EveryStep
Revenue Cycle Management Director
EveryStep, Des Moines, Iowa, United States, 50319
EveryStep, formerly known as HCI Care Services & Visiting Nurse Services of Iowa has led the charge to address a wide variety of community health care and social service needs, offering prenatal support and home visits to new moms, assistance to immigrants and refugees, compassionate hospice and home care services, and grief and loss support.
When Iowans face life’s most difficult moments, EveryStep offers support and empowerment at the right place and the right time. The non-profit’s 30 plus programs have a strong reputation and long history of serving vulnerable populations to help them live their best lives.
Come join an elite team who provide care and support to Iowans in 47 counties!
Purpose:
Manages and directs the fee-for-service billing and accounts receivable operations to ensure maximization of cash flow while improving patient, client, and customer relations. This position directs billing and collection, and works closely with Clinical Services and other departments to ensure quality and compliant billing data and records.
Responsibilities:
Maintains efficient and effective operations of Medicaid, Medicare, Private Insurance, Private Pay and other payer sources which may play a part of receivables.
Plans, directs and supervises the daily operations of the entire billing functions, including, but not limited to, making sure appropriate billing codes are used to generate proper billing and shorter receivable periods.
Oversees the current status of patient accounts and assists in identifying major hurdles in processes or regulations that may hold up collecting funds.
Provides pre-billing services, including, but not limited to, patient or family questions, insurance pre-authorizations, employee inquiries, etc. to ensure accurate billing statements.
Partners with teams to monitor trends in the coding or changes in record-keeping which may lead to billing issues. Develops systems or processes for optimal claims processing and assists in training personnel involved in billing practices.
Coordinates and ensures the entity and all its medical professionals, qualified or specified to provide revenue-generating services, are current on any credentialing activities or registrations. Manages a system for tracking and updating credentials in a timely and easily retrieved manner.
Manages the Accounts Receivable and Collection process. Develops effective reports to monitor aging reports and other possible issues. Identifies trends that may be contributing to a higher than acceptable rate of claim denials and develop strategies to improve collection performance.
Prepares monthly aging reports, quarterly analysis and potential write-off receivables.
Leadership Standards:
Complies with all established policies, procedures and guidelines, including state and federal regulations, to assure safe practices and quality services.
Ensures stewardship of financial resources.
Represents the organization in a professional manner and promotes a culture of integrity, respect, compassion, excellence and teamwork.
Establishes and maintains collaborative professional relationships within the organization and community.
Demonstrates ability to handle multiple priorities in an organized manner, make timely decisions, and exercise sound independent judgment.
Demonstrates commitment to continuous quality/performance improvement through development, implementation, monitoring and reporting of the balanced scorecard.
Clearly communicates roles, responsibilities, performance standards and expectations to staff.
Ensures staff have the necessary training and skills needed to be effective team members.
Regularly checks in with staff to provide constructive feedback and discuss progress towards goals, offering coaching, support or guidance as needed.
Clearly communicates organization objectives to staff, preserving confidentiality as needed.
Addresses performance or conduct issues immediately and provides effective counseling and corrective action as needed.
Recognizes and celebrates staff accomplishments and exceptional performance and services.
Qualifications:
Bachelor's degree in relevant field
At least 5 years medical billing experience required; at least 2 of those years in a leadership position
Involvement in a professional association, such as American Academy of Professional Coders or American Health Information Management Association, is preferable
Comprehensive knowledge of billing and collection procedures in compliance with Federal and Iowa laws and regulations, HIPAA, Medicare, Iowa Medicaid, BCBS and commercial insurance
Previous experience in Hospice, Home Care and Palliative billing
Strong management skills; ability to conceptualize work flows, develops plans and implement appropriate actions
Ability to handle multiple priorities in an organized manner, make timely decisions, and exercise sound independent judgment
Strong keyboarding and computer skills with the ability to learn work-related software
Must have valid driver's license, auto liability insurance and reliable transportation if driving is required
Successful completion of pre-employment physical, drug screen, 2-step TB test and background check
Working Conditions:
Physical requirements: Medium work exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects
Physical activities: Bending, stooping, squatting, kneeling, fingering and gripping and reaching
Environment: Hazards (chemicals, infectious diseases), Atmospheric conditions (fumes, odors, dusts, mists, gases)
Travel: Required between locations
Time: Work hours based on patient-driven census model
These characteristics are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Note: This job description is not intended to be all-inclusive. You may be required to perform other duties to meet the on-going needs of the organization.
EveryStep is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.
About EveryStepOne of Iowa’s oldest nonprofits, EveryStep has provided health care and community services since 1908. Our team of experts are driven by a single purpose - to care for people and connect them with support at every step of their journey. Each year, we help thousands of Iowans cope in times of crisis and move forward with stability, dignity, and hope.
The diversity and breadth of our programs ensure that we can meet a variety of needs at once and provide ongoing assistance over time. More than 30 programs and services:
Deliver in-home care to people who are ill, injured, or facing the end of life
Offer compassionate support to families experiencing grief and loss
Assist new and expecting parents and support the healthy development of young children
Help Iowans navigate complicated health care and social systems
Walk alongside refugees and immigrants arriving in our community
Bring wellness services to places where people are
Serving Iowa from 11 locations, nearly 400 employees and hundreds of volunteers are committed to EveryStep’s mission: We empower individuals, support families, and strengthen communities. There is at least one EveryStep program available to residents in every Iowa county. Every program is important and contributes to our mission.
