AllergyMoms LLC · 22 hours ago
Director Revenue Cycle Management
Monroeville, PA
Full-time
Onsite
Director/Executive
10+ years expAllergyMoms LLC is a premier pharmacy franchise business committed to improving the lives of patients and healthcare professionals. The Director of Revenue Cycle Management will manage reimbursement activities across multiple business units, focusing on account management, billing, collections, and maintaining customer relationships while ensuring regulatory compliance.
Health Wellness & Fitness
Responsibilities
Establish and monitor operational and individual metrics to ensure the right team is in place, fully trained, and focused on the priorities to ensure success in all revenue cycle functions at or below industry standards. Along with a Franchise focus that yields loyalty and satisfaction
Monitor operations for quality of results through review of specific transactions, audits, and assessment of business analytics. Ensure accuracy of deposits and reconciliations, review and approve adjustments and refunds, and take ownership of the integrity of the database on which decisions are made
Define, capture, and utilize key analytics through a standardized audit process, which will identify areas of focus for improving productivity, efficiency, and customer satisfaction
Track and monitor key performance metrics related to financial, quality, and productivity. Identify, analyze, and recommend performance enhancement initiatives. Provide regular and ad-hoc management reporting on operational results
Transparent and open communication with team members to review team metrics, objectives, and performance and to foster a high-performance team environment through involvement. Facilitate team discussions and activities toward root cause analyses, permanent problem resolutions, and continuing focus on improvement
Partner with payers to understand and implement their preferences, ensuring efficiency and compliance are built into the intake and billing processes. Support and supervise payers or finance-requested audits
Maintain awareness of key industry information and evolution and act as a technical guide to team members, providing insights, vision, and resources to ensure team growth and development in decision-making
Implement software solutions to enhance current systems to improve efficiency, quality, and compliance initiatives
Lead efforts in interviewing, selecting, training, and assigning department members to create a highly effective RCM Team
Provide mentoring to develop the next-level Leadership Team through effective communication, feedback, and setting expectations to assess their individual Teams' effectiveness
Evaluate performance and provide counseling, cross-training, and coaching to team members. Maintain harmonious team member/employer relations
Develop and implement staffing plans within related budgets to achieve financial metrics
Perform other related duties as assigned
Qualification
Required
Highly effective Leadership skills, proven in a high-growth and dynamic environment
Strong Revenue Cycle Management experience emphasizing intake, claims processing, collections, and payment posting
Knowledge of accounting procedures, healthcare terminology, and experience in government and insurance carrier billing and collections procedures
Team building skills and the ability to influence, lead, teach, train, counsel, and coach to accomplish organizational goals
Demonstrated expertise in root cause analysis with the ability to problem-solve complex situations while guiding and coaching individuals to bring the desired solution to the organization
Proven ability to build an outstanding customer service model resulting in Best-in-Class customer satisfaction and loyalty
Excellent verbal and written communication and interpersonal skills. Ability to follow oral and written instructions
Bachelor's degree in business, accounting, or a similar discipline is strongly preferred, along with medical billing and accounts receivable experience
Minimum of 10 years of Revenue Cycle Management experience with 5 years of proven leadership experience in a home infusion setting
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday
Keyboarding: Frequent use of a keyboard for typing and data entry
Reaching: Occasionally reaching for items such as files, documents, or office supplies
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work
Benefits
Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.
Company
AllergyMoms LLC
The AllergyMoms website provides support for parents of kids with food allergies.
0-1 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase