Revenue Cycle Management (RCM) and Client Journey Director Full Time

Description:

• This role will oversee multiple teams and will work with the Head of Revenue Cycle Management to coordinate all Revenue Cycle Management responsibilities, projects, and initiatives.
• Monitor daily production of claims, denials, appeals, and identify ways to optimize cash posting and collections and maintain reporting.
• Be an effective change manager that can present data to explain why change is required and then execute the changes with minimal disturbance to ongoing operations.
• Collaborate with Center of Excellence to ensure that the client receives a transparent and pleasant billing experience.
• Maintain and/or create policies and procedures to ensure that staff are trained correctly and have a reliable resource.
• Ensure compliance with Federal, State, and payer specific billing requirements.
• Stay informed of industry trends and regulations to ensure that we have competitive RCM processes in place.
• Support vendor relationships to achieve goals and objectives.
• Support the integration of company mergers and acquisitions.
• Target revenue recovery efforts throughout the reporting areas by analyzing problems and presenting solutions. Present findings that can be shared with staff, leadership, and the external stakeholders.
• Provide expectations and metrics to the staff that align with company goals.
• Lead and mentor the growth and development of the RCM staff by providing routine assessments of their performance.
• Drive RCM projects and implementation efforts and ensure timely completion.
• All other duties as assigned to support the improvement of the patient’s billing experience.

Requirements:

• Bachelor’s degree in business administration, finance, healthcare administration, or a related field or equivalent experience required.
• 10 + years in relevant healthcare and RCM leadership experience.
• Experience with self-developed systems planning, delivery, deployment, validation, and support.
• Strong data and analytical skills.
• Strong presentation skills and experience presenting and communicating with the executive team.
• Proven project management, transformation experience, and some knowledge of technology platforms.
• Thorough knowledge of patient financial standards relating to billing, collections, and cash posting.
• Superior critical thinking, analytical, and problem-solving skills.
• Ability to lead cross-functional teams in Discovery and Development.
• Strong interpersonal skills with experience motivating and leading a group of long-tenured employees.
• Excellent communication, relationship building, time management, and organization skills are necessary.
• Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders.
• Ability to work in a high volume, fast-paced environment with tight deadlines and multiple interruptions.
• Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry.

Benefits:

• An amazing team culture.
• Professional development & advancement opportunities.
• 401K with 3% employer match.
• Healthcare, Dental, Vision, and life insurance benefits.
• Paid time off and paid holidays.
• Professional EAP program for team members & household.
• Additional coverage options available such as Short Term Disability, Long Term Disability.