Director Revenue Cycle Management at Care Synergy
Denver, CO 80285
About the Job
Care Synergy has an immediate opening for a Director of Revenue Cycle Management.
Location: Denver, CO
Status: Full-time
Schedule: Monday-Friday, 8-5
Pay Range: $100,000 - $130,000 annually (plus 10% bonus in place)
Supplemental Pay: Based on position, schedule and/or availability: Paid mileage/Shift Diffs/Stipends
Mileage and Expense Reimbursement: Sixty-two and a half cents per mile - one of the highest in the industry!
CULTURE, BENEFITS AND PERKS:
We value diversity, equity and inclusion and know it matters for our team members and our patients. We provide welcoming, supportive and inclusive care to our patients and a work environment where all team members feel respected and valued.
We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
Low healthcare premiums: we have not increased our team member medical rates 4 out of the last 5 years
Employer pays over 90% of employee medical premium in some plans
Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
Healthcare Benefits are effective on the 1st of the month following date of hire
Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave) and EIB (Extended Illness Bank): 18 days in the first year for FT team members
Seven Paid Holidays with an additional Floating Holiday
403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
Company-Paid Life and AD&D Insurance
Career & Logo wear
Education Reimbursement Program
Clinical Career Ladders
Certification Pay
Generous Discover-a-Star Team Member Referral Program
Team Member Service Awards
Early Wage Access
Legal and Identity Protection
Robust Leadership Development Training Programs
REWARDING WORK YOU WILL DO:
The Director of Revenue Cycle Management is responsible for the oversight of all claim development, claim submission, denial investigation, and collections / follow-up activity related to all company services and payer sources. The Director of Revenue Cycle Management monitors accounts to effectively reduce Days Sales Outstanding and improve cash flow. The Director of Revenue Cycle Management provides linkage to other department personnel to correct and resubmit billing, and if necessary, makes recommendations to leadership to write-off account balances deemed uncollectable.
The Director of Revenue Cycle Management will work with organizational leadership on continuous performance improvement activities as it relates to process redesign, training, and education to minimize rejections, denials, and bad debt write-offs. In addition, the Director of Revenue Cycle Management will work with organizational leadership on all new program development to ensure the ability to successfully bill and collect for services rendered.
Leads the overall development, interpretation, coordination, and administration of system policies governing all aspects of the revenue cycle.
Drives continuous revenue cycle process improvement universally and largely standardized and aligned with industry best practice standards to achieve data-driven results.
Develops, implements, and maintains strategies by working with internal and cross-functional partners to achieve optimal revenue cycle performance.
Leads the billing team and ensures the correct NPI/taxonomy/billing code configuration is accurate.
Plans and evaluates the day-to-day workflow of the billing office; sets priorities and goals for billing manager and staff.
Performs regular accounts receivable aging reviews with billing team to monitor balances that are approaching unacceptable time frames or dollar amounts.
Reviews claims for collectability, recommends claims for write-off, and calculates the Allowance for Bad Debt on a monthly basis.
Works closely with key stakeholders in operations including admissions, clinical operations and HIM to ensure efficient operations and streamline revenue cycle processes.
Reports key Performance Indicators (KPIs) on a monthly basis. Continuously monitors the regulatory environments to ensure that payors evolving reimbursement structures, documentation requirements, and other requirements are evaluated and necessary changes in policies and procedures (and systems) are completed within the EHR.
Initiates development of new approaches to streamline existing processes, reorganize work, implement new technologies, and improve resource utilization as RCM links to the organization.
Ensures that billing rates are updated per both Medicare and Medicaid guidelines, and all commercial contracts, coordinating with other department leaders on maintenance.
Recruits, trains, and mentors team members to cultivate high performance. Ensures cross-training and backup for each significant payer and critical tasks.
Participates in continuing education and professional development. Participates in organization and community events and professional associations as required.
Maximizes customer relationships and directly interfaces on collection matters and dispute resolution.
Ensures that timely and accurate payment and account standing information is provided to leadership and management as needed and/or appropriate.
Maintains a working knowledge of all revenue cycle management computer systems; works with internal IT staff and external software vendor to stay current with changes in technology; ensures all payer information is set up correctly.
Participates in the monthly financial closing process to accurately capture Electronic Medical Record (EMR) totals for entry into the financial General Ledger (GL) system.
Understands company processes, procedures and policies and ensures adherence to company guidelines.
WHAT WE ARE GOING TO LOVE ABOUT YOU:
Minimum Education: Bachelor's degree required; master's degree preferred.
Minimum Experience: Five to seven (5-7) years of finance, billing and/or revenue cycle experience with increasing responsibilities required; with at least three years of managerial experience.
PHYSICAL REQUIREMENTS: Ability to lift/carry a minimum of 30 lbs.
If you need assistance completing the electronic application please contact our Talent Acquisition team via email at . You may also call the Human Resources Department at . Applications can be completed in-person at any one of our affiliate office locations.
