Senior-Level Billing Director

Job Description

Job Description

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• Bachelor’s degree in Healthcare Management or Business Administration, Master’s degree preferred
• 10+ years of progressive management experience
• Minimum 5 years of management experience or experience working in a healthcare organization
• Minimum of 5 years Revenue cycle operations knowledge
• Knowledge of current behavioral health industry trends, regulations, and policies strongly preferred
• Knowledge of medical terminology
• Must be able to assess situations, identify issues/problems and prioritize duties
• Proficient in Microsoft Office applications required
• Strong working knowledge of EMR
• Strong interpersonal skills, including the ability to manage others to inspire behavioral changes and work effectively with all levels of the organization.

ESSENTIAL DUTIES:

• Oversee all Revenue Cycle functions to assure proper handling and direct billing activities to ensure timely billing and reimbursement
• Assess and respond to current and future internal and external healthcare trends in order to establish and ensure the necessary direction for the revenue cycle activities.
• Develop denial management processes to eliminate denial root causes and reduce the denial impact on the organization.
• Review departments' performance and ensures compliance, accreditation, legal and other regulatory requirements.
• Partner with finance and operations teams to evaluate collection capabilities and adherence to payer contracts.
• Manage individual(s) including, but not limited to, hiring, training, work assignments, performance evaluation, and conducts professional development plans.
• Ensure productivity meet and support the operational goals of Revenue Cycle Management.
• Continually improves processes, implements industry best practices, and improves outcomes by implementing innovations and using lean methodology.
• Accurately enter patient/client billing data, nursing home rates, level of care, per diem, and physician billing or charges, visit charges, fee for service charges, and verify discharge and admission data.
• Develop processes to timely bill and adjudicate claims that supports maintaining a benchmark cash goal level.
• Develop and monitor department budget and ensure budgetary goals are met. Ensure the efficiency of operations and the cost to collect.
• Participate in all mandatory staff in-services and meetings
• Maintain compliance with internal annual education requirements
• Abide by and demonstrate the company Mission
• Timely submission of all documentation
• Conduct all business activities in a professional and ethical manner
• Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures
• Performance of other duties as required

Our company is growing at a rapid-pace and looking for an in-office (Northern Dallas/Plano area) senior director to manage the Revenue Cycle department to ensure the timely and accurate billing of services provided and maximizing collections on all billings.

Company Description

Our company is growing at a rapid-pace and looking for an in-office (Northern Dallas/Plano area) senior director to manage the Revenue Cycle department to ensure the timely and accurate billing of services provided and maximizing collections on all billings.