Director of Revenue Cycle Management - Michigan Market - Bonus

Job Description

Description:

This position will cover all of our Michigan locations.

Office location: St. Clair Shores, Michigan

Occasional travel to Grand Rapids and Flint- 2x per month

Reports to: Senior Director of RCM

The Director of Revenue Cycle is responsible for providing leadership, direction, management, and administration of departmental operations and services to ensure accomplishment of strategic objectives under the direction of the Solaris Corporate Senior Director of Revenue Cycle. This position ensures maximum collection efficiency while creating a culture of accountability and service to our patients. The Director of Revenue Cycle is responsible for the direction and oversight of the following centralized units within the Michigan region: Financial Clearance, Authorization, Financial Counseling, Coding, Revenue Integrity, Claim Readiness and Generation, Insurance AR (Accounts Receivable) Follow-up, Payment Posting, Denial Management, Customer Service, and Scheduling. Responsible for accuracy and compliance of claims processing, denial adjudication and collection processing as well as timely month end closing and evaluation of processes to ensure integrity and compliance of revenue cycle processes.

ESSENTIAL JOB FUNCTION/COMPETENCIES

Directs, supervises, and coordinates overall Revenue Cycle Management (RCM) functions and activities in accordance with standards established by institutional, governmental, and other regulatory entities

Provides daily oversight of regional Revenue Cycle Management department, ensuring services are consistently delivered across all affiliate practices.

Hires and retains a high-performing managerial team

Leads and motivates the team for maximum employee engagement

Ensures processes occur accurately and timely within assigned areas, holding the team accountable for driving results

Defines and measures Key Performance Indicators (“KPIs”), initiating root cause analysis and processes to ensure KPIs are aligned with best practices

Contributes to the development of the region’s mission, goals, policies and procedures, budget, work standards in coordination with the Corporate Senior Director of Revenue Cycle and the direction of the Executive Operational Leadership

Initiates and ensures adherence to personnel policies and practices

Ensures the development and delivery of required staff training using a competency-based assessment program

Evaluates how staff resources are allocated to support business activities and revenue cycle initiatives

Presents regular report outs on the status of the regional Revenue Cycle department operations and performance to applicable board of directors and corporate leadership teams

Resolves problems and recommends changes to corporate leadership to ensure optimal practice operations

Collaborates with corporate and practice leadership on revenue cycle initiatives and operational processes with a fiscal impact

Evaluates the effectiveness and support of information technology applications to support operations and oversees enhancements/implementation of new applications, as needed, in coordination with corporate RCM leadership

Oversees Quality Assurance program that supports and contributes to the key elements of operational practice and compliance, including, but not limited to, financial performance indicators, patient satisfaction, and billing/coding compliance

Represents the department at public and professional meetings and conferences as requested

Facilitates communication and ensures proper flow of information at a corporate, regional, and local level

Coordinates, as requested, operational committees and physician advisory committees

Collects data, prepares reports, analyzes statistics, and responds to correspondence in a timely manner

Supports Contract Management/Credentialing in the evaluation and negotiation of managed care contracts and operations in conjunction with senior corporate management

Demonstrates professional behavior reflective of leadership best practices

Maintains professional affiliations and enhances professional development to keep pace with revenue cycle industry trends

Manages special projects assigned by the Corporate Leadership

Manages the successful revenue cycle onboarding and integration of potential new practices/offices into the regional RCM model, including oversight of RCM diligence

Identifies areas for improvements and drives change initiatives to improve overall RCM operations and financial outcomes

Maintains strict confidentialityRequirements:

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

Membership or affiliation with American Urology Association, MGMA and/or HFMA is highly recommended

KNOWLEDGE SKILLS ABILITIES

Demonstrates understanding of business and how actions contribute to company performance

Strong understanding of corporate finance and performance management principles

Excellent managerial and financial skills

Professional verbal and written communication skills

Ability to manage multiple tasks with excellent critical thinking skills while meeting company deadlines

Familiarity with diverse business functions

In-depth knowledge of corporate governance and general management best practices

Well organized with the ability to maintain accuracy and confidentiality

Ability to manage large team

Maintains a high level of confidentiality and ethical behavior

Excellent leadership communication skills

Skilled at garnering trust of physicians and partnering with them in education and coaching around RCM best practices

Keeps abreast of industry trends and seeks opportunities to build knowledge and expertise via certifications, seminars, and other learning opportunities.

EDUCATION REQUIREMENTS

Bachelor's degree in healthcare administration or business Management (master's degree preferred)

EXPERIENCE REQUIREMENTS

Minimum 7 years RCM management experience within a physician practice, Managed Service Organization (MSO), or other medical environment

Proven experience in high-level leadership roles

Experience in Urology or physician practice environment preferred

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. . Seldom, up to 2%100 + lbs. Seldom, up to 2%

Lifting – Height & Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%Floor to Chest, 26-50 lbs. Seldom: up to 2%Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%Floor to Waist, 26-50 lbs. Seldom: up to 2%