Revenue Cycle Director

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Revenue Cycle Director Full Time Great Falls, MT, US 4 days ago Requisition ID: 1512 Full-Time | Exempt | Great Falls Job Duties Maintain monthly dashboard including KPIs, production numbers, etc., monthly. Research and collaborate on regulation updates to ensure all necessary changes are incorporated into daily workflows. Develop double check process for postings to system software on a quarterly/monthly basis. Collaborate with CFO as it relates to key insurers on value-based revenue achievements as it relates to performance outcomes. Assist CFO on payment analysis for the various commercial payers as it relates to fee schedules, contracts, and the various plan offerings under each insurance plan. Manage the credentialing/provider enrollment process to ensure clear integration and alignment for incoming and outgoing providers occurs. Oversees maintenance, updates of the relevant modules, set-up, and data tables in the electronic health record systems and related billing engines. Collaborates with the team to ensure billing functions are being maintained or added as necessary in the electronic health record systems. Ensures analysis and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims. Collaborate with MRWH billing/other vendor(s), if utilized, for improved data mining and financial reporting tools as it relates to revenue cycle. Collaborates with other departments/programs to design systems, train employees, monitor and implement changes needed to ensure effective and timely revenue workflow. Collaborates with the front desk employees for billing procedures, insurances, client payments, petty cash, etc. Working in collaboration with CFO and accounting employees as it relates to revenue cycle management. Assist CFO in preparing and developing operational strategies to increase cash, reduce bad debt, and decrease client refunds. Work in collaboration with department supervisors for oversight with check in and out process: education, training, dashboards, scripting, EHR software, mapping, etc. Liaise with 3rd party billing vendor. Oversee performance expectations and successful process improvements while facilitating/collaborating with 3rd party vendor for CPH billing, coding, A/R, collections, and any other contractual expectations. Train, develop, support, and manage staff while supporting a team environment. Adhere to HR/Company policies and procedures, evaluate, and approve timecards and time off requests. Comply with all CMS, Federal and State regulations, payor guidelines and ensure consistent and complaint coding application. Regularly provide leadership with revenue/payment data, reports, metrics, and presentations. Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters. Resolves escalated reimbursement issues with payers. Performs other duties as assigned. Wage: $77,272.00 annually Minimum Qualifications Bachelor’s degree in accounting or business-related field required. Eligibility may be established on the basis of six (6) years’ experience in lieu of a degree. Minimum three (3) years progressive experience in health care billing field, preferably mental health services. This experience should include supervisory and/or leadership duties. 401K Matching Contributions Health Insurance Flexible Spending Account Health Savings Account Flexible Work Schedule Paid Holidays Paid Birthday Pet Insurance All Positions at Many Rivers Whole Health must pass Background Checks and Motor Vehicle Records Check. Many Rivers Whole Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability, or any other basis protected by applicable law. #J-18808-Ljbffr