IntraCare · 5 days ago
Director of Revenue Cycle Management
Addison, TX
Full-time
Onsite
Director/Executive
10+ years expIntraCare Health Center is a prominent healthcare provider in the Dallas-Ft. Worth and Phoenix areas, known for its commitment to value-based care. The Revenue Cycle Director will lead teams to enhance revenue cycle operations, manage financial processes, and ensure optimal patient billing and collections through strategic initiatives and performance improvement.
Health CareMedicalWellness
Responsibilities
Directly manage the Revenue Cycle Manager and Revenue Cycle teams/vendor (to include offshore partners)
Serve as leader of Revenue Cycle Function across MSO network, to include TX and AZ practices
Regularly communicate with, train and provide data to Clinics leadership, providers, and office team members as required to implement and optimize RCM policies and procedures
Provide consistent and reliable reporting on specified revenue cycle metrics as they relate to organization initiatives and measurable goals
Develop and implement standardized RCM staffing model, P&Ps to optimize performance, operational efficiency, reimbursement and revenue
Develop and report RCM KPIs, daily, weekly, monthly and ad hoc
Develop and implement action plans to address KPI variance to goal
Directly responsible for Month End Reporting, Close, and Reconciliation
Supports Physician RVU reporting and reconciliation
Support Finance Department with revenue cycle reporting
Directly responsible for updating and maintaining Charge Master and Fee Schedules within Athenahealth
Serves as leader on Athena Billing Platform migration team, working with cross-disciplinary group to ensure smooth planning and transition to Athena billing platform and EMR
Reviews, designs, and implements systematic approaches to maximize revenue and cash flow, while minimizing bad debt, including due diligence and planning for acquired providers and groups
Create, implement, and train on processes that ensure accuracy and efficiency of patient billing, claims submissions, and collections
Works cross-functionally to automate and improve every detail of the revenue cycle process ensuring timely revenue, steady collections, and financial viability, making it possible to focus on delivering quality care to patients
Provides leadership, organization structure and management for realistic long-range planning as well as day-to-day operations for patient financial services
Through partnership with the Contracting and Credentialing, addresses regulatory reimbursement and managed care issues related to revenue cycle management
Work closely with outside vendors/consultants, including offshore support, to sustain revenue cycle management
Develop high quality metric driven revenue cycle function which values best practices and performance
Develops budgetary goals and initiates corrective action to address variances
A decisive leader who holds people accountable while promoting a team philosophy. Can make necessary and perhaps unpopular decisions. Demonstrates commitment to achieving goals while establishing a culture of responsibility and fairness
Support EMR/PM migrations for acquired providers and groups
Other duties as assigned
Qualification
Required
Bachelor's degree in finance, accounting, business or related degree required
10+ years of experience working in Revenue Cycle Management in a healthcare setting
5+ years supervisory experience
Ability to travel between clinics and company locations required
EMR/PM systems experience with multiple systems/platforms, preference for Athenahealth experience
Sound knowledge of government and private health insurance payors, contracts, fee schedules, reimbursement methodologies, etc
Strong written and verbal communication skills
Ability to multi-task, function in a fast-moving environment, adapt to process improvement changes and evolving deadlines
Effective interpersonal skills
Exceptional time management skills
Demonstrated ability to work independently
Must comply with all HIPAA rules and regulations
Preferred
Master's degree preferred
5+ years Athenahealth experience, building table spaces, maintaining fee schedules, etc
Company
IntraCare
IntraCare is a healthcare center that offers biote therapy programs for men and women.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Anwar Kazi
CEO and Head Coach
Recent News
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