Director Revenue Cycle Ops
About The Position
Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Director, Revenue Cycle Operations, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. JOB SUMMARY The Director, Revenue Cycle Operations is responsible for the reimbursement operation function for the subsidiary to include; accounts receivable management, billing, collections and critical data reporting. Facilitates communication among all practice departments regarding information needs and time requirements to optimize reimbursement performance.
Requirements
- Knowledge of government/managed care arena including systems audits, analysis, payor strategies.
- Knowledge of developing budgets.
- Ability to communicate effectively through verbal and written communication.
- Proficient computer skills.
- Solid understanding of billing and reimbursement processes.
- Ability to demonstrate analytical PROBLEM-SOLVING skills.
- Able to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.
- Ability to share information effectively and provide appropriate direction to staff.
- Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
- Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
- Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
- Follows OSHA regulations, RadNet and site protocols, policies and procedures.
- Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.
Responsibilities
- Responsible for daily managing of Reimbursement Operations functions and Team Member Human Resource related issues.
- Responsible for achieving AR goals discussed semi-annually.
- Must maintain or exceed cash goals monthly as well as cash goals on an annual basis.
- Prepares operating budgets and effectively analyzes performance against those budgets.
- Responsible for daily, weekly, and monthly analysis on accounts receivable and determine any fluctuations that can effect collect rates.
- Responsible for implementing and maintaining billing compliance policies and procedures according to company and governmental guidelines.
- Assists in the development and presentation of timely educational programs on reimbursement, and charge capture topics/issues.
- Reviews MDIV related accounts receivable reports to identify trends, issues and/or problems with charge capture, coding and/or billing activities of the subsidiary.
- Provides expert guidance on all reimbursement-related issues.
- Recognizes and reports any payment or payer trends to the National Director of Reimbursement Operations and/or Management towards problem resolution, and seeks assistance as necessary to assure the protection of the A/R.
- Effectively utilizes team members ensuring appropriate levels of productivity.
- Develops and implements action plans relating to accounts receivable to present to Management.
- Develops communication activities that support the Mission, Vision, and Values of Radiologix.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
