Director of Revenue Cycle

Job Description

POSITION SUMMARY

The Director of Revenue Cycle is responsible for overseeing the entire revenue cycle process within the organization, ensuring the efficient and effective management of billing, collections, and financial operations. This role involves developing and implementing strategies to optimize revenue generation, minimize financial risk, and ensure compliance with all applicable regulations. The Director of Revenue Cycle will lead a team of professionals, collaborate with various departments, and drive improvements in financial performance.

Oversees 10 Skilled Nursing Facilities (SNF) and 1 Assisted Living Facility (AL) in Southern CA / Greater Los Angeles & Inland Empire areas

DUTIES AND RESPONSIBILITIES

Oversee all aspects of the revenue cycle, including patient intake, billing, collections, and accounts receivable.

Develop and implement strategies to enhance revenue cycle efficiency, reduce days in accounts receivable, and improve cash flow.

Ensure accurate and timely submission of claims to all payer types, including Medicare, Medicaid, and private insurance.

Supervise billing operations to ensure compliance with federal, state, and payer-specific regulations.

Implement best practices for billing and collections processes to optimize revenue recovery and minimize denials.

Manage the resolution of complex billing issues and payer disputes, working closely with payers and internal stakeholders.

Review and analyze cash collections and aging trends for each facility. Reports on shortfalls and opportunities to improve collections and revenue recognition.

Responsible for ensuring AR systems are fully functional and meet the needs of the field by managing with the Information Systems Team and outside vendors.

Act as liaison/resource for billing audits, internal audits and ADR requests.

Lead, mentor, and train the revenue cycle team, including billing, coding, and collections staff.

Evaluate team performance and implement strategies for continuous improvement and professional growth.

Assist with interview and hire process for business office and revenue cycle personnel.

Stay abreast of industry trends, regulatory changes, and best practices to ensure the organization remains compliant and competitive.

Develop and enforce policies and procedures related to revenue cycle management, billing practices, and financial operations.

Conduct regular audits and reviews to ensure adherence to compliance standards and regulatory requirements.

Performs other related duties as required.

The above listing of duties and responsibilities are not intended to be all-inclusive but rather to serve as a description of the range of duties and general nature of the position. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

REPORTING STRUCTURE

Reports directly to Vice President of Revenue Cycle

Regional Business Office Mentors report up

KNOWLEDGE, SKILLS, ABILITIES & QUALIFICATIONS

Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field preferred.

At least 1 year of experience working in a Skill Nursing Facility (SNF) environment required.

Minimum of 7-10 years of experience in revenue cycle management, with a proven track record of success in a leadership role.

Extensive knowledge of revenue cycle management, billing procedures, and healthcare reimbursement processes.

Ability to understand and implement healthcare reimbursement, billing and accounting principles.

Ability to understand, control and track direct spending and labor budgets.

Ability to multitask and work in a fast-paced environment.

Strong organizational skills and attention to detail required to succeed in the role.

Commitment to the Beecan mission to consistently deliver high quality, person-centered care with dignity, respect, compassion, and integrity, and to enrich every life we touch. Embracing Beecan values of care & compassion, community, honesty & integrity, teamwork, innovation, and safety.

Ability to represent the Company and interact with others in an ethical and professional manner, and to maintain accountability.

Must have excellent verbal and written communication skills, both one-on-one and in a group, and ability to listen and respond to questions effectively.

Must have excellent time management skills with a proven ability to prioritize and meet deadlines.

Ability to maintain confidentiality, and to exercise discretion and independent judgment to make logical, practical decisions.

The knowledge, skills, abilities described in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of the job.

Full-time