Director of Revenue Cycle Management

Axiom Care • Phoenix, AZ

7d

About The Position

The Director of Revenue Cycle Management manages and supervises utilization management, billing, and collections. With support from the CFO, the director develops policies, processes, and procedures to maximize revenue and minimize the revenue-cycle length in support of the organization’s cash-cycle requirements. The role creates and reviews periodic reports, analyzes outcomes, identifies trends, and communicates proactively and promptly with leadership. It also participates in month-end closing, including reconciling accounts receivable ledgers, writing off uncollectible balances, and making accruals and adjustments as needed. The director supervises billing, utilization management, and accounts receivable staff.

Axiom Care is a Phoenix-based behavioral health organization founded in 2012. It provides substance use treatment services at facilities in Maricopa and Pinal Counties, including 24/7 observation, inpatient detoxification, residential and outpatient treatment, and recovery housing. Its specialty programs serve justice-involved individuals, members of the Navajo Nation, and Veterans.

Requirements

• College graduate.
• At least 5 years of revenue-cycle experience in a supervisory capacity.
• At least 2 years of AHCCCS experience with a healthcare organization.
• Excellent verbal and written communication skills.
• Excellent interpersonal and customer-service skills.
• Excellent sales and customer-service skills.
• Excellent organizational skills and attention to detail.
• Excellent time-management skills and a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Ability to prioritize tasks and delegate when appropriate.
• Ability to work effectively in a fast-paced and sometimes stressful environment.
• Proficiency with Microsoft Office Suite or related software.
• Active knowledge of Medicaid and CMS guidelines, contracted insurance guidelines, and coding policies.

Responsibilities

• Implement and maintain revenue-cycle best practices across all locations, develop metrics, and measure improvement against them.
• Identify, collect, and report relevant statistical data to the CFO consistently and promptly.
• Work with the CFO to develop KPIs for financial reporting dashboards and support organizational benchmarks.
• Work with the EMR administrator and Systems Admin to develop and maintain billing and reporting processes.
• Establish policies and procedures for eligibility and benefit verification and point-of-service collection requirements.
• Conduct internal audits, evaluate results, and recommend improvements to revenue, workflows, and regulatory compliance.
• Work with the CFO to implement training and education programs and provide feedback to medical and clinical providers and staff concerning billable services.
• Maintain the chargemaster for contracted and fee-for-service rates.
• Implement and maintain EFT and ERA enrollment for all payers.
• Attend trainings and participate in manager meetings.
• Lead and direct the UR Manager in leading the UR team, and monitor completion of reviews on time.
• Report changes in payer authorization processes.
• Coordinate treatment teams at all facilities to ensure accuracy in patients’ cases.
• Provide trends in denials, peer-to-peers, and payer regulations that may affect reimbursement.
• Establish working relationships with provider representatives from insurance companies.
• Establish a training system for UR new hires, PRN staff, and coverage.
• Work with the UR Manager and treatment team to ensure appropriate utilization services.
• Monitor health plan response files to ensure appropriate action and timely posting to the system.
• Ensure accurate reimbursement for services rendered.
• Collaborate with leadership on billing-team KPIs and effectiveness.
• Manage medical-record requests and supervise and monitor the release of confidential information in accordance with rules and regulations.
• Oversee coding regulations and policies for accurate billing.
• Oversee the integrity, security, and privacy of financial and clinical data.
• Accomplish billing human-resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating expectations; planning, monitoring, and appraising contributions; recommending compensation actions; and following policies and procedures.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage.
• 401(k) with up to 3.5% match.
• Paid time off, paid sick time, and paid holidays.
• Tuition reimbursement.
• CME reimbursement.
• Free criminal-record clearance for eligible justice-impacted staff through a partnership with Rasa Legal.
• Employee Assistance Program.
• Voluntary benefits including group term life, voluntary term life, AD&D, short-term disability, and accident coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Director