Behavioral Innovations
Director of Revenue Cycle Management (RCM)
Behavioral Innovations, Addison, Texas, United States, 75001
Overview
Position Summary:
The Director of Revenue Cycle Management (RCM) is responsible for the execution and day-to-day management of all revenue cycle functions. This includes the direct oversight of accounts receivable collection efforts of the organization and for reducing bad debt associated with collection experience. This role will oversee payor billing, payor collections, patient responsibility management, contracting, credentialing, cash posting, and insurance verification. Working under the direction of the VP of RCM, this role will be responsible for executing all initiatives, system changes, and process improvements for the RCM team.Why choose Behavioral Innovations:Daily Pay:
Access your pay when you need it!Wellbeing Program:
Equipping you with tools to achieve your wellness goals.OVIA Health:
A Women's Health App supporting you throughout the entire Parenthood Journey.Employee Assistance Program (EAP):
Comprehensive support for your mental, emotional, and physical health.Supportive Team Structure:
Our clients and families are our top priority, and we foster a collaborative and expert team environment.Career Advancement Opportunities:
Ongoing training & Professional development for all employees.Insurance:
Medical, Vision, Dental, and Supplemental Insurance Policies.University Partnerships:
Enjoy tuition rate discounts.Pet Insurance!Duties & Responsibilities:Revenue Cycle ManagementHire, train and supervise the entire revenue cycle function to ensure timely billing and collection for all third-party payer contracts.Partner with the Senior Vice President of Outreach & Patient Access, Senior Director of Business Optimization, and Regional Directors of Operations to ensure proper processes are in place between the RCM teams and other functions of the organization to reduce denials and increase Authorizations and RCM teams to reduce and eliminate authorization related denials.Ensure that claims payments are posted accurately to all client accounts and uncollectible receivables are appropriately written off.Develop and oversee the Company’s patient responsibility collection strategies, vendor relationships, and processes to improve overall collection rate and client experience.Monitor denials and aging of receivables to identify problems and take corrective action in a timely manner.Coordinate and leverage third-party vendors and relationships to meet business objectives.CredentialingIdentify and implement ways to reduce the time to obtain credentials with newly hired clinical staff.Ensure the timely re-credentialing of staff when required.Responsible for integrating new locations into the Company’s revenue cycle function.Insurance VerificationOversee all aspects of the insurance verification process, including ABA therapy and Diagnostic Services verifications.Audit and ComplianceMaintain confidentiality in compliance with HIPAA regulations.Partner with the Senior Director of Business Optimization to design audit processes to ensure claims billing accuracy.Responsible for developing subject matter expertise in CPT code and payor requirements for all services delivered at the organization.Ensure compliance with all internal and external controls, payor requirements, regulatory requirements, policies, and procedures across all areas of revenue cycle.General Duties and ResponsibilitiesEnsure RCM team and relevant center staff are trained in RCM policies and procedures.Establish individual performance objectives (KPIs) to measure and improve performance.Identify performance improvement opportunities and design new processes that are scalable across the organization.Ensures patient satisfaction is achieved through courteous and effective communication, problem-solving and efficient processes.Develops written procedures for the centralization and standardization of the revenue cycle; continually monitors changes in workflow as needed to improve productivity.Professional:Demonstrating cultural values: Caring, Accountable, Collaborative, and Family-Focused.Requirements:Bachelor’s Degree in Business, Health Administration, Public Health or related discipline.A Master’s Degree in Health Care, Public Health or Business Administration is preferred.Minimum of 10 years’ professional RCM experience.Minimum of 3 years’ experience managing and leading a team of RCM professionals.Experience and expertise in building and maintaining RCM KPIs and dashboards required.Strong organizational skills.Strong analytical skills in root cause analysis and problem-solving.Upholding Integrity, Excellence, and the Heart of ABA:
For over 22 years, Behavioral Innovations has been providing center-based, evidence-based ABA Therapy across Texas, Oklahoma, and Colorado. Our Culture of excellence, teamwork, and care is guided by our core values and mission.