#J-18808-Ljbffr
When Iowans face life’s most difficult moments, EveryStep offers support and empowerment at the right place and the right time. The non-profit’s 30 plus programs have a strong reputation and long history of serving vulnerable populations to help them live their best lives.
Come join an elite team who provide care and support to Iowans in 47 counties!
Purpose:
Manages and directs the fee-for-service billing and accounts receivable operations to ensure maximization of cash flow while improving patient, client, and customer relations. This position directs billing and collection, and works closely with Clinical Services and other departments to ensure quality and compliant billing data and records.
Responsibilities:
Maintains efficient and effective operations of Medicaid, Medicare, Private Insurance, Private Pay and other payer sources which may play a part of receivables.
Plans, directs and supervises the daily operations of the entire billing functions, including, but not limited to, making sure appropriate billing codes are used to generate proper billing and shorter receivable periods.
Oversees the current status of patient accounts and assists in identifying major hurdles in processes or regulations that may hold up collecting funds.
Provides pre-billing services, including, but not limited to, patient or family questions, insurance pre-authorizations, employee inquiries, etc. to ensure accurate billing statements.
Partners with teams to monitor trends in the coding or changes in record-keeping which may lead to billing issues. Develops systems or processes for optimal claims processing and assists in training personnel involved in billing practices.
Coordinates and ensures the entity and all its medical professionals, qualified or specified to provide revenue-generating services, are current on any credentialing activities or registrations. Manages a system for tracking and updating credentials in a timely and easily retrieved manner.
Manages the Accounts Receivable and Collection process. Develops effective reports to monitor aging reports and other possible issues. Identifies trends that may be contributing to a higher than acceptable rate of claim denials and develop strategies to improve collection performance.
Prepares monthly aging reports, quarterly analysis and potential write-off receivables.
Leadership Standards:
Complies with all established policies, procedures and guidelines, including state and federal regulations, to assure safe practices and quality services.
Ensures stewardship of financial resources.
Represents the organization in a professional manner and promotes a culture of integrity, respect, compassion, excellence and teamwork.
Establishes and maintains collaborative professional relationships within the organization and community.
Demonstrates ability to handle multiple priorities in an organized manner, make timely decisions, and exercise sound independent judgment.
Demonstrates commitment to continuous quality/performance improvement through development, implementation, monitoring and reporting of the balanced scorecard.
Clearly communicates roles, responsibilities, performance standards and expectations to staff.
Ensures staff have the necessary training and skills needed to be effective team members.
Regularly checks in with staff to provide constructive feedback and discuss progress towards goals, offering coaching, support or guidance as needed.
Clearly communicates organization objectives to staff, preserving confidentiality as needed.
Addresses performance or conduct issues immediately and provides effective counseling and corrective action as needed.
Recognizes and celebrates staff accomplishments and exceptional performance and services.
Qualifications:
Bachelor's degree in relevant field
At least 5 years medical billing experience required; at least 2 of those years in a leadership position
Involvement in a professional association, such as American Academy of Professional Coders or American Health Information Management Association, is preferable
Comprehensive knowledge of billing and collection procedures in compliance with Federal and Iowa laws and regulations, HIPAA, Medicare, Iowa Medicaid, BCBS and commercial insurance
Previous experience in Hospice, Home Care and Palliative billing
Strong management skills; ability to conceptualize work flows, develops plans and implement appropriate actions
Ability to handle multiple priorities in an organized manner, make timely decisions, and exercise sound independent judgment
Strong keyboarding and computer skills with the ability to learn work-related software
Must have valid driver's license, auto liability insurance and reliable transportation if driving is required
Successful completion of pre-employment physical, drug screen, 2-step TB test and background check
Working Conditions:
Physical requirements: Medium work exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects
Physical activities: Bending, stooping, squatting, kneeling, fingering and gripping and reaching
Environment: Hazards (chemicals, infectious diseases), Atmospheric conditions (fumes, odors, dusts, mists, gases)
Travel: Required between locations
Time: Work hours based on patient-driven census model
These characteristics are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Note: This job description is not intended to be all-inclusive. You may be required to perform other duties to meet the on-going needs of the organization.
EveryStep is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.
About EveryStepOne of Iowa’s oldest nonprofits, EveryStep has provided health care and community services since 1908. Our team of experts are driven by a single purpose - to care for people and connect them with support at every step of their journey. Each year, we help thousands of Iowans cope in times of crisis and move forward with stability, dignity, and hope.
The diversity and breadth of our programs ensure that we can meet a variety of needs at once and provide ongoing assistance over time. More than 30 programs and services:
Deliver in-home care to people who are ill, injured, or facing the end of life
Offer compassionate support to families experiencing grief and loss
Assist new and expecting parents and support the healthy development of young children
Help Iowans navigate complicated health care and social systems
Walk alongside refugees and immigrants arriving in our community
Bring wellness services to places where people are
Serving Iowa from 11 locations, nearly 400 employees and hundreds of volunteers are committed to EveryStep’s mission: We empower individuals, support families, and strengthen communities. There is at least one EveryStep program available to residents in every Iowa county. Every program is important and contributes to our mission.
#J-18808-Ljbffr