The Organization does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.
Location: Denver, CO
Status: Full-time
Schedule: Monday-Friday, 8-5
Pay Range: $100,000 - $130,000 annually (plus 10% bonus in place)
Supplemental Pay: Based on position, schedule and/or availability: Paid mileage/Shift Diffs/Stipends
Mileage and Expense Reimbursement: Sixty-two and a half cents per mile - one of the highest in the industry!
CULTURE, BENEFITS AND PERKS:
We value diversity, equity and inclusion and know it matters for our team members and our patients. We provide welcoming, supportive and inclusive care to our patients and a work environment where all team members feel respected and valued.
We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
Low healthcare premiums: we have not increased our team member medical rates 4 out of the last 5 years
Employer pays over 90% of employee medical premium in some plans
Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000
Healthcare Benefits are effective on the 1st of the month following date of hire
Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave) and EIB (Extended Illness Bank): 18 days in the first year for FT team members
Seven Paid Holidays with an additional Floating Holiday
403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
Company-Paid Life and AD&D Insurance
Career & Logo wear
Education Reimbursement Program
Clinical Career Ladders
Certification Pay
Generous Discover-a-Star Team Member Referral Program
Team Member Service Awards
Early Wage Access
Legal and Identity Protection
Robust Leadership Development Training Programs
REWARDING WORK YOU WILL DO:
The Director of Revenue Cycle Management is responsible for the oversight of all claim development, claim submission, denial investigation, and collections / follow-up activity related to all company services and payer sources. The Director of Revenue Cycle Management monitors accounts to effectively reduce Days Sales Outstanding and improve cash flow. The Director of Revenue Cycle Management provides linkage to other department personnel to correct and resubmit billing, and if necessary, makes recommendations to leadership to write-off account balances deemed uncollectable.
The Director of Revenue Cycle Management will work with organizational leadership on continuous performance improvement activities as it relates to process redesign, training, and education to minimize rejections, denials, and bad debt write-offs. In addition, the Director of Revenue Cycle Management will work with organizational leadership on all new program development to ensure the ability to successfully bill and collect for services rendered.
Leads the overall development, interpretation, coordination, and administration of system policies governing all aspects of the revenue cycle.
Drives continuous revenue cycle process improvement universally and largely standardized and aligned with industry best practice standards to achieve data-driven results.
Develops, implements, and maintains strategies by working with internal and cross-functional partners to achieve optimal revenue cycle performance.
Leads the billing team and ensures the correct NPI/taxonomy/billing code configuration is accurate.
Plans and evaluates the day-to-day workflow of the billing office; sets priorities and goals for billing manager and staff.
Performs regular accounts receivable aging reviews with billing team to monitor balances that are approaching unacceptable time frames or dollar amounts.
Reviews claims for collectability, recommends claims for write-off, and calculates the Allowance for Bad Debt on a monthly basis.
Works closely with key stakeholders in operations including admissions, clinical operations and HIM to ensure efficient operations and streamline revenue cycle processes.
Reports key Performance Indicators (KPIs) on a monthly basis. Continuously monitors the regulatory environments to ensure that payors evolving reimbursement structures, documentation requirements, and other requirements are evaluated and necessary changes in policies and procedures (and systems) are completed within the EHR.
Initiates development of new approaches to streamline existing processes, reorganize work, implement new technologies, and improve resource utilization as RCM links to the organization.
Ensures that billing rates are updated per both Medicare and Medicaid guidelines, and all commercial contracts, coordinating with other department leaders on maintenance.
Recruits, trains, and mentors team members to cultivate high performance. Ensures cross-training and backup for each significant payer and critical tasks.
Participates in continuing education and professional development. Participates in organization and community events and professional associations as required.
Maximizes customer relationships and directly interfaces on collection matters and dispute resolution.
Ensures that timely and accurate payment and account standing information is provided to leadership and management as needed and/or appropriate.
Maintains a working knowledge of all revenue cycle management computer systems; works with internal IT staff and external software vendor to stay current with changes in technology; ensures all payer information is set up correctly.
Participates in the monthly financial closing process to accurately capture Electronic Medical Record (EMR) totals for entry into the financial General Ledger (GL) system.
Understands company processes, procedures and policies and ensures adherence to company guidelines.
WHAT WE ARE GOING TO LOVE ABOUT YOU:
Minimum Education: Bachelor's degree required; master's degree preferred.
Minimum Experience: Five to seven (5-7) years of finance, billing and/or revenue cycle experience with increasing responsibilities required; with at least three years of managerial experience.
PHYSICAL REQUIREMENTS: Ability to lift/carry a minimum of 30 lbs.
If you need assistance completing the electronic application please contact our Talent Acquisition team via email at . You may also call the Human Resources Department at . Applications can be completed in-person at any one of our affiliate office locations.
The Organization does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.