Director Clinician, Client Management - Denial Management - Remote

Med-Metrix•Garden City, NY

7d•Remote

About The Position

The Director Clinician, Client Management will oversee the operational structure and implementation of the Denial Management client service operational requirements, responding to the client and business needs impacting the performance Division’s work product. This position will define and manage process review related to improving operational outcomes, recommendations for efficiencies, and staff performance to ensure efficient functioning of day-to-day business processes.

Requirements

Clinician's License required - RN, NP, PA, or LPN
Bachelor’s degree in a related field
7+ years of experience in hospital revenue cycle roles
5+ years of experience as a director, or similar role overseeing staff, within hospital revenue cycle industry
Background and familiarity with various Hospital Accounting and EMR Systems
Solid ability to analyze, interpret and present data in meaningful ways
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Nice To Haves

Experience managing and overseeing denials programs preferred

Responsibilities

Oversee Client Managers to ensure organizational goals are appropriately prioritized and defined
Help define and improve the internal processes of the department
Define and oversee revenue cycle performance goals and metrics
Utilize domain knowledge and feedback from internal and external sources to ensure all needs related to Claim and Authorization Denials are met
Help innovate solutions, effectively target, identify, and manage inventory
Manage additions and/or reallocation of current staff/processes to ensure client needs are being addressed
Define client-centric projects and ensure the evolving AR goals of the client and business are met
Assist with the design and development of projects tailored towards meeting broad industry and local client needs within IT infrastructure
Implement strategies to improve performance, increase client revenue, and ongoing satisfaction
Ensure preparedness for client meetings
Communicate issues which require technical and/or business attention to upper management
Ensure compliance with applicable laws and regulatory standards
Advocate for positive changes to department workflow and staffing which can improve outcomes
Provide leadership, mentorship, and guidance to department managers and supervisors
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties