Director of Revenue Cycle Home Health

Transition Home Healthcare is an elite home health agency serving Houston TX and surrounding areas since 2010. We are a group of passionate people dedicated to delivering the highest quality services to our patients families team members and the community. Our team is growing and seeking an experienced:

Director of Revenue Cycle - Home Health

On Site (Houston TX 77081)

Job Summary: The Director of Revenue Cycle is responsible for overseeing and optimizing the entire revenue cycle process. This role involves managing billing collections coding and financial operations to ensure timely and accurate reimbursement for services provided. The ideal candidate will have extensive experience in revenue cycle management with a focus on home health care regulations compliance and best practices.

Key Responsibilities:

• Revenue Cycle Management: Oversee the daily operations of the entire revenue cycle process including patient intake coding billing collections accounts payable (AP) and accounts receivable (AR). Develop and implement strategies to optimize revenue and reduce days in accounts receivable.
• Compliance and Regulation: Ensure agency adherence to federal state and local regulations related to home health care billing and reimbursement. Stay current with industry changes and updates to maintain compliance and avoid penalties.
• Financial Reporting: Advises senior management of issues which may affect billing reimbursement cash flow etc. Partners with team to resolve identified issues. Implements budgeting and accounting systems to oversee fiscal affairs of the agency. Prepares reports to analyze billing and AR. Manages month-end closing reports as well as annual operations reporting and agency evaluation.
• Team Leadership: Lead and mentor a team of revenue cycle professionals including billing specialists coders and collections staff. Provide training and support to ensure team members are well-versed in procedures and compliance requirements.
• Process Improvement: Identify opportunities for process improvements and establishes and implements benchmarks to develop strategies for improvement. Leverage technology and automation to streamline operations.
• Patient and Provider Relations: Work with patients healthcare providers and insurance companies to resolve billing issues and address inquiries. Ensure clear communication and provide excellent customer service.
• Cross-Departmental Collaboration: Collaborate with other departments to ensure seamless integration of revenue cycle processes and support overall organizational goals.

We Offer:

• Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• MedicalDentalVision
• Life Insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity Cancer Policies Legal Plans & More!)
• 401(k) w/match

Qualifications:

• Bachelors degree or minimum of 5 years of experience in healthcare billing/AR.
• Minimum 5 years of experience in home healthcare management preferred.
• Minimum 2 years of experience managing revenue cycle billing and accounts receivable departments.
• Proficient level experience in Homecare Homebase (HCHB).
• Strong fiscal management experience in Medicare home healthcare (preferably at the multi-site level).
• In-depth knowledge of different billing methodologies:
  • PDGM revenue cycle
  • Fee for service
  • Review Choice Demonstration/PCR
• Knowledge of ICD-10-CM CPT and HCPCS classification systems. Knowledge of UB04 and HMO billing; all associated fields for billing purposes.
• Strong working knowledge of revenue cycle management systems; ability to manage multiple revenue cycle management systems for the agency.
• In-depth knowledge of home health care billing and reimbursement practices.
• Proficient level experience in Microsoft Office (Word Excel PowerPoint Outlook)
• Strong organizational analytical and problem-solving skills.
• Excellent leadership and team management abilities.
• Exceptional communication and people skills.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

Required Experience:

Director