Revenue Cycle Director

Great Chance to join a new team!

Our residential treatment program provides hope for clients suffering from mental health and substance use disorders, helping them ensure sustained recovery. Located in beautiful Deerfield Beach, Lifeskills provides a secure and nurturing atmosphere for balanced recovery and healing. 

Position Summary

The Revenue Cycle Director reports directly to the Group Revenue Cycle Director and is responsible for oversight of patient accounting functions for both Insurance and Privately funded clients. The Revenue Cycle Director helps improve cash flow and participates in managing the overall health of the company's receivables.

Relationships and Contacts

Within the organization: Initiates and maintains frequent and close working relationships with staff, and peers throughout the organization.

Outside the organization: Maintains working relationships with community partners, health insurance companies, prospective and current client as well as company vendors.

Position Responsibilities

• Manages and supervises business office team
• Excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances.
• Understands all aspects of Revenue Cycle management to answer team questions
• Monitors UR/Billing census daily to ensure completeness and accuracy.
• Develops, implements, and manages manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes.
• Ensure accurate charge entry and billing including coverage for those on PTO
• Ensure accurate, timely and complete account follow-up including coverage for those on PTO
• Confirm accounts are worked to completion including all payments and adjustments are entered correctly
• Monitors timely entering and application of all payment received
• Utilizes system reports to reconcile payments posted in management systems.
• Document all activity taken on an account in the patient account notes.
• Effectively identifies trends that inhibit timely payment.
• Confirms claims are worked within the established productivity standards, for timely follow-up maintaining and updating all patient accounts to reflect current information.
• Reviews accounts for accuracy including: account balance, payer plan and financial class, level of care, denials, and insurance requests.
• Works with appeals specialist for disputed / denied claims.
• Work any assigned correspondence related to assigned accounts.
• Prepares Census
• Attends daily morning meeting with clinical team
• Trains team on updated processes/new processes.
• Leads training for new Revenue Cycle staff
• Review credit reports and process applicable refunds to patient or insurance carrier.
• Understand and interpret insurance Explanation of Benefits, knowing when and how to ensure that payment has been received.
• Respond in a professional and timely manner to all billing-related inquiries from patients, guarantors, staff and payers.
• Understands authorizations and limits to coverage such as the number of authorizations/units.
• Documents, analyzes, and trends billing and collection activities and communicates to supervisor as appropriate.

Additional Responsibilities

• Provide support on special or large analysis project.
• Responsible for coordinating all new finance staff on boarding and training.

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Minimum Requirements

Position requires an associate degree, bachelors preferred and a minimum of 3 years supervisory experience along with a minimum of 3 years’ experience with insurance billing and collections preferably within a mental health setting, to include experience acting as a liaison between insurance companies and family members/guarantors.

Physical Requirements

• While performing the duties of this job, the employee will be required to communicate with peers/general public, clients and/or vendors
• Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time
• While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, reach, climb or balance, stoop, kneel, crouch or crawl, taste or smell.
• Must be able to travel in and out of state to all facilities within the network of services, as necessary.
• Ability to move 25 pounds

Skill Competencies

• Strong problem solving and analytical skills
• Demonstrates a high level of follow through
• Excellent verbal and written communication
• Ability to exercise sound judgment and discretion
• Excellent organizational and time management skills
• Excellent interpersonal and relationship building skills
• Ability to prioritize and multi-task
• Proficiency with Microsoft Office programs

What we offer:

• Multiple Development Pathways
• Company Supported Continuing Education & Certification
• PPO & HDHP Health Plan Options
• Flexible Dental & Vision Plan Options
• 100% Company Paid EAP Emotional Well-Being Support
• 100% Company Paid Critical Illness (with health enrollment plan)
• 100% Company Paid Life & ADD
• 401K with Company Match
• Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
• Six Annual Paid Holidays Plus One Floating Holiday
• Generous Team Member Referral Program

Lifeskills South Florida  provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. Company reserves the rights to modify, interpret, or apply this job description in any way the organization desires.  This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position.  Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise.  The employment relationship remains “At-Will.”