Director, Revenue Cycle Management- Remote

Med-Metrix•Parsippany-Troy Hills, NJ

3d•Remote

About The Position

The Director, Revenue Cycle Management manages the operational aspects of accounts receivable outsourcing engagements, oversees teams, and maintains positive client relationships. The role provides support for client inquiries, advises on financial class responsibility, monitors payment and denial trends, and recommends corrective actions. It also ensures compliance with company policies, applicable laws and regulations, internal controls, information security requirements, and HIPAA standards. The Director is responsible for training direct reports on applicable security and privacy policies and limiting access to protected health information to the minimum necessary. Occasional travel to client locations is required.

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 as part of a team.
Reliability, responsibility, goal orientation, and flexibility.
Proficiency in Microsoft Office Suite.
Strong interpersonal skills and ability to communicate at all levels of the organization.
Strong problem-solving and creative skills, sound judgment, and ability to make decisions based on accurate and timely analyses.
High integrity and dependability, with a strong sense of urgency and results orientation.
Excellent written and verbal communication skills.
Welcoming and gracious demeanor in customer service interactions.
Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.
Ability to follow directions, collaborate with others, and handle stress.

Responsibilities

Provide assistance or resolution for 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 corrective actions.
Maintain professionalism and confidentiality.
Learn and comply with organizational and departmental policies and procedures.
Establish realistic goals and priorities consistent with organizational objectives.
Follow company policies, Standards of Business Conduct, the Employee Handbook, applicable laws and regulations, and the company governance and compliance program.
Report violations of company policies, standards, laws, or regulations through the company Help Line or another available mechanism.
Assist with internal control failure remediation.
Communicate concerns about internal control design or performance, and process changes that affect internal control execution, to management.
Understand and be accountable for internal control implementation and performance within the assigned area of responsibility.
Ensure internal control change management protocols are followed and communicated.
Ensure remote client access is promptly disabled for terminated or transferred employees when applicable.
Comply with information security and HIPAA policies, and ensure direct reports are trained and compliant.
Use, protect, and disclose protected health information only in accordance with HIPAA standards, and enforce these requirements for direct reports.
Limit access to protected health information to the minimum necessary to perform assigned duties.
Perform other duties as assigned.