Director, Revenue Cycle Management- Remote

Med Metrix•Parsippany-Troy Hills, NJ

2d•Remote

About The Position

The Director, Revenue Cycle Management manages the operational aspects of accounts receivable outsourcing engagements, oversees teams, and maintains positive relationships with clients. The role provides assistance and resolution for internal and external client inquiries, prepares reports or logs, and serves as a technical expert on financial class responsibility. It requires maintaining current knowledge of healthcare issues and regulations, particularly those involving government payors, and reporting payment or denial trends and procedural problems to clients with recommendations for correction. The Director establishes goals and priorities aligned with organizational objectives and complies with company policies, applicable laws and regulations, and governance and compliance requirements. The role includes reporting violations, assisting with internal-control remediation, communicating concerns or process changes that affect internal controls, and ensuring proper internal-control implementation and change management within the area of responsibility. It also includes ensuring timely disabling of remote client access for terminated or transferred employees when applicable. The Director must comply with information security and HIPAA policies, ensure direct reports are trained and compliant, and use, protect, disclose, and limit access to protected health information in accordance with HIPAA. Occasional travel to client locations is required. The employee must have a smartphone or other electronic device capable of downloading applications for multifactor authentication and security purposes.

Requirements

Bachelor’s degree required.
At least 10 years of experience in a physician business office or similar setting.
At least 7 years of experience managing physician receivables.
Prior management experience required.
Knowledge of governmental, legal, and regulatory provisions related to collection activity.
Knowledge of insurance company reimbursement practices.
Ability to work independently and in a team environment.
Reliability, responsibility, goal orientation, and flexibility.
Proficiency in Microsoft Office Suite.
Strong interpersonal skills and ability to communicate at all organizational levels.
Strong problem-solving and creative skills, sound judgment, and ability to make decisions based on accurate and timely analyses.
High integrity and dependability, a strong sense of urgency, and a results-oriented approach.
Excellent written and verbal communication skills.
Gracious and welcoming personality for customer-service interactions.
Ability to follow directions, collaborate with others, and handle stress.
Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Responsibilities

Manage operational aspects of accounts receivable outsourcing engagements, including overseeing teams and maintaining positive client relationships.
Assist with and resolve external and internal client inquiries.
Prepare reports or logs as required.
Serve as a technical expert on financial class responsibility and answer questions from clients and team members.
Maintain current working knowledge of healthcare issues and regulations, especially those related to government payors.
Report payment or denial trends and procedural problems to clients and recommend corrections.
Maintain professionalism and confidentiality.
Learn and comply with organizational and departmental policies and procedures.
Establish realistic goals and priorities consistent with organizational objectives.
Adhere to company policies, the Standards of Business Conduct, the Employee Handbook, applicable laws and regulations, and the company's governance and compliance program.
Report violations of company policies, the Standards of Business Conduct, governance program, laws, or regulations through the company Help Line or another available mechanism.
Assist with internal-control failure remediation efforts.
Communicate concerns about internal-control design or performance and process changes that affect internal-control execution to management.
Understand, implement, and remain accountable for internal controls within the area of responsibility.
Ensure internal-control change-management protocols are followed and communicated.
Ensure remote client access is disabled in a timely manner for terminated or transferred employees when applicable.
Comply with information security and HIPAA policies and procedures, and ensure direct reports are trained and compliant.
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards, enforce these standards for direct reports, and limit PHI viewing to the minimum necessary.
Perform other duties as assigned.