Director of Revenue Cycle Management

The

Director of Revenue Cycle Management (RCM) , reporting to the Senior VP of Revenue Cycle Management, acts as a strategic leader for all revenue cycle functions and activities with the goal of optimizing revenue. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations.

The

Director of RCM

is accountable for ensuring the coordination of operations, procedures, and best practices for billing, collections and follow up, and denials management for the assigned practices and specialty service lines. Specific functional areas of oversight include payment posting; EDI claims and statement submission; AR follow up for insurance and self-pay; and collections workflows. The director works closely with registration, coding and clinical areas to optimize revenue collection while ensuring a seamless billing experience for patients.

Only candidates who can reliably commute to the position's location in Northbrook, IL will be considered.

Responsibilities

Directs all activities for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience, and ensuring complianceProvides direction on the incorporation of new providers and client practices into existing patient accounts workflows, with a focus on optimizing AR collection for the groupWorks closely with IT department to implement RPA (Robotic Process Automation) to resolve barriers impacting optimal collectionsActs as a liaison to clinical and non-clinical departments to ensure that new initiatives and contracts are accurately implemented, monitored, and followedDevelops key performance indicators, dashboards, and system improvements to improve visibility and efficiency of the revenue cycle processWorks closely with SVP to develop and maintain appropriate internal controls for internal and external auditor or customers.Analyzes accounts receivable and denial reports to identify and develop system and IT improvementsDevelops staff that can analyze and recommend ongoing improvements to processes, procedures, systems, and reportsEnsures compliance with USAVC policies and procedures, health plan requirements, and federal and state laws and regulationsPerforms additional duties as assignedRequirements

Bachelor's Degree

required ; Masters

preferred

in a related fieldMinimum of 12 years of progressive responsibility in a revenue cycle department,

requiredMinimum of 7 years prior revenue cycle experience in a physician-driven Patient Accounts department

requiredThorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws,

requiredExperience with practice management systems

requiredStrong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables)

requiredStrong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing,

preferredPrior experience leading various areas of revenue cycle (billing, collections, denials etc.) with proven success in achieving revenue cycle efficiencies and improving cash flowStrong people management experienceBenefits

HealthDentalVision401K & MatchPTO