Illume Fertility
Director, Revenue Cycle Management
Illume Fertility, Norwalk, Connecticut, us, 06860
Company Overview :
Illume Fertility (formerly RMA of CT) specializes in the treatment of infertility, including assisted reproductive technologies (ART) like intrauterine insemination (IUI), in-vitro fertilization (IVF), and pre-implantation genetic testing (PGT). Illume Fertility is Fairfield County's largest fertility clinic and egg donation center and is led by eight board-certified reproductive endocrinologists. Illume Fertility is consistently recognized as an LGBTQ Healthcare Equality Leader and its Integrated Fertility & Wellness program offers holistic support via acupuncture, mental health counseling, support groups, and nutritional counseling. lllume Fertility has 5 convenient locations in Norwalk, Danbury, Stamford and Trumbull, CT, and Harrison, NY.
Position Overview :
We are looking for a Director of Revenue Cycle Management to promote Illume Fertility's core values and commitment to teamwork in all endeavors. This role will have multiple departments reporting directly to them. The Director is responsible for overseeing all aspects of the revenue cycle process and ensuring that revenue cycle operations are efficient, and accurate and Key Performance results are met. We are looking for Talented and highly motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of family building.
Duties and Responsibilities :Supervise closely all vertical departments that report to you, which include Verification of Benefits, Pre-certification, Financial Counseling, Charge Entry, Cash Poster and the Accounts Receivable teams to promote and develop productivity within each departmentEnsure departmental workflow efficiencies, adherence to internal controls, policies, and proceduresProvide continuous feedback to organization leadership team, specific to each verticalProvide monthly reporting on denial trends, monthly reporting on Insurance aging buckets, monthly reporting on outstanding self-pay aging ARLead weekly meetings with each manager from the various vertical departments, provide feedback and resolutionProactively review accounts for analysis on insurance reimbursements, determine when appropriate opportunities for fee schedule increasesDrive practice billing/AR KPI's to reach established targetsSet performance goals, Key Performance Indicators (KPIs), and benchmarks for revenue cycle operations. Monitor performance metrics, analyze trends, and implement performance improvements initiativesDevelop long-term relationships and lead though influence with key resources at payers to help drive down organization outstanding ARIdentify and troubleshoot billing and payer issues by analyzing denials, aging AR and payer feedbackUnderstand national payer guidelines, large local payer guidelines, coding requirements, and billing related regulatory requirements to guide RCM teams on best practicesIdentify root causes and trends leading to aging AR and identify how to proactively addressBe familiar with insurance portals to maximize the use of ins systems by all teams, related to claims reprocessing, verification of benefits, appealsMaintain Continual knowledge of payor policies to assure optimal reimbursement for all servicesPartner closely with accounting regarding revenue recognition, cash projections, and providing detailed accounts receivable and collection data for month end closingSupport in month end closing data, reportsCreate best practices for resolving patient AR including creating workflows that can be done pre and post visit to address AR build upMaintain relationships with key clinical stakeholders in the organization, allowing for a better understanding of best billing practicesMust work collaboratively with other leaders in the organizationInterface with physicians as needed regarding any RCM updates, answer questions on billing related items and help ensure effective communication between the providers and RCM teamEffective communication abilities for phone contacts with insurance payers to resolve issuesMaintain the highest degree of ethics when handling patient payments, communication with patientsAnalyze Contracts for opportunities in billable services and or rate increasesSupport auditors and the accounting department, by providing necessary review of systems and identifying instances when refunds should be issuedMeet positional metrics and benchmarksFollow all department standard operating procedures carefully and accuratelyOther duties as assigned by the Managing DirectorQualifications
Minimum 8+ Years of Leadership experience, as a Director, Associate Director, Sr Manager, Bachelor's Degree in health care administration preferredMinimum 8 + Years experience in complex billing functions, fertility experience preferredStrong understanding of revenue cycle processes, including billing, coding, verification of benefits, authorization requirements for the field of infertility, denials management and collectionsProficiency in data analysis, financial reporting, and revenue cycle analytics to identify trends, KPIsMust be comfortable charting large data sets and summarizing trendsYou can leverage technology to advance workflowsProven ability to lead and develop a team and drive performance improvement, demonstrated by KPI metrics being metData driven and process oriented, able to simplify complex conceptsStrong communication skills to effectively communicate with organization leadership, clinical departments, and other stakeholdersDemonstrate process improvement, project management, workflow, and benchmarking for organizationImmunization:
Staff member must meet immunizations requirements as stated in the Illume Fertility immunization policy.
