Revenue Cycle Director

Job Description

Job Description

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.

Benefits:

• 401K Matching Contributions
• Health Insurance
• Dental 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.

About Us:

Since 1976, we have been dedicated to 13 counties in Montana and seek to serve a variety of both individuals and groups in all settings. We define resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress — such as family and relationship problems, serious health problems, or workplace, school place and financial stressors — alongside those of chronic, severe disabling behavioral health conditions. with an integrated team of specialists and a personal approach to wellness. Today, we are focused on becoming Montana's healthcare provider of choice.

We are committed to recruiting qualified employees, continually striving for advancement, and above all, working as a team to meet the health needs of clients living in our 13 counties. Our vision is to be the healthcare provider of choice for clients and employer of choice for employees and providers. We will achieve this vision by committing to a culture of integrity, safety, evidence based exceptional care, compassionate customer service, and great work environment.

About Great Falls:

Great Falls lies about halfway between Yellowstone and Glacier National Parks. With close access to world-class fishing and floating, not only on the Missouri River, but also several other lakes and rivers. Great Falls is an active community within 1 hour of two local ski resorts. We encourage a fun, collaborative work environment as well as a good work/home life balance. If you are interested in being a part of a dynamic, impactful team, in a family-friendly community, Great Falls and Many Rivers Whole Health is an excellent choice for you. We would love to hear from you and discuss this opportunity.

Our Mission: Many Rivers Whole Health partners with people and communities to serve the whole person – body, mind, and spirit – by providing expertise in wellness, mental health, and substance use disorders, addressing prevention and treatment with a recovery-based approach.

Vision: To be a community based, highly respected organization known for excellence in mental health and addiction recovery services, offering compassionate, client-focused, professional support.

Our Values: Ambassador of Many Rivers, Own it, Individuals Matter, Create Joy, Embrace Change, Show Up. Step In.

EQUAL OPPORTUNITY EMPLOYER:

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.