Omega Hospital
Director of Revenue
Omega Hospital, Metairie, Louisiana, us, 70011
Position Duties:
The position requires the following primary duties to be successful:
Managing the multiple components of the revenue cycle including pre-authorization, eligibility and benefits verification, claims submission, payments and payment posting, claims denial management, reporting, and any other functions which involve patient revenue management.
Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing quality control audits.
Implementing and managing a system to ensure that accurate billing information is entered into the billing system.
Setting and meeting collections goals by department and for the organization overall by managing the collection processes for individual patients, attorneys, and insurance companies.
Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
Overseeing the hiring and training of staff.
Attending monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes.
Planning and structuring the department workflow and staffing.
Correctly coding diagnoses and procedures.
Ensuring proper timely filing of all claims by implementing a timely standard of charge entry.
Annually reviewing and updating the charge master.
Negotiating contracts with insurance companies.
Collaborating professionally with clinical staff and all other departments to maintain unity and successfully resolve outstanding requests.
Keeping updated records and tracking reports as required by management.
Ensuring proper filing of liens.
Other duties as requested by the Director of Revenue that are consistent with and appropriate for this position title and role.
Position Metrics:
The execution of the position is quantifiably measured by the following:
Establishing, managing, and meeting department goals.
Maintaining quality control standards for the department through documented quality control audits.
Supporting the successful attainment of the global revenue goal.
Position Requirements:
Preferred Education Level: Master’s degree in Finance, Accounting, Healthcare Administration, or a related field.
Revenue cycle certification preferred.
Minimum of 5-7 years of experience in revenue cycle management, preferably in a multi-specialty medical clinic or similar setting.
Proven experience in a leadership role managing a revenue cycle team, as well as direct operational experience in all phases of medical revenue cycle.
MS Office & Excel experience.
Experience with EHR and PM software, specifically NextGen platform preferred.
Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills.
Team-oriented and able to work with various departments. Able to make sound decisions while on the move in a fast-paced organization.
Position Miscellaneous:
40 hours per week; extended work hours from time to time to meet deadlines.
Setting goals, meeting deadlines, and being compliant with departmental policies.
Ability to interact, engage, and communicate effectively with executive management, managers, and clinic employees.
Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard.
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The position requires the following primary duties to be successful:
Managing the multiple components of the revenue cycle including pre-authorization, eligibility and benefits verification, claims submission, payments and payment posting, claims denial management, reporting, and any other functions which involve patient revenue management.
Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing quality control audits.
Implementing and managing a system to ensure that accurate billing information is entered into the billing system.
Setting and meeting collections goals by department and for the organization overall by managing the collection processes for individual patients, attorneys, and insurance companies.
Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
Overseeing the hiring and training of staff.
Attending monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes.
Planning and structuring the department workflow and staffing.
Correctly coding diagnoses and procedures.
Ensuring proper timely filing of all claims by implementing a timely standard of charge entry.
Annually reviewing and updating the charge master.
Negotiating contracts with insurance companies.
Collaborating professionally with clinical staff and all other departments to maintain unity and successfully resolve outstanding requests.
Keeping updated records and tracking reports as required by management.
Ensuring proper filing of liens.
Other duties as requested by the Director of Revenue that are consistent with and appropriate for this position title and role.
Position Metrics:
The execution of the position is quantifiably measured by the following:
Establishing, managing, and meeting department goals.
Maintaining quality control standards for the department through documented quality control audits.
Supporting the successful attainment of the global revenue goal.
Position Requirements:
Preferred Education Level: Master’s degree in Finance, Accounting, Healthcare Administration, or a related field.
Revenue cycle certification preferred.
Minimum of 5-7 years of experience in revenue cycle management, preferably in a multi-specialty medical clinic or similar setting.
Proven experience in a leadership role managing a revenue cycle team, as well as direct operational experience in all phases of medical revenue cycle.
MS Office & Excel experience.
Experience with EHR and PM software, specifically NextGen platform preferred.
Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills.
Team-oriented and able to work with various departments. Able to make sound decisions while on the move in a fast-paced organization.
Position Miscellaneous:
40 hours per week; extended work hours from time to time to meet deadlines.
Setting goals, meeting deadlines, and being compliant with departmental policies.
Ability to interact, engage, and communicate effectively with executive management, managers, and clinic employees.
Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard.
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