Director of Revenue Cycle

Post Date

May 17, 2024

Location

Miami,
Florida

ZIP/Postal Code

33156
US
Sep 13, 2024 Insight Global

Job Type

Perm

Category

Financial Reporting

Req #

HFL-705424

Pay Rate

$100k - $150k (estimate)

Job Description

The Director of Revenue Cycle Management is responsible for the successful management of the RCM AR Management Operations Team. The position manages processes and provides guidance, direction and support to encompass all aspects of the revenue cycle, including but not limited to reimbursement related analysis, claim submission, account follow-up, denial management, patient customer service, and underpayments recovery. The Director is responsible for establishing and monitoring the department goals, objectives and tactical plan consistent with the organizational strategic plan and vision. He or she must work effectively as a team member utilizing effective problem-solving skills and intradepartmental relationships. Possess the ability to motivate others to achieve objectives and goals, while balancing the big picture with perspective to the details of the operation. Direct Reports: * Manager, AR Management Responsibilities and Duties * The Director of Revenue Cycle Management is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner that is in compliance with federal, state and payer-specific billing requirements. * Prepares detailed analyses and reports of billing and accounts receivable activity and results, including performance metrics, bad debt expense and AR days outstanding. * Analyzes reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management. * Contribute to the department goals on meeting key productivity metrics. * Assist in the training and cross training of staff. * Develop reports and procedures for the AR team, as well as systems for coordinating the management of the billing functions. * Perform and analyze periodic reporting. * Provides mentoring, coaching and performance reviews for direct reports

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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Required Skills & Experience

Bachelors Degree

5+ years of leadership experience managing multifacility complex and diverse operational teams

5+ years of Rev Cycle management exp- preferably in GI, Pathology, Anesthesia, Imaging, Infusion

Experience managing multispecialty

Knowledge of healthcare AR, Collections, Insurance, government programs, and appeals (compliance regulations and guidelines)

Experience with practice management systems (E Clinical works plus)

Experience overseeing remote operations

Nice to Have Skills & Experience

Masters Degree- Healthcare Admin, or MBA

Viziquate

Experience working with surgical centers- professionally services and facility side

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.