The RCD will develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow, and manage the overall health of the company’s receivables. This position is responsible for performance improvement of all aspects of the revenue cycle including: billing, collections, patient accounting, and other functions for both internal and external teams. The ideal candidate will ensure efficient accounts receivable management, respond to third party audits relative to claims, collection activities, and identification of process improvement workflows to drive seamless billing services. This position will also be responsible for identifying and correcting operating issues that will maximize the effect on cash flow.
Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Plans, directs, reviews, coordinates and evaluates through the functions of the department to increase positive cash flow, achieve operational efficiencies, and ensure compliance with established laws, regulations, practices and procedures
- Plans and directs patient insurance, billing and collections, and data processing to ensure accurate patient billing and efficient account collection
- Monitors and audits productivity goals, reviews level of progress and achievement, and exercises discretion and judgment when recommending and implementing measures for improvement
- Identifies key performance and project metrics to effectively manage operations. Measures and reports noteworthy statistical and status information.
- Implements use of key performance indicators (KPI) to ensure individual departments’ success
- Establishes and oversees a working relationship with all third-party vendors assigned to the billing department.
- Develops, supervises, and maintains daily cash processing workflows and associate reconciliations. Ensure all monies received to general ledgers match the posted receipts
- Responsible for billing, collections, cash posting, patient finance services, eligibility, and data entry teams.
- Supervises, trains, monitors, and evaluates performance of assigned teams and personnel. Recommends merit increases, promotions, disciplinary actions
- Establishes and implements methodologies for the collection of delinquent accounts ensuring third-party payors are contacted
- Solves difficult payment and associated business problems. Audits problem accounts
- Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently
- Develops and oversees business systems and works with information technology team to ensure timely and accurate implementation
- Implements necessary internal controls and audits to ensure regulatory and policy compliance
- Maintains high level knowledge of established policies and procedures including DMEPOS, government, insurance, and third-party payor regulations
- Participates in professional development activities and maintains professional affiliations and certifications
- Maintains high level knowledge on HIPAA and enforces strict confidentiality regarding patient accounts and health information
- Other relevant duties as assigned
Knowledge, Skills, and Abilities:
- Demonstrated knowledge of and skill in change management, conflict resolution, creativity, innovation, and decision making
- Considered a subject matter expert in healthcare revenue cycle management
- High knowledge of coding practices, medical terminology, and billing functions
- Ability to demonstrate the ability to acquire knowledge of departmental program structure (Mission, Vision, and Goal Statements) and department policies and procedures.
- Competency with Microsoft Office Suite with advanced skills in Excel and billing software
- Excellent written and oral communication skills. Ability to write appeal letters and ability to speak in front of patients, employees, and third-party companies.
- Ability to shift priorities and execute tasks in a high-pressure environment with superior problem-solving capabilities
- Persuasive, encouraging, and able to motivate others
Required Qualifications:
- Bachelor’s degree in accounting, finance, healthcare administration, or related field
- 7 years directly related and progressive health care revenue cycle experience, with 5 years as a department manager in billing, accounting, or healthcare information systems
- Demonstrated ability in developing new workflows and transforming organizational culture
- Proven experience in patient billing management software
- Proven experience in using analytical tools and applications
- Experience in implementing healthcare information management (HIM) systems
Preferred Qualifications:
- Master’s in health care administration, accounting, finance, business administration, or related field
- Subject master expert in DMEPOS
Physical Demands:
- Ability to stand, sit, use of hands to handle, feel, or reach with hands and arms
- Ability to lift and/ or move up to 25 pounds
- Specific vision abilities required by this job include close vision and distance vision
Work Environment:
- The noise level in the work environment is usually moderate
Dura Medic is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, marital status, disability or any other basis prohibited by law.
Find one job in US 