Director - Revenue Cycle Management
About The Position
WellPower envisions a community where every person’s mental health is fostered through strength, resilience and hope. We empower people to overcome barriers and achieve lasting well-being through collaborative behavioral health care and comprehensive support. Our Guiding Principles: Person Centered. We honor people’s identities, lived experience and journeys and treat every person with the dignity we all deserve. Exceptional Care. We offer compassionate, innovative services that meet people where they are, from immediate support to long-term recovery. Integrity. We operate from a deep foundation of ethical, accountable practices in all we do. Organizational Resilience. We meet the moment and adapt to changing contexts with collaborative creativity, agile business processes, and financial stewardship. Position Summary: The Director of Revenue Cycle Management will serve as the programmatic and operational leader for Revenue Cycle and is responsible to the Vice President of Financial Operations. The Director is responsible for coordinating and monitoring the Revenue Cycle function, including: Electronic Health Record (EHR) Practice Maintenance (billing side of the EHR), guarantor maintenance, coding, and an over-site role of the billing department.
Requirements
- Bachelor’s Degree in healthcare administration, finance or a related field.
- 5+ years of progressive experience in healthcare revenue cycle management, with at least three years in a leadership role.
- This is a hybrid opportunity open to folks residing in the Greater Denver Metro area and will require 1-2 days per week on-site and the rest of the week working remotely
- This role is primarily sedentary and requires regular computer use, effective communication, manual dexterity for typing, and visual acuity for reviewing on-screen and printed materials.
Nice To Haves
- Certified Professional Coder (CPC), Certified Revenue Cycle Professional (CRCP), or other relevant certification preferred.
Responsibilities
- Research and resolve high level, complex, systems and billing issues.
- Participate in revenue cycle audits, coding compliance reviews and other regulatory activities as necessary.
- Interface directly with insurance payers (including Medicaid Regional Accountable Entities) as needed to resolve billing and collections issues.
- Maintains appropriate internal controls and safeguards over adjustments and write-offs; ensures compliance with department policies to guarantee proper review and approval of adjustments.
- Oversee billing, collection and EHR Practice Maintenance team to improve efficiency and effectiveness of the Revenue Cycle.
- Develops and manages operational initiatives with measurable outcomes.
- Formulates objectives, goals and strategies collaboratively with other stakeholders.
- Prepares and delivers reporting to leadership outlining progress and objectives
- Handle installation, testing, documentation and training for any new Practice Maintenance -related update/process being introduced.
- Notify/train Accounts Receivable team when any monthly update results in changes to the user interface or functionality within EHR.
- Actively seeks opportunities to improve financial outcomes, engaging staff in the process.
- Monitors and analyzes financial data and utilizes it for decisions regarding staffing and operational budget targets.
- Directs and provides guidance to effectively allocate resources based on volume, priorities, goals and objectives.
- Assess services, identify problems, utilize data to analyze and propose innovative approaches for solutions.
- Maintain records related to operations and services that are complete, accurate, available and in compliance with all legal, regulatory and policy requirements.
- Engages staff and other stakeholders in continuous improvement of processes and systems. Suggest workflow changes to reduce redundant processes.
- Remain current of new trends and best practices for effectively promoting the organization’s Revenue Cycle practices.
- Effectively facilitates meetings at Revenue Cycle and organizational level.
- Manages complex interdepartmental and interdisciplinary relationships to assure collaboration and effective operations within the Revenue Cycle.
- Maintain a trauma informed environment of wellbeing.
- Perform other duties as assigned.
Benefits
- For complete overview of our robust Benefits: https://wellpower.org/workplace-of-choice/
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
