Director of Revenue Cycle Management

LIGHTSHARE BEHAVIORAL WELLNESS & RECOVERY•Sarasota, FL

About The Position

LIGHTSHARE BEHAVIORAL WELLNESS AND RECOVERY is looking for individuals who would like to help us make a different in others' lives. Individuals who align with our five pillars: Compassion, Acceptance, Respect, Empowerment, Stewardship should join us. The Director of Revenue Cycle Management is responsible for the management of the revenue cycle’s organization and process to ensure the timely and accurate billing of services provided and maximizing collections on all billings. This position partners with finance and operations and provides recommendations and information to help manage the business. This position provides leadership, management, and direction to the revenue cycle function from end-to-end. The RCM Director will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes and train others as necessary.

Requirements

Bachelor’s Degree in Healthcare Management, Business Administration or commensurate experience required.
Minium of five years of RCM experience in a relevant field with a proven track record of results.
Demonstrated leadership skills that are empowering, constructive and supportive.
Knowledge of professional fee billing, reimbursement, and third-party payer regulations.
Working knowledge of regulatory requirements pertaining to health care operations.
Strong work ethic and motivated by growth, hitting goals and exceeding targets.

Responsibilities

Manages RCM operations including all aspects of coding, charge-entry, claims submission, collections and payment posting.
Lead and motivate revenue cycle team to optimize the collection of revenue, improve revenue management processes and implement new approaches to increase efficiency, productivity and revenue while improving the client’s experience.
Establish strong relationships and communicate effectively with all constituents, including patients, clients, third party payers, vendor partners, RCM colleagues and other leadership staff.
Partner with finance and operations teams to evaluate collection capabilities and adherence to payer contracts.
Actively partner with finance, data and operations teams to develop and implement monthly reporting and analyze actionable claims data.
Continually improve processes, implement industry best practices, and improve outcomes by implementing innovation not currently in use.
Lead Denial Management processes to eliminate denial root causes and reduce the denial impact on the organization.
Manage process to timely bill and adjudicate claims that supports maintaining a benchmark goal level.
Facilitate the development of departmental mission, goals, policies, procedures and work standards of the RCM Team. Also review the RCM departments’ performance and ensure compliance.
Maintain a working knowledge of applicable Federal, State and local laws/regulations; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.