Director Of Revenue Cycle

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We are Navis Clinical Laboratories, and we are made up of motivated and compassionate team members who provide innovative tools and services to provide accurate testing results. We are responsible for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of human beings.

Position Summary:

The Director of Revenue Cycle Management reports to the CFO and is responsible for overseeing and coordinating all Revenue Cycle activities with a goal of maximizing reimbursement in a cost-effective manner that is compliant with federal, state and payer-specific billing requirements. The Director will oversee the overall policies, objectives, and initiatives of our laboratories Revenue Cycle activities.

Schedule for this position is Mon-Fri 8am-5pm.

Pay range for this role is $100K-$120Kdepending on experience.

Duties and Responsibilities:

• Oversee and support the daily operations of the Revenue Cycle & credentialing team including billing, follow-up and collections, cash posting, metrics reporting and projects to improve efficiencies with the billing department.
• Work closely with other departments to streamline procedures that will help ensure correct billing to clients, patients, and payers in a timely manner, thereby expediting laboratory receivables.
• Oversee work schedule and direct changes in priorities and schedules as needed to assure work is completed in an efficient and timely manner and to improve the department’s performance and service.
• Direct the selection, supervision, and evaluation of staff. Ensure performance evaluations are conducted in a timely manner and initiate disciplinary actions as warranted.
• Oversee orientation and continuing education for all staff. Ensure mandatory and relevant training is provided to staff in a timely manner.
• Establish and maintain departmental policies and procedures. Communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly. Recommend policy changes to the Chief Financial Officer.
• Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Maintain appropriate internal controls for the safeguarding of cash.
• Follow and monitor compliance with laboratory policies and standards.
• Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters.
• Develop and maintain internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions.
• Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks.
• Monitors daily productions of claims, denials, and appeals.
• Monitor aged accounts and verifies appropriate collections procedures are being followed.
• Reviews, monitor and recommends updates to the Laboratories fee schedule to maintain fees at levels that maximize reimbursement.
• Regularly provides upper management with Revenue Cycle status including reports, metrics, and presentation.
• Ensure staff is educated on new technology, goals, and contracts.
• Establish a regularly scheduled Revenue Cycle meeting to discuss strategies and ensure everyone is educated on the direction of the department.
• Any and all other projects, goals, issues surrounding the Revenue Cycle, conflicts or concerns as directed or indicated by Management.

Additional Duties:

• All other duties as assigned

Required Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, Accounting, Finance or related field and three years of management-level experience in Revenue Cycle with expertise in billing and collections.
• Knowledge of regulatory requirements, including a solid understanding of Medicare, Medicaid, and managed care processes.
• 2+ years of recent experience in building, billing, and managing Revenue Cycle for Clinical blood work i.e., routine chemistry, STI’s, STDs, and molecular.
• Ability to work and communicate effectively with a diverse group of people including the Executive Team, other Department Managers, Staff, Clients, and Patients.
• Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
• Outstanding ability to work independently to achieve results. Often, there is no precedent for and little help in carrying out assigned tasks. Must originate, plan, adapt and invent to accomplish tasks.
• Ability to set and maintain priorities when dealing with multiple demands and interruptions.
• Strong analytical and problem-solving skills.
• Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
• Excellent customer service skills.
• Advanced Excel skills.

Physical Requirements:

• Light to moderate physical effort (lift/carry up to 25 lbs.) -Heavier weights with assistance.
• Sitting or standing for long periods of time
• Repetitive motions and/or prolonged computer use
• Working at a fast pace, subject to many interruptions and both physical and mental stress

Job Type: Full-time

Pay: $100,000.00 - $120,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Required)

Work Location: Remote