Director, Revenue Cycle Job at Grand View Health
Schedule: Full Time, Days, Monday-Friday
Responsibilities
Under the general direction of the VP/CFO, the Director, Revenue Cycle plans, directs, coordinates and implements a fully integrated billing, AR management, cash posting, credit and collection process that includes a staff of professional and clerical positions. The Director of Revenue Cycle requires highly refined management, supervisory and communication skills that will facilitate timely resolution of sensitive collection issues and management to KPIs, goals and initiatives, including contact with patients, physicians, hospital administration, vendors and third-party payers.Essential Functions of the Director of Revenue Cycle:
- Supervises a systematic and fully integrated billing, AR management and credit and collection process. This requires ongoing procedure for securing and analyzing information concerning the patient's third-party coverage and/or ability to meet healthcare expenses.
- Establishes department goals and objectives.
- Directs appropriate follow-up procedures with responsible supervisory personnel to achieve collection of outstanding patient responsibility.
- Directs appropriate billing procedures with various third-party payers. This ensures monitoring all billing activity.
- Coordinates activity with other departments, such as Nursing, Information Services, Health Information Management and Case Management.
- Recommends and directs procedure for the referral of accounts to outside collection agencies.
- Coordinates and monitors the performance of outside collection agencies, including periodic on-site visits to those agencies.
- Interviews and evaluates new collection agencies or agency services available to the system.
- Directs the maintenance of a documented file on all collection steps taken. Collection steps must be defined for all slow and delinquent accounts. This involves schedules for collection letters and follow-up procedures.
- Plans and directs procedures for writing off bad accounts and secures written approval as required.
- Keeps abreast of all regulations and standards to ensure compliance with orders or directives issued by duly constituted governmental/regulatory agencies or third-party payers. This covers such areas as billing, reporting procedures and development of data to meet the requirements of billing and cost reporting for all payers.
- Regularly reviews aged trial balance of open accounts.
- Directs the recruitment and training of new personnel and evaluates personnel under their supervision.
- Keeps the VP/CFO informed on the status of patient accounts services and collection operations.
- Reviews and prepares reports regarding status of account receivable.
Qualifications
EDUCATION AND EXPERIENCE:- Bachelor’s degree or 10 years of billing experience required.
- 5-7 years of management experience in healthcare receivables management required.
- Experience working with system implementations and data element analysis required.
BENEFITS:
- Medical, free dental, vision insurance for full time and part time
- 403B
- Pension plan
- On-site discounted child care center
- Tuition reimbursement up to $5250 per year
- Free life insurance
- Free parking
- Paid time off
- Sick time
- Flexible spending accounts
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