Director of Revenue Cycle Management jobs in United States
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St. Croix Hospice ยท 1 month ago

Director of Revenue Cycle Management

St. Croix Hospice is dedicated to guiding patients and families through the end-of-life journey with compassionate care. The Director of Revenue Cycle Management will oversee all aspects of billing, collections, and reimbursement processes, ensuring compliance and optimizing financial performance of the organization's revenue cycle operations.

Health Care

Responsibilities

Provide strategic leadership and operational oversight of all Medicare, Medicaid and Commercial billing, collections, and revenue cycle activities within St Croix Hospice
Manage, mentor, and develop a high-performing revenue cycle team focused on accuracy, compliance, and efficiency
Monitor and report on key revenue cycle metrics, including Days Sales Outstanding (DSO), cash collections, denial and appeal rates, billing accuracy, and AR aging
Establish and manage Key Performance Indicators (KPIs) and monthly collection goals to ensure optimal cash flow and financial performance
Ensure compliance with all federal and state regulations governing Medicare and Medicaid billing for hospice care, including timely submission and correction of claims
Collaborate with clinical, financial, and operational leadership to address revenue cycle barriers and streamline processes
Identify and implement process improvements, automation tools, and system enhancements to increase efficiency and reduce errors
Engage and communicate with long-term care and skilled nursing facilities to understand and resolve any billing discrepancies in accordance with contractual payment terms
Oversee reconciliation and audit processes to ensure accurate and complete revenue capture
Develop and present monthly and quarterly revenue cycle performance reports to executive leadership
Stay current with Medicare and Medicaid hospice billing regulations, CMS updates, and payer trends to proactively adjust processes and maintain compliance
Performs other duties as assigned

Qualification

Medicare billingRevenue cycle managementKey Performance IndicatorsHealthcare AdministrationAdvanced Excel skillsAnalytical mindsetTeam development skillsLeadership skillsOrganizational skillsProblem-solving skillsCommunication skills

Required

Bachelor's degree in finance, Healthcare Administration, Business or related field
7+ years of experience managing a revenue cycle or billing team in a healthcare setting, preferably hospice or home health
10+ years of hands-on experience with Medicare billing, claims processing, and collections
Strong knowledge of Medicare hospice reimbursement rules, eligibility, and compliance standards, preferred
Proven track record of managing and improving Key Performance Indicators (KPIs) and monthly cash collections
Advanced Excel skills
Ability to pass DHS background study

Benefits

Medical/dental/vision/pet insurance
Disability and life insurance
Paid time off
401(k) retirement plans

Company

St. Croix Hospice

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St. Croix is a provider of hospice services to patients affected by a life-limiting illness.

Funding

Current Stage
Late Stage
Total Funding
unknown
2017-10-04Acquired
2013-10-01Private Equity

Leadership Team

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Heath Bartness
CEO
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Andrew Mayo
Chief Medical Officer
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Company data provided by crunchbase