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Director of Revenue Cycle & Medical Billing - Healthcare

Company: Empowered Staffing
Location: Skokie
Posted on: April 8, 2021

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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