Director of Revenue

Job DescriptionJob Description Position Duties:

The position requires the following primary duties to be successful: Managing the multiple components of the revenue cycle include 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 of 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 Attendees 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 of charge master Negotiating contracts with insurance companies Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request Keeping updated records and tracking reports as required by management Insuring proper filing of liens Other duties as requested of 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 Maintains quality control standards for the department through documented quality control audits Supports 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 Be team oriented and able to work with various departments. Be 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