Revenue Cycle Director

Access Supports•Middletown, NY

5d•Onsite

About The Position

The Revenue Cycle Director is responsible for the day-to-day management of billing, payment posting, collections and verification/authorizations. Qualified candidates will possess supervisory experience with the ability to perform and write formal staff evaluations, provide feedback, and offer mentoring opportunities to allow staff to grow and achieve agency outcomes. In addition, candidates will have in-depth knowledge of Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance billing processes particularly for NYS behavioral health services.

Requirements

5 years of experience in healthcare revenue cycle management and/or medical billing processes including knowledge of ICD-10, CPT, and HCPCS codes required
5 years of progressive related supervisory experience required
Experience with Electronic Health Record (EHR) systems
Medical Billing Clearinghouses
Intermediate computer skills with demonstrated strengths in Excel and database software
Strong problem solving and analytical skills
Able to lead and work effectively in a team environment and independently when necessary

Nice To Haves

Bachelor's degree in Accounting is preferred

Responsibilities

Oversight of billing team of up to 8 staff
Maintaining billing systems, insurance verification/authorization management, directing billing, and collections
Claims processing, payer denials and appeals processes
Preparation of recurring and adjusting journal entries within areas of responsibility
Financial analysis for audits and performs monthly and year-end receivables and income analysis to ensure revenue is maximized, advising on corrective actions and implementation plans
Monitoring and evaluating work productivity standards including identified Key Performance Indicators of billing team and individual staff for total revenue, collection rates, days receivables outstanding, and claim denials; supervise, coach and take necessary action to facilitate achievement of performance targets
Proactively reviews payer-aging reports and establishes achievable goals for accounts receivable reduction and/or cash acceleration
Notifies leaders of potential systemic issues and high risk/high exposure situations
Recommends and implements solutions for resolving aging receivables
Back-up any position within the Billing Finance unit for which they supervise
Develops cross-training plans for staff to accommodate times of vacancy/absence
Maintains billing and accounts receivable guidelines by writing and updating policies and procedures including recommends changes to departmental procedures, and workflow to promote process improvements
Compiles and distributes to leaders’ analytical reports weekly, biweekly, and monthly on productivity, billing, collections, denials, and write-offs for monitoring operations and updating financial systems
Complies with federal, state, and local legal requirements by understanding existing and new legislation; enforcing adherence to requirements; advising management on needed actions
Responsible for communicating effectively with staff and leaders on a consistent basis