TB inoculationFlu vaccineOthers as they become requiredBenefits:
401(k)401(k) matchingDental insuranceEmployee assistance programEmployee discountFlexible spending accountHealth insuranceHealth savings accountLife insurancePaid time offReferral programTuition reimbursementVision insurance
To learn more about us, please visit our website at Award-Winning Fertility Care in CT & NY | Illume Fertility
Monday-Friday40 Hours/week
Illume Fertility (formerly RMA of CT) specializes in the treatment of infertility, including assisted reproductive technologies (ART) like intrauterine insemination (IUI), in-vitro fertilization (IVF), and pre-implantation genetic testing (PGT). Illume Fertility is Fairfield County's largest fertility clinic and egg donation center and is led by eight board-certified reproductive endocrinologists. Illume Fertility is consistently recognized as an LGBTQ Healthcare Equality Leader and its Integrated Fertility & Wellness program offers holistic support via acupuncture, mental health counseling, support groups, and nutritional counseling. lllume Fertility has 5 convenient locations in Norwalk, Danbury, Stamford and Trumbull, CT, and Harrison, NY.
Position Overview :
We are looking for a Director of Revenue Cycle Management to promote Illume Fertility's core values and commitment to teamwork in all endeavors. This role will have multiple departments reporting directly to them. The Director is responsible for overseeing all aspects of the revenue cycle process and ensuring that revenue cycle operations are efficient, and accurate and Key Performance results are met. We are looking for Talented and highly motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of family building.
Duties and Responsibilities :Supervise closely all vertical departments that report to you, which include Verification of Benefits, Pre-certification, Financial Counseling, Charge Entry, Cash Poster and the Accounts Receivable teams to promote and develop productivity within each departmentEnsure departmental workflow efficiencies, adherence to internal controls, policies, and proceduresProvide continuous feedback to organization leadership team, specific to each verticalProvide monthly reporting on denial trends, monthly reporting on Insurance aging buckets, monthly reporting on outstanding self-pay aging ARLead weekly meetings with each manager from the various vertical departments, provide feedback and resolutionProactively review accounts for analysis on insurance reimbursements, determine when appropriate opportunities for fee schedule increasesDrive practice billing/AR KPI's to reach established targetsSet performance goals, Key Performance Indicators (KPIs), and benchmarks for revenue cycle operations. Monitor performance metrics, analyze trends, and implement performance improvements initiativesDevelop long-term relationships and lead though influence with key resources at payers to help drive down organization outstanding ARIdentify and troubleshoot billing and payer issues by analyzing denials, aging AR and payer feedbackUnderstand national payer guidelines, large local payer guidelines, coding requirements, and billing related regulatory requirements to guide RCM teams on best practicesIdentify root causes and trends leading to aging AR and identify how to proactively addressBe familiar with insurance portals to maximize the use of ins systems by all teams, related to claims reprocessing, verification of benefits, appealsMaintain Continual knowledge of payor policies to assure optimal reimbursement for all servicesPartner closely with accounting regarding revenue recognition, cash projections, and providing detailed accounts receivable and collection data for month end closingSupport in month end closing data, reportsCreate best practices for resolving patient AR including creating workflows that can be done pre and post visit to address AR build upMaintain relationships with key clinical stakeholders in the organization, allowing for a better understanding of best billing practicesMust work collaboratively with other leaders in the organizationInterface with physicians as needed regarding any RCM updates, answer questions on billing related items and help ensure effective communication between the providers and RCM teamEffective communication abilities for phone contacts with insurance payers to resolve issuesMaintain the highest degree of ethics when handling patient payments, communication with patientsAnalyze Contracts for opportunities in billable services and or rate increasesSupport auditors and the accounting department, by providing necessary review of systems and identifying instances when refunds should be issuedMeet positional metrics and benchmarksFollow all department standard operating procedures carefully and accuratelyOther duties as assigned by the Managing DirectorQualifications
Minimum 8+ Years of Leadership experience, as a Director, Associate Director, Sr Manager, Bachelor's Degree in health care administration preferredMinimum 8 + Years experience in complex billing functions, fertility experience preferredStrong understanding of revenue cycle processes, including billing, coding, verification of benefits, authorization requirements for the field of infertility, denials management and collectionsProficiency in data analysis, financial reporting, and revenue cycle analytics to identify trends, KPIsMust be comfortable charting large data sets and summarizing trendsYou can leverage technology to advance workflowsProven ability to lead and develop a team and drive performance improvement, demonstrated by KPI metrics being metData driven and process oriented, able to simplify complex conceptsStrong communication skills to effectively communicate with organization leadership, clinical departments, and other stakeholdersDemonstrate process improvement, project management, workflow, and benchmarking for organizationImmunization:
Staff member must meet immunizations requirements as stated in the Illume Fertility immunization policy.
TB inoculationFlu vaccineOthers as they become requiredBenefits:
401(k)401(k) matchingDental insuranceEmployee assistance programEmployee discountFlexible spending accountHealth insuranceHealth savings accountLife insurancePaid time offReferral programTuition reimbursementVision insurance
To learn more about us, please visit our website at Award-Winning Fertility Care in CT & NY | Illume Fertility
Monday-Friday40 Hours/week