Director of Revenue Cycle & Medical Billing - Healthcare
Company: Empowered Staffing
Location: Skokie
Posted on: April 8, 2021
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Job Description:
Empowered Staffing is partnered with a revenue cycle healthcare
organization with healthcare facilities & clients across the
country who is looking to hire a Director of Revenue Cycle
Management & Medical Billing. This position will be responsible for
the development and implementation of proper systems, policies and
processes to ensure the efficient operation of the company while
maximizing revenue results. This position will actively participate
in the development of current and future strategies and will ensure
that the growth and financial objectives of the Company are met.The
Director will oversee and be responsible for--technology strategy
and initiatives, insurance eligibility processes, charge
processing, claims submission, payment posting, collections and
accounts receivable, denial management, reporting results and
analysis, concurrent and retrospective auditing, proper coding,
insurance contract review and oversight, customer services relative
to revenue cycle, training and development related to revenue
cycle, analytics of key performance indicators, and all other
revenue cycle management activities. This work is carried out in
support of the mission and goals of the Company.Essential
Functions: * Design and develop the organization structure for RCM
(Revenue Cycle Management) team.* Develop strategic plans/programs
for RCM team and ensure goals/objectives are properly defined and
clearly established.* Delineate, define, and streamline functional
activities, ensuring maximum utilization of all resources.* Develop
and implement efficient and effective policies, guidelines, and
procedures.* Identify, analyze and address challenges and/or
breakdowns in the revenue cycle process.* Enhance and standardize
workflows. Develop and implement billing practices by leveraging
technology to automate and standardize processes.* Monitor
effectiveness of activities, ensuring that outstanding
authorizations, billings, postings, collections and accounts
receivables are within established time limits and that bad debt is
within industry standards by conducting routine audits.* Conduct
regular meetings with the team to ensure implementation of all RCM
plans, programs, and projects is adhering to deadlines.*
Responsible for maximizing the collection of payments and
reimbursement from patients, insurance carriers, government
agencies, and guarantors.* Design/develop training programs for
development of technical competencies of the team.* Provide
oversight and direction on any RCM related technology initiatives;
including upgrades, new software, and/or change management.*
Develop performance measures and standards that are used for team's
annual performance review.* Manage the
authorization/billing/collection staff in handling patient/payer
relations and handles complex complaints and issues.* Responsible
for measuring, monitoring and meeting key performance indicators
and departmental goals in accordance with the company's established
policies and procedures and industry best practices.* Regularly
provide CEO, CFO, and revenue cycle staff with revenue cycle status
including reports, key performance indicator metrics, and
presentations.* Other special projects/assignments as
needed.Minimum Experience and Skills Required: * 5+ years of
experience with demonstrated expertise in successfully leading and
managing a high-performance medical billing & revenue cycle
operation while meeting or exceeding industry benchmarks.* Hands on
Medical Billing experience is required in order to properly train
and manage the department* Strong, in-depth knowledge of revenue
cycle management principles and practices, including medical
billing, coding, collections, managed care products, regulatory
compliance, payer credentialing, and financial reporting.* Solid
financial management skills, including budgeting, forecasting,
trending, benchmarking, and financial analysis of the department
performance.* Strong skills in Microsoft Office products.* Strong
knowledge of billing software, preferably Collaborate MD.*
Exceptional attention to detail and accuracy.* Knowledge of ICD and
CPT guidelines.* Excellent written and oral communication skills.*
Education, Licenses and/or Certifications Required:* Bachelor's
Degree in related field.
Keywords: Empowered Staffing, Skokie , Director of Revenue Cycle & Medical Billing - Healthcare, Accounting, Auditing , Skokie, Illinois
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