Healthcare Revenue Cycle Director

The Director of Revenue Cycle Management Operations is responsible for all revenue cycle activities at assigned hospitals and supervise assigned staff in the performance of their duties; to promote best practices and work with wound center staff to implement and maintain RestorixHealth revenue cycle policies and procedures and to participate in the implementation of new centers.

What We Offer:

· Monday - Friday schedule, no weekends

· RestorixHealth is proud to provide employees with a comprehensive and attractive benefits program which includes the following:

· Medical, Dental and Vision Insurance

· Health Savings Account (with employer match) and Flexible Spending Accounts (General Purpose, Limited Purpose and Dependent Care)

· Employer-Paid Basic Life Insurance, AD&D and Short-Term Disability

· Voluntary Buy-Up Life Insurance (for self, spouse & children), Short-Term Disability and Long-Term Disability

· Voluntary Accident, Critical Illness and Hospital Indemnity Plans

· Employee Assistance Program

· Pet Care Discount Program

· Unlimited Vacation Time and Paid Holidays

· 401(k) Retirement Plan (with employer match)

· Internal ongoing educational/training opportunities

· Competitive compensation

· Performance incentive opportunities

· Continuous coaching & mentorship

Primary Responsibilities:

• Act as a liaison between assigned center and hospital Registration, HIM, Coding, Charge Capture, Patient Accounts, and other Finance Departments as the RestorixHealth revenue cycle consultant/expert.

• Responsible for overseeing visits/accounts and helping assigned wound care centers and hospital clients resolve their revenue cycle issues to identify, analyze and propose resolutions for problems resulting in ADRs, denials or changes that impede timely and accurate billing of wound care/HBOT services and timely reimbursement for those services.

• Through regular analysis, ensure each assigned center is compliant with revenue cycle policies and procedures. Supports and facilitates process and procedural improvements to the revenue cycle that contribute to favorable financial results and operational efficiencies Communicate infractions with the appropriate parties.

• Manage, train, and monitor performance of assigned Revenue Cycle Representatives (RCRs) to include timely A/R follow up and collections, problem solving, communications with insurances, centers and hospital clients, payment analysis/billing worksheets for invoice creation, and write offs. Monitor outcomes and create competencies to assure ongoing training is provided as necessary.

• Incorporates best management practices in the achievement of goals and objectives to improve process in cooperation with Intake, Payment Integrity, IT, RDCT/Clinical Staff, and Billing/ Collections, etc. on policies and procedures, and technologies (throughout the company) to ensure that they are developing, building and complying with a clearly defined, effective revenue management approach consistent with the overall mission and strategic plan of the company and hospital partners.

• Responsible for monitoring of unbilled A/R and assuring POR aging remains current (not to exceed 25% of total A/R > 90 days outstanding). In collaboration with RCR, evaluation and analysis of unresolved third-party accounts, unresolved accounts include unbillable, unauthorized, rejected, denied, underpaid and recouped accounts receivable

• Develop procedures to track trends, minimize disruptions, improve workflows, and increase collections.

• Through effective escalation process, communicate to VP and RDs, financial impact that center revenue cycle clinical and operational processes have on indicators such as denials and bad debt.

• Develop positive working relationships with all involved personnel including partnering with RestorixHealth Regional Directors and Program Directors to maximize performance of each center.

• Visit all assigned wound care centers, as needed, to implement and maintain productive relationships and observe center activities to include education, training, physician panel and hospital partner meetings.

• Participate in the implementation of new wound care centers for all Revenue Cycle needs.

• Adapt revenue cycle procedures as indicated to maximize effectiveness
.

Additional Responsibilities
:

• In consultation with GM/VP and RD, develop, implement and monitor revenue cycle procedures to meet the unique needs of each hospital partner/wound care center.

• Collaborate with Corporate FDC Manager as necessary on FDC selection, education, training needs within their assigned centers.

• Assist Regional Directors in scoping and planning multiple projects.

• Performs other related duties as assigned.

Education and Technical Skills:

• Must possess experience in all areas of the Hospital OP Revenue Cycle: Patient Access, Health Information Management, and/or Patient Financial Services expertise, preferably involving wound care services
.

• Experience working with diverse teams such as Centralized Business Office (CBO), Patient Financial Services, and hospital administration
.

• Proficient in Microsoft Excel and hospital billing systems.

• Bachelor’s degree preferred.

Additional Eligibility Qualifications/Competencies
:

• Ability to work cooperatively in multi-disciplinary teams.

• Ability to promote subordinate staff professional growth and expertise.

• Demonstrated ability to work with all levels of personnel at client hospital sites.

• Excellent organizational and analytical skills required.

• Strong, effective interpersonal and written communication skills required.

• Must hold a valid driver’s license the entire time this position is held
.

• Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and principles; upholds organizational values.

• Integrity - Behaves in an honest, fair, and ethical manner; shows consistency in words and actions; fosters a high standard of ethics and instills mutual trust and confidence; serves as a role model for others and performs actions that demonstrates their values
.

• HIPAA – Responsible for understanding and abiding by HIPAA policies and procedures.

Physical Requirements:

• Support and encourage colleagues to embrace the Company values and contribute to a positive overall Company culture

This position requires periods of time in which sitting, standing, use of hand and foot motion, vision, hearing, summarizing, focusing with frequent interruptions along with other physical, sensory and cognitive sensory functions are required.

Note: The above is intended to describe the general content of and requirements for the performance of this job. It is not construed as an exhaustive statement of duties, responsibilities or requirements and may change at any time.

All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. RestorixHealth is an EO employer – M/F/Veteran/Disability