Director Revenue Cycle

Job Description

Role: Sr Director for Revenue Cycle (Front End)

Job Type: Full Time

Mode of Work: Fully Remote

This requires ability to influence and work collaboratively with a clinical operations team and RCM vendor. Continuous improvement of key metrics, cost reduction of internal processes

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• Demographic and Eligibility Capture
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• Authorization Processing and Capture, if needed
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• Charge Capture and Charge Reconciliation
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• Prebilling Edits
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• Any Area in Pop Health
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• Patient Collections
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• Previsit Collections
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• Postvisit Collections
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• Statements
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• Bad Debt Process’
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• Financial Counseling/Point-of Service Collections
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• Coding and Clinical Documentation- RCM representative with Clinical Operations team
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• Credentialing- Oversight
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• IN/OON carrier Expert
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• Communication of Insurance company policies and process changes as related to Front End Revenue Cycle
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• Metric Oversight
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• Work hand in hand with Provider Compensation in resolving Provider Concerns
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