Director, Revenue Cycle Management (64383) jobs in United States
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United Digestive · 7 hours ago

Director, Revenue Cycle Management (64383)

United Digestive is a healthcare organization seeking a Director of Revenue Cycle Management. This role is responsible for leading revenue cycle activities, developing strategies, and implementing processes to improve billing and collections in a fast-paced healthcare market.

FinanceHealth CareHuman ResourcesInformation TechnologyManagement Consulting

Responsibilities

Runs, reviews, interprets, analyzes, and validates Revenue Cycle reports. Ensures the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making
Leads the development and implementation of revenue cycle strategies, processes and improvement initiatives to continuously improve the RCM process to maximize the Company’s billings and collections
Ensures the identification, analysis, and implementation of solutions designed to improve collection rates, reduce bad debt, and reduce day sales outstanding
Drives the design, execution, monitoring, and assessment of key RCM performance metrics to refine processes and improve efficiencies and productivity to reduce overall costs
Leads and manages large revenue cycle projects such as audits, budgets, and technology enhancements
Manages vendor relationships and works with our service provider(s) to deliver agreed-upon results, and drive cost, quality, and process improvement by establishing well-defined processes, sharing best practices, and ensuring effective working relationships
Assist in the management of vendor-related projects and facilitates and coordinates change management efforts
Delivers continuous improvements by creating RCM efficiencies through system selection/automation, process design, and avoiding waste/redundancy
Ensures compliance in all aspects of RCM activities including coding and billing rules and regulations by payer and state
Maintains knowledge of third-party payor regulations including Medicare, Medicare Advantage, Medicaid, Workers Compensation and non-governmental payers
Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements

Qualification

Large data analysisHealthcare reimbursement experienceRevenue cycle managementBusiness intelligence toolsPayer relations knowledgeCommunication skillsOrganizational skillsInterpersonal skillsTime management skills

Required

Bachelor's Degree in Healthcare Administration, Business, Finance, or related field required
Minimum of 5+ years of experience in healthcare reimbursement (RCM)
In-depth knowledge of healthcare industry, payer relations, and functional compliance regulations and standards required
Previous experience managing people required
Demonstrated experience leading teams required
Strong understanding of business strategies and drivers, particularly in a sales organization
Large data analysis and modeling capabilities in Excel & Power BI are critical
Demonstrated proficiency in analytical, statistical, and business intelligence tools
Demonstrated organizational and communication skills and ability to work with detailed financial information with accuracy and confidentiality
Demonstrated communication skills with a variety of audiences, including department management, organizational leaders, physicians, and staff members using presentations, spreadsheets, and written documents
Strong organizational and analytical skills
Ability to multi-task and work both independently and within teams
Excellent verbal and written communication skills
Excellent interpersonal and customer service skills
Excellent organizational skills and attention to detail
Excellent time management skills with a proven ability to meet deadlines
Ability to deal with patients, visitors, co-workers, and physicians with courtesy and respect
A professional outgoing warm and helpful attitude

Company

United Digestive

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United Digestive is a practice management company with a focus on compliance, finance, HR, and IT for gastroenterology practices nationwide.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Kohlberg & Company
2023-03-30Private Equity

Leadership Team

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Mark Gilreath
CEO
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Jung (John) Suh
Chief Medical Officer
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Company data provided by crunchbase