Director Of Revenue Cycle Management

Overview

• Lead revenue cycle management operations for a behavioral health organization, ensuring efficient processes and compliance with industry standards.
• Manage a team of 10 professionals, fostering collaboration and productivity within the department.
• Oversee high-volume claims processing, approximately 10,000 monthly, ensuring accuracy and timely submission.
• Develop strategies to minimize bad debt and enhance cash flow for the organization.
• Ensure compliance with contracts and fee schedules, updating them quarterly as required.
• Provide leadership in resolving reimbursement issues and addressing problematic denials effectively.
• Support employee relations processes, including hiring, onboarding, and performance management.
• Participate in industry conferences and webinars to stay updated on best practices and trends.

Key Responsibilities & Duties

• Supervise and mentor a team of 10-12 staff members in the billing department.
• Organize and assign work to meet departmental deadlines and objectives.
• Ensure proper cross-training and education of staff for effective coverage during emergencies.
• Conduct monthly reviews of accounts receivable, credits, adjustments, and retractions.
• Address reimbursement issues and problematic denials promptly and effectively.
• Structure payment agreements for patients with out-of-pocket expenses.
• Ensure proper staffing levels by adhering to PTO approval guidelines.
• Provide advanced notice to staff regarding changes, projects, and important timelines.

Job Requirements

• Bachelor's degree required; Master's degree preferred.
• Minimum of 3 years of experience in revenue cycle management; 5 years preferred.
• Certified Professional Coder (CPC) certification preferred.
• Experience in behavioral health claims processing is advantageous.
• Proficiency in managing high-volume claims and accounts receivable processes.
• Strong leadership and decision-making skills to manage departmental operations.
• Ability to participate in industry conferences and webinars for professional development.
• Excellent communication and organizational skills to ensure departmental efficiency.