Head of Revenue Cycle Management

Prelude Corporation • Laguna Hills, CA

3d • $145,000 - $190,000

About The Position

Job Summary: As an experienced Head of Revenue Cycle Management reporting to our CFO, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. Essential Responsibilities: Drive Strategic planning to deliver scalable, evolving solution to meet developing demands in Revenue Cycle Management Lead day-to-day revenue cycle operations, overseeing the following teams: authorization, eligibility & benefit verification, billing, A/R, denials management and payment posting. Drive operational excellence and accountability through a metrics driven culture conducting daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs) Coordinates efforts amongst cross functional teams including operations, finance, and IT to ensure alignment with RCM goals and metrics Develops long-range strategic plans for systems and processes that support a high performing, patient-centered revenue cycle Lead initiatives to resolve problematic trends and resolve difficult account issues as needed Maintain appropriate internal control safeguards over A/R records and collection of cash and monitor compliance standards for providing accurate information on all system billings Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to leadership Drive and manage the development of performance metrics, goal setting and support the development of RCM organizational structure, including the selection, direction and ongoing development of teams fostering a positive work environment The above list represents the general duties considered essential functions of the job and is not to be considered an exhaustive description of all the work requirements that may be inherent in the position.

Requirements

• Bachelor's degree in Business Administration, Health, Finance or related field. Extensive experience may substitute for education.
• Ten (10) years progressive experience in laboratory healthcare management in a Revenue Cycle or Financial Leadership role including billing and collections.
• Dynamic, with the capacity to successfully manage many projects and responsibilities.
• Team builder with excellent interpersonal skills.

Responsibilities

• Drive Strategic planning to deliver scalable, evolving solution to meet developing demands in Revenue Cycle Management
• Lead day-to-day revenue cycle operations, overseeing the following teams: authorization, eligibility & benefit verification, billing, A/R, denials management and payment posting.
• Drive operational excellence and accountability through a metrics driven culture conducting daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs)
• Coordinates efforts amongst cross functional teams including operations, finance, and IT to ensure alignment with RCM goals and metrics
• Develops long-range strategic plans for systems and processes that support a high performing, patient-centered revenue cycle
• Lead initiatives to resolve problematic trends and resolve difficult account issues as needed
• Maintain appropriate internal control safeguards over A/R records and collection of cash and monitor compliance standards for providing accurate information on all system billings
• Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to leadership
• Drive and manage the development of performance metrics, goal setting and support the development of RCM organizational structure, including the selection, direction and ongoing development of teams fostering a positive work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Executive