Director, Revenue Cycle Management Position Available In Broward, Florida

Director, Revenue Cycle Management

REVA INC – 3.0

Fort Lauderdale, FL Job Details Full-time Estimated:

$62.4K – $78.2K a year 1 day ago Benefits Paid holidays Disability insurance Health insurance Dental insurance Vision insurance 401(k) matching Qualifications Medical collection Medicare ICD coding 5 years Medical coding Medical office experience Healthcare Administration Microsoft Office Finance

ICD-10 HCPCS

Bachelor’s degree CPT coding Business Administration Senior level Leadership Medical terminology

Full Job Description Title:

Director of Revenue Cycle Management Location:

Fort Lauderdale, FL Reports to:

Chief Financial Officer Direct Reports:

Three + Extension of REVA Operations Center

ABOUT REVA REVA

is the largest, dedicated fixed-wing air medical transport provider, operating a jet fleet of ~14 aircraft. REVA’s team of 120 members with offices in Fort Lauderdale, FL, San Juan, Puerto Rico, Schenectady, NY, and Shannon, Ireland are the key to REVA’s success over the past 28+ years. REVA has seen significant growth after COVID-19 and today is primed for continued growth. The Vice President of Revenue Cycle Management provides financial, administrative, and clerical services to ensure accuracy and efficiency of operations. REVA developed an in-house RCM team in Q4 of 2021, and we are now looking for our next executive leader to take this department to the next level. This position leader will work along side the Chief Financial Officer and Chief Revenue Officer to maximize the opportunity to leverage In-network contract utilization obtained over the past 24 months. The VP of RCM will lead a team of three RCM staff members that include Utilization Review, Billing, and Collection roles. The VP of RCM will also develop synergies with the REVA Operations Center (ROC), which is the hub of all inbound lead generation and sales execution for the organization. Collectively the

ROC & RCM

will continue to see growth in private pay lead aggregation, insurance verification, hospital case manager sales conversion, and improved outcomes in closing rate. The VP of RCM role will also include leading all of the traditional RCM roles from 1st call to last appeal collection, all of which are outlined below.

RESPONSIBILITIES & OVERSIGHT

Verify patient benefits. Obtain Pre-Authorization numbers and Pre-Certifications. Responsible for preparation of 1500 forms (Billing). Prepares and submits clean claims to third party billing company. Identifies and resolves patient billing complaints. Follows and reports status of delinquent accounts. Reviews accounts for assignment and makes recommendations to the Accounting Manager, also prepares information for the collection agency. Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Sends delinquent accounts to collection agencies. Processes insurance payments to patient accounts in computerized system. Collaborate with the medical department on letters of medical necessity and other required medical documents. Coordinates collection of needed insurance documents from REVA Operations Center. Rebills insurance companies or other third parties to secure payment for patients. Responds to patient billing and statement inquiries. Prepare Health Insurance analysis reports on a weekly basis. Makes recommendations to management for write-offs. Executives approved write-offs. Responsible for all accounts receivable activities and ensure timely cash flow. Reconcile the accounts receivable ledger to ensure that all payments are allocated for and posted correctly. Manage claim denial process, appealing and resolving all claim denied by payers through denial recovery acceleration. Generation of DOS reports, providing weekly status updates to management. Directs efforts to maximize the amount of working capital available by minimizing the age of accounts receivable. Verify all necessary documents for each flight, completing a Flight Review Checklist. Receive and process client payments, including processing credit card transactions. Process client refunds, as necessary. Negotiate In-network contracts that are available. Month end reconciliations, between billing and sales systems Analytical review of potential flights to determine coverage under in network contracts and cost containment Manage Medicare and Medicaid enrollment and revalidations Obtain and execute Single Case Agreements (SCA) or Guarantee of Payment (GOP) Maintain and update patient admission paperwork Prepare and submit ONN letters and file with the IDR as necessary. Collaborate with Hospital and Insurance Case Managers to educate them and patients about our services and insurance coverage available

EXPERIENCE REQUIREMENTS

Bachelor’s degree in finance, Business Administration, Healthcare Administration, or related field preferred. Certified Denial Recovery Specialist Certificate (CDRS) preferred. Knowledge of medical terminology, billing & coding CPT, ICD-10, and HCPCS. Minimum of 5+ years leading / managing healthcare Revenue Cycle departments. Knowledge of insurance claim processing third party payers, Medicare, State and Federal Programs. Advanced in all Microsoft Office applications as well as medical office software. Medevac experienced preferred (Fixed wing or rotor).

PHYSICAL REQUIREMENTS

Lift 10+ lbs. Work various shifts and schedules.

COMPENSATION & BENEFITS

401k – with Company Match. HealthCare- Group Medical, Dental, & Vision plans available. Employee paid Long Term Disability, Accidental Death, and Critical Illness benefits available. Paid Vacation, Sick days, Holidays.

EXPERIENCE REQUIREMENTS

Bachelor’s degree in finance, Business Administration, Healthcare Administration, or related field preferred. Certified Denial Recovery Specialist Certificate (CDRS) preferred. Knowledge of medical terminology, billing & coding CPT, ICD-10, and HCPCS. Minimum of 5+ years leading / managing healthcare Revenue Cycle departments. Knowledge of insurance claim processing third party payers, Medicare, State and Federal Programs. Advanced in all Microsoft Office applications as well as medical office software. Medevac experienced preferred (Fixed wing or rotor).