Revenue Cycle Director - Carrollton, TX
Company: DFW Healthcare MSO
Location: Carrollton
Posted on: September 19, 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 group's 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: Bachelor's degree in finance, accounting,
business or related degree required. Master's 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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