Circle Medical · 2 days ago

Director, Revenue Cycle Management

San Francisco, New York

Full-time

Remote

Director/Executive

$140K/yr - $168K/yr

5+ years exp

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Responsibilities

Responsible for overseeing and managing the financial operations related to the revenue cycle which include the following:

Develop and implement strategies to optimize revenue cycle and maximize revenue generation

Manage and lead revenue cycle team including Billing and coding manager, Patient billing manager

Ensuring compliance with all regulations and guidelines such as HIPAA and CMS billing requirements

Negotiate and maintain relationships with Commercial Payors to facilitate timely and accurate reimbursement

Monitor and Analyze KPIs related to revenue cycle performance such as days in AR, denial rates and cash collections

Manage EHR/Medical billing Partner, holding them accountable to contract obligations, and SLAs

Identifying and implementing process improvements to enhance efficiency and effectiveness in revenue cycle operations

Providing training and education to staff on revenue cycle processes, policies and procedures

Conducting regular audits to ensure accuracy of billing practices and no revenue leakage

Oversee Weekly billing processes, including reporting and account balancing

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Revenue Cycle ManagementMedical BillingCoding KnowledgeCommercial Payer RelationsHealthcare RegulationsKPI AnalysisProcess ImprovementProvider CredentialingContract NegotiationManagerial ExperienceMedical TerminologyHealthcare Operations

Required

Must have excellent organizational skills, communication skills, and the desire and ability to learn and move quickly

Knowledge and experience working with big commercial payers

Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required

Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations

Strong problem-solving skills and ability to make timely decisions

Strong attention to detail

Bachelor’s Degree in Business, Healthcare Administration or equivalent and a minimum of five (5) years of medical billing experience

The ability to coordinate and negotiate rates and contracts on behalf of Circle Medical with commercial payers

Command of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow-up (e.g. HCPCS, CPT, ICD codes)