Director of Revenue Cycle Management (Healthcare) - Daley and Associates

Director of Revenue Cycle Management - Burlington, MA - Healthcare

Our team is working with a leading healthcare company with a focus on treating addiction to hire a Director of Revenue Cycle Management to their growing team. The Director of Revenue Cycle will serve a key leadership role in the revenue cycle process providing strategic direction for the revenue cycle function. Driving innovation, operational and technological enhancements, and standardization by leveraging best practices and processes. This will report to the CFO.

Responsibilities:

• Develop a comprehensive strategy to respond to current and future challenges presented by legislation and compliance in order to monitor and address changing revenue cycle practices

• Maintains functional accountability for the insurance claim function which includes: monitoring the status of claims and denials management

• Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement

• Manage the relationship with outsourced billing partner to ensure accuracy and efficiency of claims handled via third party.

• Provide timely and accurate reporting to the finance team to support the month-end close process.

• Collaborate with the corporate team to establish and drive departmental and organizational key performance indicators (KPIs) and dashboards around revenue cycle operations.

• Develop and implement operational policies and procedures governing revenue cycle management and billing compliance for the organization.

• Investigate and analyze issues, root causes, patterns, or trends and identify and implement process improvement actions in support of revenue cycle objectives.

• Optimize revenue cycle management systems to improve efficiency and accuracy of both billing and collections efforts

Qualifications:

• Bachelor’s in Business, Finance, Accounting, Health Management or related field

• At least ten years of experience in billing or revenue cycle operations

• Minimum of two years of behavioral health treatment experience required

• Minimum of two years of physician practice billing preferred

• Minimum of three years of supervisory experience including hiring, training and evaluation of direct reports

• EHR and/or billing software experience required.

• Certified Coder Certificate strongly preferred