Carepurchasing
Director, Revenue Cycle Management
Carepurchasing, Des Moines, Iowa, United States, 50319
The Director, Revenue Cycle Management
oversees and manages all revenue cycle activities for LCS to maximize reimbursement and cash collections in a cost-effective manner that follows federal, state, and payer-specific billing requirements. This position is responsible for leading a team of billing and finance experts to achieve this goal.The Role:Provide strategic direction for the revenue cycle function at LCS. Drive innovation, operational and technological enhancements, and standardization by leveraging best practices and processes.Develop a comprehensive strategy to respond to current and future challenges presented by legislation and compliance in order to monitor and address changing revenue cycle practicesConsult with the Health Services Division, communities, and vendors to develop efficient, patient-focused solutionsMaintains functional accountability for the insurance claim function which includes: monitoring the status of claims, denials management and tracking ADR requests in partnership with Health Services DivisionEnsures compliance with all federal, state, and local regulations governing rendered patient services and reimbursementCollaborate with corporate team to establish and drive departmental and organizational key performance indicators (KPIs) and dashboards around revenue cycle operations.Develop and implement operational policies and procedures governing revenue cycle management and billing compliance for the organization.Investigate and analyze issues, root causes, patterns, or trends and identify and implement process improvement actions in support of revenue cycle objectives.Optimize revenue cycle management systems to improve efficiency and accuracy of both billing and collections effortsProvide routine updates to leadership of key trends, KPI's, changes to third party payment policies and regulations and organizational risks and opportunities.Responsible for the effective management and leadership of a team. This includes, but is not limited to: hiring, training, coaching, evaluating and managing performance, allocating compensation, effectively handling employee relations issues, managing terminationsPerform other duties as assignedExperience and Qualifications:Minimum of 10 years direct experience requiredBachelor's degree preferred.A minimum of five years of progressive leadership and managerial experience at a large or multi-facility organization (preferably in skilled nursing) requiredKnowledge and skills:Extensive knowledge of operational revenue cycle management with PointClickCare experience preferred.Ability to demonstrate strong strategic thinking, collaboration, leadership, problem solving and communication skills with all levels of the organization requiredStrong reimbursement knowledge and understanding of SNF regulations, best practices, and quality improvement processes requiredKnowledge of state and federal regulations requiredStrong organizational and communication skills requiredExcellent attention to detail requiredAbility to multi-task and remain calm under pressure with excellent customer service skills requiredExcellent organizational and project management skills required
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oversees and manages all revenue cycle activities for LCS to maximize reimbursement and cash collections in a cost-effective manner that follows federal, state, and payer-specific billing requirements. This position is responsible for leading a team of billing and finance experts to achieve this goal.The Role:Provide strategic direction for the revenue cycle function at LCS. Drive innovation, operational and technological enhancements, and standardization by leveraging best practices and processes.Develop a comprehensive strategy to respond to current and future challenges presented by legislation and compliance in order to monitor and address changing revenue cycle practicesConsult with the Health Services Division, communities, and vendors to develop efficient, patient-focused solutionsMaintains functional accountability for the insurance claim function which includes: monitoring the status of claims, denials management and tracking ADR requests in partnership with Health Services DivisionEnsures compliance with all federal, state, and local regulations governing rendered patient services and reimbursementCollaborate with corporate team to establish and drive departmental and organizational key performance indicators (KPIs) and dashboards around revenue cycle operations.Develop and implement operational policies and procedures governing revenue cycle management and billing compliance for the organization.Investigate and analyze issues, root causes, patterns, or trends and identify and implement process improvement actions in support of revenue cycle objectives.Optimize revenue cycle management systems to improve efficiency and accuracy of both billing and collections effortsProvide routine updates to leadership of key trends, KPI's, changes to third party payment policies and regulations and organizational risks and opportunities.Responsible for the effective management and leadership of a team. This includes, but is not limited to: hiring, training, coaching, evaluating and managing performance, allocating compensation, effectively handling employee relations issues, managing terminationsPerform other duties as assignedExperience and Qualifications:Minimum of 10 years direct experience requiredBachelor's degree preferred.A minimum of five years of progressive leadership and managerial experience at a large or multi-facility organization (preferably in skilled nursing) requiredKnowledge and skills:Extensive knowledge of operational revenue cycle management with PointClickCare experience preferred.Ability to demonstrate strong strategic thinking, collaboration, leadership, problem solving and communication skills with all levels of the organization requiredStrong reimbursement knowledge and understanding of SNF regulations, best practices, and quality improvement processes requiredKnowledge of state and federal regulations requiredStrong organizational and communication skills requiredExcellent attention to detail requiredAbility to multi-task and remain calm under pressure with excellent customer service skills requiredExcellent organizational and project management skills required
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