Pasadena, California
Director of Revenue Cycle Job Opening in Pasadena, California - Rapidly expanding eye care company is looking to fill the Director of Revenue Cycle role.
The Director of Revenue Cycle manages and oversees the authorization, coding, billing, claims and collections. The Director of Revenue Cycle is responsible for maximizing the productivity and minimizing the errors of the Billing Department using structured auditing and reporting methodologies combined with follow-up training. The Director of Revenue Cycle will assume a strategic and practical role in the finance department to include day-to-day responsibility for billing processing and strategy, planning, management and analysis, and policy development.
ESSENTIAL FUNCTIONS:
To perform this job successfully, an individual must be able to perform each essential function satisfactorily with or without accommodation. The requirements listed below are representative, but not all inclusive, of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Full revenue cycle management of the organization.
Oversees the day-to-day activities of the authorization, invoicing and collections department.
Denials Management, including reporting, accountability and resolution.
Protects confidentiality within the parameters of federal guidelines and established policy and process as well as compliance with payer and provider contracts.
Leads in development and implementation of policies/procedures to assure compliance with new regulatory standards affecting billing/revenue.
Managing, training, and coaching individual team members, including creating personnel development and succession plans and partnering with HR as needed to maintain an engaged and productive team.
Strong research and auditing skills. Can analyze financial information and determine impact on the business.
Ability to identify and resolve issues in a timely and proactive manner.
Summarizing and communicating revenue cycle successes, challenges, and trends to the executive team.
Create and implement metrics for productivity and quality.
Create, develop, and implement Standard Operating Procedures (SOP), streamline processes.
Collaborating with the Finance team to manage the month-end close and annual audit processes.
:
Optimizing the Revenue Cycle
Results driven; aligns and allocates time and energy on key drivers.
Understands key metrics, revenue drivers, and ROI expense analytics.
Developer of Staff
Clearly communicates vision and aligns team members around it.
Identifies, develops and promotes potential Leads/Managers, and ensures that direct reports similarly develop their employees.
Provides continual, direct feedback; coaching vs. directing.
Appropriately delegates authority and responsibility, and holds accountable.
Recognizes and celebrates success.
Influencer of professionals
Ability to develop trusting, mutually-respectful relationships with professionals.
Tailors coaching style to the individual?s needs and appropriate professional boundaries (e.g., clinicians).
Active listener/observer of behavior.
Creates a win/win need for change.
Strategic Planner
Sets realistic monthly, quarterly, and annual objectives.
Measures and communicates monthly results.
Prioritizes work and time/schedule to achieve business objectives.
Plans ahead (6-12months) to anticipate and overcome potential obstacles to success.
Effective Collaborator with Peers and Support Resources
Oriented towards team success.
Effectively communicates needs and expectations.
Shares best practices.
Innovates to improve operational processes.
Resourceful; optimistic; humble.
Detail oriented, organized, process focused, problem solver, self motivated proactive, customer service focused.
Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
Ability to multitask effectively and work in a fast paced and sometimes ambiguous environment, without compromising quality of work.
Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the organization
QUALIFICATION GUIDELINES:
REQUIRED : Equivalent to Bachelor?s degree in Business, Finance, Accounting or Healthcare Administration or equivalent and 7 years billing experience with 3 years of management experience as a Billing Director.
Experience with working in an integrated health care system required; CareCloud preferred.
Must have experience and be A/R oriented, daily and monthly closings, and understand the revenue cycle for all payers.
Demonstrated knowledge of all Insurance companies, HMO's, PPO's, Medicare, third party payers
Directly overseeing payer and provider billing, collections, and cash posting
Facilitating communication between and extracting relevant information from a variety of stakeholders in order to comprehensively identify problems and subsequently create sustainable and scalable solutions
Excellent written and oral communication skills
DESIRABLE : Master?s degree in Business, Finance, Accounting or Healthcare Administration. Considerable prior coursework or on-the-job training in ophthalmology, insurance, or regional management. Knowledge of WORD, EXCEL, POWERPOINT; experience managing subordinates and teams.
Job Type: Full-time
Salary: $200,000.00 /year
Required education:
Bachelor's
Required experience:
billing: 7 years
management: 3 years
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