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847a258e-35a1-46d6-a5ed-a6e8a04c009f

Director of Revenue Cycle Management (INTERNAL)

Ankeny, IA | Corporate | Billing | Full-Time, In Office

Summary

The Director of Revenue Cycle Management reports to the Chief Financial Officer (CFO) and is responsible for directing all aspects relating to the revenue cycle including management and coordination of all eligibility, billing, accounts receivable and collections functions, as well as the cash application process.

  • Provide strategic leadership and direction, and collaborate with other key leaders across the organization; build and maintain relationships with payer partners
  • Manage budgets, oversight and internal audit/monitoring, and build/maintain cross-departmental relationships for up/downstream operational functions
  • Ensure billing processes recover the maximum permitted payments in compliance with regulatory and contractual obligations
  • Manage revenue cycle management team, including hiring, coaching and development, engagement, and retention
  • Ensure all claims and invoices are billed accurately and timely using the correct forms and adhering to policies
  • Assess and innovate new technology (EDI and billing management software) to create efficiencies and automate manual, paper-intensive processes and leverage enhanced data and reporting
  • Meet company and department key performance indicators; analyze performance trends to identify emerging billing and collections issues and develop effective solutions
  • Identify, assess, and promote improvements to internal processes and workflow to improve performance (billing efficiency, collections rates and speed, compliance, and client satisfaction)
  • Lead cross-departmental initiatives to minimize write-off rates and resolve payer billing issues
  • Understand government and managed care billing and collections while being a subject matter expert to the revenue cycle team

Required Skills and Experience

  • Bachelor’s degree in Business, Management, Healthcare, or related field
  • 10+ years’ work experience in the healthcare billing or revenue cycle management field, including experience managing a mid-sized or large RCM department within a provider organization (e.g., homecare, hospice, DME, etc.)
  • Experience and knowledge of government and commercial payer billing regulations and best practices
  • Experience working with major billing/practice management and EDI platforms
  • Strong analytical and problem solving skills
  • Excellent interpersonal skills; ability to lead a team and effectively communicate and influence across departments
  • Strong proficiency in Microsoft Excel

Physical Requirements

  • Repetitive motions that include the wrists, hands and/or fingers
  • Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
  • Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus

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