Senior Director of Revenue Cycle

Compassus•Brentwood, TN

About The Position

The Senior Director of Revenue Cycle is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Senior Director of Revenue Cycle ensures and directs the accurate and timely processing and submission of all claims while complying with applicable laws and regulations. S/he is responsible for confirming accounts receivable is at or below company benchmarks.

Requirements

Minimum of ten (10) years experience in accounts receivable required.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percentage.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties.
Strong written and verbal communications.
Ability to understand, read, write, and speak English.
Articulates and embraces integrated healthcare at home philosophy.

Nice To Haves

Bachelor's degree in Business Administration or related field preferred.
Experience in hospice or home health billing preferred.

Responsibilities

Manages all Revenue Cycle teams across the hospice line of business including Benefit Verification/Authorizations, Billing, Collections, Cash posting and Credentialing teams.
Ensures appropriate, accurate, and timely billing claim submission and accounts receivable records.
Oversees the development and distribution to the field reports related to AR, Bad Debt and Unbilled Revenue.
Works with field leadership to implement mitigation strategies to achieve goals on all metrics.
Interprets and implements established policies to all account receivable team members.
Assists in adherence of program policies.
Develops and supports systems for management and program compliance, including conflict and complaint resolutions.
Sets and promotes program climate conducive to opportunities for staff development.
Monitors operations for progress towards accomplishing operational/strategic plans.
Directs, coordinates, and supervises account receivable team members.
Ensures organizational compliance with legal, regulatory, and accreditation requirements and financial stability.
Ensures all claim denials and claims in suspension are followed up on in a timely fashion and plan of resolution is developed and implemented.
Ensures all adjustments are processed and posted timely.
Timely submits claims, both electronic and paper.
Ensures staff is submitting hospice elections timely.
Supervises the manual input of Room and Board amounts into computer system.
Supervises the timely review of Medicare claims for corrections.
Ensures all billing information is HIPPA compliant.
Supervises the update of billing system with comments and follow-ups on any denied claims.
Supervises the processing of bills to patient or family as appropriate.
Reconciles aged accounts receivable monthly.
Performs other duties as assigned.