Revenue Cycle Director

Summary of Position:

Overseeing the entire lifecycle of patient revenue from patient registration and insurance verification to billing and collections. Ensuring efficient management of billing, coding, collections, and insurance processes to maintain the financial health of the organization.

Functions of Position:

Assists and supports Supervisors/Managers in the ongoing development and performance of the revenue cycle team in the day-to-day operations. Ensuring staff meet performance standards and follow established procedures.

Identify bottlenecks and inefficiencies in the revenue cycle, developing and implementing solutions to improve billing accuracy, collection rates, and overall financial performance.

Develop and implement strategies to minimize bad debt, enhance revenue capture, and improve overall cash flow and profitability of hospital.

Collaborate with clinical departments to ensure accurate and timely documentation and coding of services for billing purposes.

Analyze financial data and reports to identify trends, issues, and opportunities for improvement within the revenue cycle process.

Lead, mentor, and manage the revenue cycle team, setting performance standards and goals to achieve optimal productivity and efficiency.

Implement patient-friendly billing policies and procedures to enhance patient satisfaction and compliance with payment obligations.

Spearhead the adoption of new technology and systems to automate and streamline the revenue cycle operations, ensuring compatibility with existing clinical and financial systems.

Qualifications:

Proficient in using billing software and electronic health record (EHR) systems.

Excellent leadership and team management skills, with the ability to motivate and develop staff.

Strong analytical and problem-solving skills, with the ability to identify process inefficiencies and implement solutions.

Detail-oriented with excellent organizational and time management skills.

Excellent communication and interpersonal skills, with the ability to effectively interact with patients, staff, and insurance companies.

Ability to work independently and handle multiple priorities in a fast-paced environment.

Proficient in using Microsoft Office Suite, particularly Excel for data analysis and reporting.

In-depth knowledge of healthcare reimbursement systems, including Medicare, Medicaid, and private insurance.

Familiarity with coding systems, such as ICD-10 and CPT.

Understanding of healthcare regulations and compliance, including HIPAA regulations.

Strong knowledge of medical terminology and medical billing coding guidelines.

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

Minimum of 10 years of experience in healthcare billing and revenue cycle with 7 years in Management or supervisory role.

Days