Revenue Cycle Director - Carrollton, TX
Company: DFW Healthcare MSO
Location: Carrollton
Posted on: September 13, 2023
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Job Description:
The Revenue Cycle Director is an integral member of the
operations team and works directly with the Senior Vice President,
MSO Operations to develop strategic plans and ongoing performance
improvement initiatives to optimize successful account
adjudication, exceptional collections, and high levels of customer
service throughout the revenue cycle. This role will lead the
Revenue Cycle Manager and Revenue Cycle teams/vendors who support
the day-to-day revenue cycle management operations. This position
manages processes and provides guidance, direction, and support to
encompass all aspects of the revenue cycle, including but not
limited to clinic revenue operations, account follow-up, and denial
management. The position provides overall direction regarding the
activities of the department and establishes policies and
procedures to optimize all facets of patient financial operations.
The Revenue Cycle Director will play a key role in the
implementation of new processes regarding claims submission and
work as a representative of Access Wellness Resources DBA IntraCare
Health Center with payers in the groups market areas and patients
who have had care administered by its providers. Primary Job
Duties: 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 wRVU
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 Qualifications Minimum Education:
Bachelors degree in finance, accounting, business or related degree
required. Masters degree preferred. 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 Preferred
5+ years Athenahealth experience, building table spaces,
maintaining fee schedules, etc. 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
Keywords: DFW Healthcare MSO, Carrollton , Revenue Cycle Director - Carrollton, TX, Executive , Carrollton, Texas
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