plans that reflect key departmental goals and objectives. β€’ Develops clear business and project plans as required. β€’ Effectively manages projects to ensure timely achievement of objectives. β€’ Prepares and develops a variety of financial and operational reports to identify and monitor trends, activity, and report changes. β€’ Develops appropriate action plans to modify results in accordance with required outcomes. β€’ Maintains excellent patient, physician, and payer relationships through a proactive customer service-oriented approach. β€’ Resolves issues between parties. β€’ Refers major issues and provides feedback, analysis, and insight to Chief Financial Officer.

Requirements

β€’ Minimum of five years of progressive experience in healthcare finance management and detailed knowledge of the revenue cycle in a healthcare setting are required. β€’ Experience with eClinicalWorks is required. β€’ Proven ability to run and analyze financial reports from eClinicalWorks to drive efficiencies. β€’ Ensures systems and processes are in place to maintain and support the use of the EHR. β€’ Strong analytical, communication and organizational skills with the ability to work effectively with other executives to achieve business objectives are required. β€’ Proven knowledge of all revenue cycle functions as well as Federal and State laws pertaining to the billing and collection for Urgent Care and physician services. β€’ Prior experience leading teams to improve processes around all revenue cycle functions. β€’ Experience in report generation, data collection systems and analysis techniques. β€’ Excellent analytical, problem-solving and troubleshooting skills, with the ability to define problems, collect data, establish facts and draw conclusions.

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