Healthcare Revenue Cycle Director

RestorixHealth ®•Metairie, LA

13h•$110,000 - $115,000

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 care center staff to implement and maintain RestorixHealth revenue cycle policies and procedures, as well as participating in the implementation of new centers. The Director serves as the revenue cycle liaison and expert for assigned centers and hospital partners, helping resolve issues that affect accurate and timely billing and reimbursement for wound care and hyperbaric oxygen therapy services. The position monitors revenue cycle compliance and performance, manages and develops Revenue Cycle Representatives, analyzes accounts receivable and payment issues, and works across company and hospital teams to improve processes, collections, and financial results. The role may visit assigned wound care centers to observe activities, provide education and training, and participate in physician panel and hospital partner meetings. It also collaborates with company leaders and hospital partners to tailor revenue cycle procedures to center needs and supports projects and new-center implementation.

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 personnel at all levels 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.
Demonstrate ethical and honest conduct, keep commitments, treat people with respect, uphold organizational values, and foster trust and high ethical standards.

Nice To Haves

Bachelor's degree.
Experience involving wound care services.

Responsibilities

Serve as a liaison between assigned centers and hospital Registration, HIM, Coding, Charge Capture, Patient Accounts, and other Finance Departments as the revenue cycle consultant and expert.
Oversee visits and accounts and help wound care centers and hospital clients resolve revenue cycle issues, including issues that cause ADRs, denials, or changes that impede timely and accurate billing and reimbursement for wound care and HBOT services.
Analyze assigned centers' compliance with revenue cycle policies and procedures, facilitate process improvements, and communicate infractions to appropriate parties.
Manage, train, and monitor assigned Revenue Cycle Representatives, including their A/R follow-up, collections, problem-solving, communications, payment analysis and billing worksheets, invoice creation, and write-offs.
Monitor staff outcomes and create competencies to ensure ongoing training is provided as needed.
Work with Intake, Payment Integrity, IT, RDCT/Clinical Staff, Billing/Collections, and other teams on management practices, policies, procedures, and technologies that support effective revenue management.
Monitor unbilled accounts receivable and ensure POR aging remains current, with no more than 25% of total A/R over 90 days outstanding.
Collaborate with Revenue Cycle Representatives 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.
Escalate and 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.
Build positive working relationships with involved personnel, including 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 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 that meet each hospital partner's and wound care center's needs.
Collaborate with the Corporate FDC Manager as needed on FDC selection, education, and training needs at 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, 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 employees and their spouses and children.
Voluntary short-term and long-term disability coverage.
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.