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Position Summary:
The Director of Revenue Cycle Management (RCM) is responsible for the execution and day-to-day management of all revenue cycle functions. This includes the direct oversight of accounts receivable collection efforts of the organization and for reducing bad debt associated with collection experience. This role will oversee payor billing, payor collections, patient responsibility management, contracting, credentialing, cash posting, and insurance verification. Working under the direction of the VP of RCM, this role will be responsible for executing all initiatives, system changes, and process improvements for the RCM team.Why choose Behavioral Innovations:Daily Pay:
Access your pay when you need it!Wellbeing Program:
Equipping you with tools to achieve your wellness goals.OVIA Health:
A Women's Health App supporting you throughout the entire Parenthood Journey.Employee Assistance Program (EAP):
Comprehensive support for your mental, emotional, and physical health.Supportive Team Structure:
Our clients and families are our top priority, and we foster a collaborative and expert team environment.Career Advancement Opportunities:
Ongoing training & Professional development for all employees.Insurance:
Medical, Vision, Dental, and Supplemental Insurance Policies.University Partnerships:
Enjoy tuition rate discounts.Pet Insurance!Duties & Responsibilities:Revenue Cycle ManagementHire, train and supervise the entire revenue cycle function to ensure timely billing and collection for all third-party payer contracts.Partner with the Senior Vice President of Outreach & Patient Access, Senior Director of Business Optimization, and Regional Directors of Operations to ensure proper processes are in place between the RCM teams and other functions of the organization to reduce denials and increase Authorizations and RCM teams to reduce and eliminate authorization related denials.Ensure that claims payments are posted accurately to all client accounts and uncollectible receivables are appropriately written off.Develop and oversee the Company’s patient responsibility collection strategies, vendor relationships, and processes to improve overall collection rate and client experience.Monitor denials and aging of receivables to identify problems and take corrective action in a timely manner.Coordinate and leverage third-party vendors and relationships to meet business objectives.CredentialingIdentify and implement ways to reduce the time to obtain credentials with newly hired clinical staff.Ensure the timely re-credentialing of staff when required.Responsible for integrating new locations into the Company’s revenue cycle function.Insurance VerificationOversee all aspects of the insurance verification process, including ABA therapy and Diagnostic Services verifications.Audit and ComplianceMaintain confidentiality in compliance with HIPAA regulations.Partner with the Senior Director of Business Optimization to design audit processes to ensure claims billing accuracy.Responsible for developing subject matter expertise in CPT code and payor requirements for all services delivered at the organization.Ensure compliance with all internal and external controls, payor requirements, regulatory requirements, policies, and procedures across all areas of revenue cycle.General Duties and ResponsibilitiesEnsure RCM team and relevant center staff are trained in RCM policies and procedures.Establish individual performance objectives (KPIs) to measure and improve performance.Identify performance improvement opportunities and design new processes that are scalable across the organization.Ensures patient satisfaction is achieved through courteous and effective communication, problem-solving and efficient processes.Develops written procedures for the centralization and standardization of the revenue cycle; continually monitors changes in workflow as needed to improve productivity.Professional:Demonstrating cultural values: Caring, Accountable, Collaborative, and Family-Focused.Requirements:Bachelor’s Degree in Business, Health Administration, Public Health or related discipline.A Master’s Degree in Health Care, Public Health or Business Administration is preferred.Minimum of 10 years’ professional RCM experience.Minimum of 3 years’ experience managing and leading a team of RCM professionals.Experience and expertise in building and maintaining RCM KPIs and dashboards required.Strong organizational skills.Strong analytical skills in root cause analysis and problem-solving.Upholding Integrity, Excellence, and the Heart of ABA:
For over 22 years, Behavioral Innovations has been providing center-based, evidence-based ABA Therapy across Texas, Oklahoma, and Colorado. Our Culture of excellence, teamwork, and care is guided by our core values and mission.
#J-18808-Ljbffr