Senior Director Of Revenue Cycle Operations

Job description

Description:

A well-established Queens, New York based Dialysis Management Services company is seeking a Full-Time Senior Director of Revenue Cycle Operations to provide a full range of moderate to complex duties/responsibilities as we enter a new phase of growth.

We offer:

We offer generous competitive salaries.

• Company Sponsored pension plan with profit sharing.
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Pet Insurance package
• Paid Time Off

Job Summary:

• Manages, directs and coordinates activities of personnel engaged in the Revenue Cycle, including billing, collecting, and admissions.
• Works with the dialysis center administrators and other department managers to enhance the efficiency of the Revenue Cycle process, the charge master, denials management, and reimbursement issues.
• Oversees the continuous process improvement of Revenue initiatives utilizing key internal data.
• Coordinates and collaborates with leadership to ensure timely resolution to Revenue Cycle issues.
• Tracks Revenue Cycle metrics and associated benchmarks to identify and replicate best practice improvement opportunities.
• Reports directly to ownership.

Essential Functions:

• Responsible for personnel management of Revenue Cycle Management Office in College Point including but not limited to: Payroll, scheduling, training, counseling, evaluations and disciplinary action.
• Generates activity reports for the purpose of monitoring the Revenue Cycle personnel and Revenue Cycle efficiency.
• Benchmarks the ongoing accounts receivables and work with staff when key indicators show benchmarks are not being attained.
• Directs and controls the charge master.
• identify, examine, and analyze patterns of rejections, partial denials, or denials from third party payers and implement changes.
• Monitors the unbilled accounts, works with the Billing Manager to minimize the unbilled accounts.
• Works with center administrators to enhance the charging process, to enhance reimbursement, decrease denials.
• Review charges for accuracy and completeness of procedural and diagnostic codes.
• Consults with management and initiates changes in procedure with approval.
• Acts as a resource in the development of accurate charge capture tools.
• Prepares, where necessary and appropriate, the Revenue Cycle office budgets
• Manages the admission process to ensure accuracy of admission, timeliness of admission, medical necessity compliance, and financial policy compliance.
• Degree in Management or Finance. BA/BS required, MBA preferred.

Experience:

• 5+ years of progressive Revenue Cycle management experience in a healthcare environment, preferably within the dialysis industry.
• Strong computer skills
• Strong communication and leadership skills
• At least 3 years of experience supervising staff of at least 10 or more people.
• Must have an intricate understanding of medical billing and interaction with insurance company reimbursements.
• Must interact with accounting department and have understanding of financial aspects of Revenue Cycle.
• An intimate knowledge of the QMS/QCS system is a significant advantage.

Job Type: Full-time

Salary: $81,000.00 - $95,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Mileage reimbursement
• Paid time off
• Tuition reimbursement
• Vision insurance

Work Location: In person