Director, Revenue Cycle Job Description
Director, revenue cycle
provides ongoing support for all areas of USPI’s Hospital RCM(Scheduling, Registration, Coding, Billing, Payments, Collections, and Credit Balance Resolution).
Director, Revenue Cycle Duties & Responsibilities
To write an effective director, revenue cycle job description, begin by listing detailed duties, responsibilities and expectations. We have included director, revenue cycle job description templates that you can modify and use.
Sample responsibilities for this position include:
Ensure aggressive and efficient accounts receivable management
Perform follow-up and related vendor services
Complete third party audits relative to claims, collection agency activities, and identification of issues
Identify and correct operating issues that will maximize the effect on cash flow
Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances
Develop and monitor billing and collections functions conducted by agency staff
Establish and enforce patient self-pay collection protocols
Coordinate all agency efforts
Participate in negotiations with both current and targeted insurers
Establish and maintain all billing and financial data within the CIS
Director, Revenue Cycle Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Director, Revenue Cycle
List any licenses or certifications required by the position: HFMA, ACHE, CCDS, CDIP, CRCE/CMPA/CHFP, CPA, FEMA, CMA, RHIA, MGMA
Education for Director, Revenue Cycle
Typically a job would require a certain level of education.
Employers hiring for the director, revenue cycle job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Business, Finance, Accounting, Education, Business/Administration, Healthcare, Management, Healthcare Administration, MBA, Health Administration
Skills for Director, Revenue Cycle
Desired skills for director, revenue cycle include:
Invision/SMS system
Related hardware/software and hospital registration/ billing systems
CPT
HCPCS
Areas
Applicable laws and regulations
Applicable statutory
Coding
Ensuring operations of the assigned functional area maintain necessary compliance
Microsoft PowerPoint
Desired experience for director, revenue cycle includes:
Analyze reimbursement from all sources
Prepare receivable and revenue information for the monthly and annual general ledger closings
Active in relevant healthcare industry groups
Manages the overall roadmap, planning and execution of the strategy to deploy revenue and access solutions
Works with key stakeholders and team members to translate the results of design sessions into configuration requirements for all aspects of Revenue and access solutions
Establishes a strong working relationship with end users and business partners
Director, Revenue Cycle Examples
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Director, Revenue Cycle Job Description
Job Description Example
Our growing company is looking for a director, revenue cycle. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for director, revenue cycle
- Effectively manages project scope, issues and risks and resources as it relates to projects
- Acts on data in a timely manner, monitors for accuracy and communicates regarding project performance
- Proactively collaborates across initiatives with other product and cross-functional teams
- Coordinates parameter definitions related to business rules and clinical requirements so documentation reflects regulatory standards and organizational goals
- Develops and maintains comprehensive documentation to meet the SLAs set with customers for the services provided
- Assumes responsibility for the success of projects assigned as project lead
- Provide written communication with client/partners, team members and management the status of assignments on a weekly basis via project documentation
- Create supporting collateral and support sales effort with clinical staff
- Provide leadership relative to solution ideation, creation, development, and implementation
- Provide project management support for large initiatives
Qualifications for director, revenue cycle
- Lead and coordinate analytic activities (analyses and report creation)
- Coordinate data integration activities
- Strong ability to lead initiatives with minimal guidance
- Proven ability to determine key business issues and facilitate/support the development of effective action plans from multidisciplinary perspective
- Capability to lead and influence senior leadership around business issues
- Demonstrated ability to manage multiple initiatives, identify and prioritize issues to meet aggressive timelines and organizational goals
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Director, Revenue Cycle Job Description
Job Description Example
Our growing company is looking for a director, revenue cycle. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for director, revenue cycle
- Oversight Management – For multiple clients, grow to be conversant in the underlying operations and client environmental and placement metrics that drive the ebbs and flows in revenue, and affect positive movement in each on a peer-level dotted line relationship with strategy and operations
- Responsible for management of on- and offsite staff which may include Patient Access, Medicaid Eligibility, HIM, Business Office functions
- Ongoing Client Leadership and Remediation (Issue Resolution)
- Assist with the management of multiple P&Ls to ensure proper controls are in place to maximize revenue opportunities and mitigate expenses
- Collaborates with on-and offsite resources in service delivery and problem solving to maximize solution offering and client satisfaction
- Assist with the management of new Change Control Notices (CCN), from the time of development, client implementation, potential finance notification and partnering with Client Management for potential contract amendment
- Internal Controls and Training
- Oversees centralized insurance billing and collections, ensuring compliance with established policies and procedures of Conifer
- Health, regulations of applicable regulatory agencies, and state and federal guidelines
- Provides day-to-day management and/or operating oversight for service lines within RCS Consulting
Qualifications for director, revenue cycle
- Develops and implements a vision and business/operating plans targeted to promote the growth and enhancement of services
- Manages personnel and oversees the professional development of staff
- Manage hiring additional experts/consultants as necessary to augment existing staff
- Serve as the primary point of contact for data vendors we use and as necessary negotiate new agreements for use of data
- Ensure overall quality and satisfaction of work from both clients and internal constituents
