Director - Revenue Cycle Management

November 9

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PM Pediatric Care

WebsiteLinkedInAll Job Openings

Pediatrics • Urgent Care • Emergency Medicine

501 - 1000 employees

Founded 2005

⚕️ Healthcare Insurance

📚 Education

🧘 Wellness

Description

• 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. • 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. • Develop strategies across all functional departments to accelerate cash collections and reduce bad debt write-offs. • Partner with operations and front desk teammates to share best practices and improve collections. • Develops and monitors Key Performance Indicators. • Follows through by monitoring qualitative and quantitative performance to ensure achievement of targeted financial goals. • Develops clear, concise operational plans that reflect key departmental goals and objectives. • Develops clear business and project plans as required. • Effectively manages projects to ensure timely achievement of objectives. • Prepares and develops a variety of financial and operational reports to identify and monitor trends, activity, and report changes. • Develops appropriate action plans to modify results in accordance with required outcomes. • Maintains excellent patient, physician, and payer relationships through a proactive customer service-oriented approach. • Resolves issues between parties. • Refers major issues and provides feedback, analysis, and insight to Chief Financial Officer.

Requirements

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