On behalf of our client, a master service organization focused on providing medical practices, doctor groups and we are now hiring a

Director for Revenue Cycle Management

In this role, you will be managing an offshore RCM team, being closely involved in the day-to-day business as well as spearhead the implementation of a new EHR/EMR system. Duties and responsibilities include, but are not limited to:

Responsibilities:

• Runs, reviews, interprets, analyzes, and validates Revenue Cycle reports. Ensures the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making.
• Leads the development and implementation of revenue cycle strategies, processes and improvement initiatives to continuously improve the RCM process to maximize various billings and collections.
• Ensures the identification, analysis, and implementation of solutions designed to improve collection rates andreduce bad debt
• Drives the design, execution, monitoring, and assessment of key RCM performance metrics to refine processes and improve efficiencies and productivity to reduce overall costs.
• Leads and manages large revenue cycle projects such as audits, budgets, and technology enhancements.
• Manages provider relationships to deliver agreed-upon results, and drive cost, quality, and process improvement by establishing well-defined processes, sharing best practices, and ensuring effective working relationships.
• Delivers continuous improvements by creating RCM efficiencies through system selection/automation, process design, and avoiding waste/redundancy.
• Ensures compliance in all aspects of RCM activities including coding and billing rules and regulations by payer and state.
• Maintains knowledge of third-party payor regulations including Medicare, Medicare Advantage, Medicaid, etc.
• Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements.

Qualifications:

• Knowledge of medical terminology, CPT codes, and ICD-10 codes preferred.
• Strong and effective results-oriented team leader with at least 5 years of medical billing management experience.
• Experience managing home and telehealth organizations is preferred
• Excellent analytical skills, with high proficiency in Microsoft Excel/Google Spreadsheets
• Must be able to critically evaluate data and make recommendations for changes based on extensive research and evidence.
• Successful track record of adding value to international growing organizations through proactive root cause analysis
• Must be self-directed, highly motivated and organized, with strong interpersonal, written and oral communication skills.
• Bachelor Degree or equivalent, Master degree is preferable.