- Form tight relationships with the RCS Partner Team
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Director, Revenue Cycle Job Description
Job Description Example
Our company is growing rapidly and is looking for a director, revenue cycle. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for director, revenue cycle
- Able to welcome new clients to the engagement once sold, participate in welcome calls and setting member expectations to ensure a smooth start to service delivery
- This position will be part of the leadership team responsible for oversight and planning for sustained growth in multiple service/call center sites in both the US and abroad
- Creates, develops and maintains appropriate infrastructure and tools necessary to support and position the Centers for continued colleague success, quality output and client services
- Develops and maintains strong working relationships with internal and external support teams
- Ensures consistent standards and business metrics are in line with business unit goals, adherence to all aspects of compliance regulations and company policies
- Partner with Revenue Cycle Services operations leadership to proactively initiate process improvements for the ongoing enhancement of service performance and quality
- Along with presence, this person must have the interpersonal and approachability skills, vision and energy to assume larger responsibilities with a quickly expanding unit
- Identifies opportunities for continuous improvement and a continued focus on making our service center training the best in the industry
- Possesses the versatility required to be a leader, manager, teacher, coach, and mentor while placing high value on people and process
- Monitor engagement progress
Qualifications for director, revenue cycle
- Innovative and advanced understanding of simulation training methods
- Must be able to analyze data, perform financial analysis and develop, monitor and adhere to budget requirements
- Ability to develop and maintain successful client relationships across multiple high impact customers and channel
- Willingness to ‘roll up sleeves’ and deliver training programs when needed or to provide coaching for the training team
- Strong Computer Skills with proficiencies in Microsoft Excel and Word, and project management
- HFMA’s Certified Healthcare Financial Professional (CHFP) a plus
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Director, Revenue Cycle Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of director, revenue cycle. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for director, revenue cycle
- Revenue Cycle Compliance Programs (Hospital and Physician Revenue Cycle Compliance)
- Develops and leads ongoing compliance work plan reviews for purposes of identifying, assessing, and documenting potential compliance violations of the Standards of Conduct and policies and applicable local, state, and federal healthcare rules, regulations and administrative requirements
- Leads and/or participates in organizational projects related to the design, implementation, revision or maintenance of process and systems that promote compliance
- Serves as an internal expert and advisor in compliance matters
- Collaborates with key leadership, team members, contractors and other stakeholders throughout Conifer to promote a culture of compliance
- Oversee the standard accrual and remittance advice discrepancy functions
- Ensure consistent application of A/R adjustment and standard accrual tools to figure appropriate discounts and allowances by payer class and insurance plan
- Oversee management of PARS personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
- Assists the facility Patient Financial Services Director in their role as a leader in planning, directing and managing the department and staff to facilitate quality services
- Provides oversight and building solid relationships with revenue cycle management for assigned group facilities
Qualifications for director, revenue cycle
- Ideal experience will include a blend of strategic and operational experience with strong project planning and process improvement skills
- Experience with EHR systems such as EPIC, Cerner, GE Centricity, Allscripts
- Experience working in a revenue cycle management service center is ideal
- Proven knowledge and experience in leading complex LEAN and/or Six Sigma projects
- Bachelor's Degree required (Business, Healthcare Management or Finance preferred)
- 3+ years project/program management experience, including demonstrated ability to lead complex projects to successful close
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Director, Revenue Cycle Job Description
Job Description Example
Our company is searching for experienced candidates for the position of director, revenue cycle. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for director, revenue cycle
- Monitor and manage revenue cycle (Parallon, Conifer, BSC) on key performance indicators for assigned facilities on a weekly basis
- Responsible for communication of HSC expectations and protocols within the assigned group
- Coordinate with assigned group service centers to achieve facility goals and expectations
- Responsible for management of a specific group of hospitals revenue cycle performance
- Ensure data integrity related to group MORs, Dashboards, SLAs and any reporting related to shared services performance
- Serve as the HSC liaison for group and facility leadership, responding to their needs appropriately and timely
- Support facility and group leadership in monitoring and ensuring applicable service center is honoring the service contract terms and consistently exceeding SLA requirements
- Assist group leadership with coordination of activities and performance across service centers to ensure standardization, best practices and achievement of optimal performance measures
- Conduct/participate in assigned group and facility MOR’s
- Lead the effort to implement six sigma/continuous improvementprinciples, including but not limited to the development of a trainingcurriculum and the creation and ongoing monitoring of performance metrics
Qualifications for director, revenue cycle
- 5+ years provider revenue cycle experience focused on receivables (A/R) management, denials management, and process improvement
- Travel is typical for this role and our associates leave out early Monday and return late on Thursday
- Location of residence is flexible for this role
- Responsible for management of on-site staff which may include Patient Access, HIM, Business Office functions
- Advanced knowledge of at least one practice management system and/or EMR system
- Masters Degree in Business, Information Systems, Health Care Administration