Revenue Cycle Director

Job description

The Revenue Cycle Director is responsible for the day-to-day oversight and strategic leadership of billing operations, payment posting, collections, and insurance verification/authorizations. This role requires hands-on supervisory experience, the ability to coach and evaluate staff, and a strong working knowledge of behavioral health billing in New York State, particularly regarding Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance.

The Revenue Cycle Director is responsible for the day-to-day management of billing, payment posting, collections and verification/authorizations. Qualified candidates will possess supervisory experience with the ability to perform and write formal staff evaluations, provide feedback, and offer mentoring opportunities to allow staff to grow and achieve agency outcomes. In addition, candidates will have in-depth knowledge of Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance billing processes particularly for NYS behavioral health services

PRIMARY FUNCTIONS

Responsible for oversight of billing team of up to 8 staff

Supervisory position in charge of maintaining billing systems, insurance verification/authorization management, directing billing, and collections

Clear understanding and working knowledge of claims processing, payer denials and appeals processes

Preparation of recurring and adjusting journal entries within areas of responsibility.

Completes financial analysis for audits and performs monthly and year-end receivables and income analysis to ensure revenue is maximized, advising on corrective actions and implementation plans.

Monitors and evaluates work productivity standards including identified Key Performance Indicators of billing team and individual staff for total revenue, collection rates, days receivables outstanding, and claim denials; supervise, coach and take necessary action to facilitate achievement of performance targets

Proactively reviews payer-aging reports and establishes achievable goals for accounts receivable reduction and/or cash acceleration. Notifies leaders of potential systemic issues and high risk/high exposure situations. Recommends and implements solutions for resolving aging receivables

Understands and can effectively back-up any position within the Billing Finance unit for which they supervise. Develops cross-training plans for staff to accommodate times of vacancy/absence

Maintains billing and accounts receivable guidelines by writing and updating policies and procedures including recommends changes to departmental procedures, and workflow to promote process improvements.

Compiles and distributes to leaders' analytical reports weekly, biweekly, and monthly on productivity, billing, collections, denials, and write-offs for monitoring operations and updating financial systems

Complies with federal, state, and local legal requirements by understanding existing and new legislation; enforcing adherence to requirements; advising management on needed actions.

Possess intermediate computer skills, which include knowledge of word processor, spreadsheet, and database software and file maintenance. Responsible to create and design useful spreadsheets & databases independently and utilizes skills to assist and train others.

Write formal staff evaluations, provide feedback to the staff, and offer mentoring opportunities to allow staff to grow and achieve agency outcomes.

Responsible for communicating effectively with staff and leaders on a consistent basis

QUALIFICATIONS AND ATTRIBUTES

5 years of experience in healthcare revenue cycle management and/or medical billing processes including knowledge of ICD-10, CPT, and HCPCS codes required

5 years of progressive related supervisory experience required

Experience with Electronic Health Record (EHR) systems Medical Billing Clearinghouses

Applicants will possess intermediate computer skills with demonstrated strengths in Excel and database software

Applicants must have strong problem solving and analytical skills

Applicants must be able to lead and work effectively in a team environment and independently when necessary

EDUCATION AND EXPERIENCE

Minimum of Associate's Degree in Accounting, Bachelor's degree in Accounting is preferred.

PHYSICAL CHARACTERISTICS

These physical demands are representative of the physical requirements necessary for an employee to perform the job's essential functions successfully. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the position, which are reviewed in each case.

Must be capable to sit or stand in front of a computer for long-periods of time

Work alongside co-workers within 3 feet

Must be able to move in tight spaces

Occasional lifting of > 5+ pounds

We are unable to sponsor Visa applicants for this position

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.