Director of Revenue Cycle

At The Portland Clinic our mission is to be a trusted community collaborating to improve the health and well-being of those we serve. Join our team and let us work together to offer a welcoming, inclusive environment for our patients and the communities we serve.

JOB TITLE: Director of Revenue Cycle

SUPERVISOR: CFO

HOURS PER WEEK: 40/Exempt

DEPARTMENT: Administration

HIRING BONUS: $1,000 after 90 days

The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.

PRIMARY FUNCTION: Responsible for directing, coordinating, and monitoring of Revenue Cycle functions, including: EMR analysis, insurance, referrals, coding, patient account/collections, scheduling and registration.

DUTIES AND RESPONSIBILITIES: (*ESSENTIAL FUNCTIONS)

• 1.Oversee operations of full revenue cycle office.*
• 2.Develop and maintain strategic partnerships with internal and external stakeholders.*
• 3.Coordinate the management of employee issues for Revenue Cycle staff, including employment, training, evaluation, and scheduling.*
• 4.Maintain and provide all staff in the Revenue Cycle organization with proper educational and development opportunities.
• 5.Oversee all departments in the Revenue Cycle organization, which currently includes: Registration and Scheduling, Referrals and Prior Authorizations, Coding, Insurance and Billing, and Patient Collections/Refunds.*
• 6.Create and Maintain data and metrics to measure and track the performance of all aspects of Revenue Cycle operations.
• 7.Be prepared to share performance of Revenue Cycle operations to Executive Leadership and the pertinent Boards and Committees within the Practice.
• 8.Respond to patient concerns and feedback in a timely manner, providing solutions to best serve our patients.
• 9.Work with the organization’s claims clearinghouse to improve the operations and efficiency of the Revenue Cycle.
• 10.Work with the organization’s EMR team to improve the efficiency and effectiveness of the Revenue Cycle.
• 11.Work with Practice Providers and Medical Leadership on coding education.
• 12.Identify opportunities to reduce overall coding efforts through provider education, EMR enhancements, Charge Router improvements and other innovations that will deliver efficiencies and increase velocity in the Revenue Cycle.*
• 13.Work with banking partner and CFO to obtain necessary deposit information for remittances and other Revenue Cycle issues.
• 14.Monitor all Workqueues assigned to Business Services and Coding employees – looking for areas of improvement, as well as assisting staff as needed.*
• 15.Develop and implement Revenue Cycle process improvements, working closely with key stakeholders to ensure success for patients, staff, and TPC providers.*
• 16.Collaborate with Quality, Risk, & Finance teams to support successful HCC meetings and appropriate coding.*
• 17.Work on special projects and tasks for Administration and Physicians as requested.
• 18.Work respectfully and collaboratively in a team environment with a spirit of cooperation.
• 19.Attend work on a regular and consistent basis.*
• 20.Participate as an active team member in a patient-centered medical home.

REQUIREMENTS:

• Bachelor’s degree OR an equivalent combination of education and relevant work experience
• 7 years of Revenue Cycle experience
• 2 years of coding experience (previous credentialing required)
• 3 years of supervisory experience

PREFERENCES:

• Familiarity with Epic
• Healthcare experience
• Electronic health record competency
• Excellent oral, written, and one-on-one communication skills, able to communicate effectively with all levels of the organizations
• Ability to interact and establish good rapport with people over the phone and in person, often in stressful situations
• Strong organizational, interpersonal and communication skills
• Team leadership and positive agent for change
• Ability to accept responsibility and use initiative to proceed with necessary tasks without direction supervision
• Compassionate, patient, tactful, diplomatic and contributes to an environment where people feel valued
• Proficiency in Microsoft Word, Excel, PowerPoint and Teams

COMPENSATION AND BENEFITS (Benefits eligibility begins at 20hrs/wk):

• 401k plan with employer contributions up to 5% annually
• Roth IRA
• Comprehensive Medical, Dental and Vision insurance
• Flexible Spending Account
• Health Savings Account
• Company provided $10K Group Life/AD&D insurance
• Voluntary benefits: Life/AD&D, Dependent Life/AD&D, Short-Term Disability, Critical Illness, Accident, and Hospital Indemnity
• Norton Identity Theft Protection (optional)
• Pet Insurance (optional)
• Unlimited PTO
• One paid Wellness day per year
• Seven paid holidays, and 1 partially paid holiday (mid-day closure)
• Employee Assistant Program