Director Revenue Cycle, Front End

Chapters Health System
4d$92,721 - $139,081

About The Position

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role: The Revenue Cycle Director provides operational leadership for Billing and Collections, and Insurance Verification and Authorization.

Requirements

  • Bachelor’s degree in Healthcare Administration, Finance or Business or an equivalent combination of education and experience
  • Minimum of eight (8) years in healthcare revenue cycle and systems technical experience
  • Minimum of five (5) years of management experience
  • Knowledge of clinical and billing application interfacing
  • Experience in System Administrator functions as related to revenue cycle
  • Knowledge in claims processing and Third Party Administrator claims processing
  • Demonstrated expertise and knowledge with third party payor’s to include Medicaid, Medicare and their state and federal regulations for both Acute and Professional billing and collections rules and regulations
  • Ability to manage in a fast pace environment, remaining proactive, detailed oriented, resourceful and efficient, with a high level of professionalism
  • Proven successful experience leading, coaching, and mentoring management and subordinates
  • Excellent critical thinking and time management skills, self-starter, and ability to manage staff on-site and remotely
  • Excellent communication (written and verbal) and interpersonal skills
  • PC proficient (Word, Excel, Access, PowerPoint, Outlook, Project, Visio, etc.) and multi-system applications
  • Satisfactorily complete competency requirements for this position.

Responsibilities

  • Identifies and implements operational and strategic goals and objectives.
  • Oversees Revenue Cycle Leadership team.
  • Acts as a liaison with other departments or stakeholders.
  • Partners with Corporate Compliance.
  • Monitors revenue cycle management’s key performance indicators; identifies and resolves negative performance trends.
  • Responsible for identifying and implementing solutions that support more efficient and effective work performance.
  • Responsible for monitoring, identifying and working with the vendor to resolve EHR technical issues that negatively affect Revenue Cycle performance.
  • Oversees the quality assurance (QA) process assuring that performance issues are identified and rectified in a timely manner.
  • Responsible for overseeing all month-end close processes and for providing end of month close reporting to appropriate departments and stakeholders.
  • Performs other duties as assigned.
  • Represent the Company professionally at all times through care delivered and/or services provided to all clients.
  • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
  • Comply with Company policies, procedures and standard practices.
  • Observe the Company's health, safety and security practices.
  • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
  • Use resources in a fiscally responsible manner.
  • Promote the Company through participation in community and professional organizations.
  • Participate proactively in improving performance at the, departmental and individual levels.
  • Improve own professional knowledge and skill level.
  • Advance electronic media skills.
  • Support Company research and educational activities.
  • Share expertise with co-workers both formally and informally.
  • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
  • Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Number of Employees

1,001-5,000 employees

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