Healthcare Revenue Cycle Director

RestorixHealth•Metairie, LA

About The Position

The Director of Revenue Cycle Management Operations oversees revenue cycle activities at assigned hospitals and supervises assigned staff. The role promotes best practices and works with wound center staff to implement and maintain RestorixHealth revenue cycle policies and procedures, as well as supporting the implementation of new centers. The Director serves as a revenue cycle liaison and consultant to assigned wound care centers and hospital departments. The position addresses billing, reimbursement, accounts receivable, denials, and operational issues; monitors compliance and performance; trains and manages Revenue Cycle Representatives; and develops procedures and improvements that support effective revenue management and favorable financial results. The role also works with internal teams, hospital partners, and regional and program leaders, and visits assigned centers as needed.

Requirements

Experience in all areas of the hospital outpatient revenue cycle, including expertise in Patient Access, Health Information Management, and/or Patient Financial Services; wound care services experience is preferred.
Experience working with diverse teams such as a Centralized Business Office (CBO), Patient Financial Services, and hospital administration.
Proficiency in Microsoft Excel and hospital billing systems.
Ability to work cooperatively in multidisciplinary teams.
Ability to promote subordinate staff’s professional growth and expertise.
Demonstrated ability to work with all levels of personnel at client hospital sites.
Excellent organizational and analytical skills.
Strong interpersonal and written communication skills.
Must hold a valid driver’s license throughout the time in the position.
Must understand and abide by HIPAA policies and procedures.
Demonstrates ethics and integrity, including respect, reliability, honesty, fairness, consistency, and upholding organizational values.

Nice To Haves

Bachelor’s degree.
Experience involving wound care services.

Responsibilities

Serve as the revenue cycle liaison and consultant between assigned centers and hospital Registration, HIM, Coding, Charge Capture, Patient Accounts, and other Finance Departments.
Oversee visits and accounts and help wound care centers and hospital clients identify, analyze, and resolve revenue cycle issues that cause ADRs, denials, billing delays, or reimbursement problems for wound care and HBOT services.
Analyze assigned centers’ compliance with revenue cycle policies and procedures, support process and procedural improvements, and communicate infractions to appropriate parties.
Manage, train, and monitor assigned Revenue Cycle Representatives, including their A/R follow-up and collections, problem solving, communications, payment analysis and billing worksheets, invoice creation, and write-offs.
Monitor outcomes and create competencies to support ongoing staff training.
Coordinate with Intake, Payment Integrity, IT, RDCT/Clinical Staff, and Billing/Collections to apply management practices and improve policies, procedures, and technologies in alignment with company and hospital partner goals.
Monitor unbilled A/R and keep POR aging current, with no more than 25% of total A/R over 90 days outstanding.
Work with RCRs to evaluate and analyze unresolved third-party accounts, including unbillable, unauthorized, rejected, denied, underpaid, and recouped accounts receivable.
Develop procedures to track trends, minimize disruptions, improve workflows, and increase collections.
Use the escalation process to communicate to the VP and RDs the financial impact of center revenue cycle clinical and operational processes on indicators such as denials and bad debt.
Build positive working relationships with involved personnel, including RestorixHealth Regional Directors and Program Directors, to maximize center performance.
Visit assigned wound care centers as needed to maintain productive relationships and observe center activities, including education, training, physician panel meetings, and hospital partner meetings.
Participate in implementing new wound care centers for revenue cycle needs and adapt revenue cycle procedures as needed.
In consultation with the GM/VP and RD, develop, implement, and monitor revenue cycle procedures tailored to each hospital partner and wound care center.
Collaborate with the Corporate FDC Manager as needed on FDC selection, education, and training needs at assigned centers.
Assist Regional Directors with scoping and planning multiple projects.
Perform other related duties as assigned.
Support and encourage colleagues to embrace company values and contribute to a positive company culture.

Benefits

Medical, dental, and vision insurance.
Health Savings Account with employer match.
Flexible Spending Accounts, including General Purpose, Limited Purpose, and Dependent Care.
Employer-paid basic life insurance, AD&D, and short-term disability.
Voluntary buy-up life insurance for the employee, spouse, and children; short-term disability; and long-term disability.
Voluntary accident, critical illness, and hospital indemnity plans.
Employee Assistance Program.
Pet Care Discount Program.
Unlimited vacation time and paid holidays.
401(k) retirement plan with employer match.
Internal ongoing educational and training opportunities.
Competitive compensation.
Performance incentive opportunities.
Continuous coaching and mentorship.