Healthcare Revenue Cycle Director

RestorixHealth ®•Metairie, LA

7d•$110,000 - $115,000

About The Position

The Director of Revenue Cycle Management Operations is responsible for revenue cycle activities at assigned hospitals and for supervising assigned staff. The role promotes best practices and works with wound center staff to implement and maintain RestorixHealth revenue cycle policies and procedures. It also participates in implementing new centers. The Director serves as a revenue cycle consultant and expert to assigned wound care centers and hospital clients, resolving issues that affect accurate and timely billing and reimbursement for wound care and hyperbaric oxygen therapy (HBOT) services. The role oversees revenue cycle compliance, performance, staff training, accounts receivable follow-up, collections, workflow improvement, and financial issue escalation. The position partners with hospital departments and internal teams, visits centers as needed, and adapts procedures to the needs of each hospital partner and wound care center.

Requirements

Experience in hospital outpatient revenue cycle areas, including Patient Access, Health Information Management, and/or Patient Financial Services.
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 members’ 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 employment in this position.
Understand and abide by HIPAA policies and procedures.
Demonstrate ethics and integrity, including treating people with respect, keeping commitments, acting honestly and fairly, upholding organizational values, and serving as a role model.

Nice To Haves

Experience involving wound care services.
Bachelor’s degree.

Responsibilities

Act as the revenue cycle liaison and consultant between assigned centers and hospital Registration, Health Information Management (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, including issues resulting in additional documentation requests (ADRs), denials, or changes that impede timely, accurate billing and reimbursement for wound care and HBOT services.
Analyze assigned centers’ compliance with revenue cycle policies and procedures, facilitate process and procedural improvements, and communicate infractions to appropriate parties.
Manage, train, and monitor assigned Revenue Cycle Representatives (RCRs), including their accounts receivable follow-up and collections, problem solving, communications, payment analysis and billing worksheets, invoice creation, and write-offs.
Monitor staff outcomes and create competencies to support ongoing training.
Work with Intake, Payment Integrity, IT, RDCT/Clinical Staff, Billing/Collections, and other teams to apply management practices, improve processes, and support effective revenue management policies, procedures, and technologies consistent with company and hospital-partner goals.
Monitor unbilled accounts receivable and ensure POR aging remains current, with accounts over 90 days not exceeding 25% of total accounts receivable.
Collaborate 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 Regional Directors the financial impact of center revenue cycle, clinical, and operational processes on indicators such as denials and bad debt.
Develop 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 build and maintain productive relationships and observe center activities, including education, training, physician panel meetings, and hospital-partner meetings.
Participate in the implementation of new wound care centers for revenue cycle needs.
Adapt revenue cycle procedures as needed to maximize effectiveness.
In consultation with the GM/VP and Regional Director, 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 within assigned centers.
Assist Regional Directors in 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 for 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; voluntary short-term 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.
Ongoing internal educational and training opportunities.
Competitive compensation.
Performance incentive opportunities.
Continuous coaching and mentorship.