Director of Revenue Cycle Management

Description

POSITION SUMMARY

The Director of Revenue Cycle Management will supervise and coordinate the functions of processing billing and posting claims payments, self-pay and persons served billing support including client statements and bad debt, client correspondence and account support, credentialing coordination/liaison with HIS and SED Waiver Auth/billing & contract billing hours/services (JDC, Lighthouse). They will maintain a timely billing process that follows current funding source guidelines.

ESSENTIAL FUNCTIONS

• Supervise and coordinate the work between Revenue Cycle department staff to achieve efficiencies. This includes cross-training of staff.
• Back up and assist in all areas of Revenue Cycle as needed.
• Assure the monthly billing process is completed in a timely and accurate manner
• Assure the self-pay functions are completed in a timely and accurate manner
• Supervise and lead Astra's credentialing coordination.
• Monitor Astra's collection processes
• Process fee appeals
• Continue to gain the knowledge needed to ensure the billing process is following funding source and legal guidelines. This includes attending monthly billers' meetings and reviewing KHS, KMAP and other websites/notices at least weekly for any applicable changes.
• Act as Astra's Revenue Cycle department liaison to our Electronic Health Records System (EHRS). This includes creating and monitoring work orders, testing, problem-solving issues, attending monthly EHRS meetings, etc.
• Reconcile progress notes not tied to claims on a monthly basis
• Update EHRS with any rate changes.
• Work with supervisors and managers around billing problems and procedures
• Educate Astra Leadership when billing practices or procedures change to ensure continued compliance.
• Coordinate outside billing code auditing as needed.
• Implement and continue procedures for better quality control around the billing process.
• Responsible for insuring payor source eligibility is accurate in our billing system
• Assist the Chief Financial Officer with various General Ledger reconciliations, audit preparatory work, budget, collection reports and other projects as needed.
• Other duties as assigned.

Other Duties

• Complete required trainings
• Ensure staff work as part of a team
• Demonstrate cultural and linguistic competence
• Approach interactions with individuals served, colleagues and those supervised with a trauma sensitive lens

POSITION QUALIFICATIONS

• This position requires a Bachelor's degree in Accounting, Finance or related field with 3 years of accounting experience required. Education may be substituted on a year-for-year basis.
• Knowledge of CPT codes with 5 years of experience in a medical/mental health billing office.
• 2 years minimum in supervisory or managerial role
• Proficiency with Excel and Microsoft Office software is expected.
• Strong written and verbal communication skills are required.
• Successful completion of Kansas Bureau of Investigation (KBI), Central Registry, and other applicable background investigations and possess a valid Kansas driver's license

KNOWLEDGE/SKILLS/ABILITIES:

• Effective communication skills (verbal and written)
• Customer focused (internal and external)
• Excellent listening skills
• Accountability
• Reliability
• Trust/Integrity
• Adaptability/Flexibility
• Time Management
• Organizational Skills
• Proficiency in MS Office Suite with ability to learn other software programs as necessary
• Relationship building
• Problem Solving
• Attention to detail and accuracy in work
• Being collaborative

Other Physical Requirements: None

SUPERVISORY RESPONSIBILITIES

Key supervisory responsibilities include:

Team Leadership

• Provide clear direction and guidance to team members
• Set and communicate team goals and performance expectations
• Foster a positive and collaborative work environment

Performance Management

• Conduct regular performance evaluations
• Provide constructive feedback and coaching
• Identify areas for improvement and implement development plans

Resource Allocation

• Assign tasks and projects to team members based on skills and workload
• Manage team schedules and deadlines
• Ensure efficient use of resources and budget

Decision Making

• Make sound decisions regarding team operations and personnel matters
• Resolve conflicts and address issues within the team
• Contribute to departmental strategic planning

Communication

• Facilitate effective communication within the team and with other departments
• Conduct regular team meetings and one-on-one check-ins
• Report team progress and issues to upper management

Hiring and Training

• Participate in recruitment and selection of new team members
• Oversee onboarding and training of new employees
• Identify and coordinate ongoing training opportunities for team development

Compliance and Safety

• Ensure team adherence to company policies and procedures
• Maintain a safe work environment and enforce safety protocols
• Stay updated on relevant industry regulations and standards

WORK ENVIRONMENT

Minimal risk of exposure to aggressive and/or acting out (verbal and physical) adults, children and youth. Position requires long periods of sitting, continual use of the keyboard and personal computer and/or speaking on the telephone. Ability to perform duties as required in a fast-paced office environment.


Astra Mental Health and Recovery is committed to providing equal employment opportunities and reasonable accommodation for qualified individuals with disabilities and for religious practices, in accordance with applicable law and guidance issued by the Equal Employment Opportunity Commission (EEOC). Astra does not discriminate against applicants or employees on the basis of race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age (40 or older), disability, genetic information, veteran status, or any other characteristic protected by law. This commitment applies to all aspects of employment, including recruitment, hiring, promotion, compensation, training, corrective action, and termination.