Director, Revenue Cycle

Director, Revenue Cycle Well Care, LLC

• 2.

7 Charlotte, NC Job Details Full-time 1 day ago Qualifications Microsoft Word Customer communication Microsoft Excel Employee relationship building Bachelor's degree Centers for Medicare and Medicaid Services (CMS) Accounting and finance experience Full Job Description The Director of Revenue Cycle works under the supervision of the Senior Director, Contracting and Reimbursement. The primary functions of this position are to: (1) establish and maintain the organization's accounting principles, financial controls, auditing practices, and procedures; and (2) manage the performance and effectiveness of the organization's billing and revenue control function. The Director of Revenue Cycle supervises and monitors the accounting department. Coordinates and directs the formulation, monitoring and presentation of budgets. Responsible for financial affairs, procedures and records of the agency. Performs other duties as assigned.

PRIMARY JOB DUTIES

Maintains and directs the organization's accounting principles, audit practices, and procedures. Supervises and monitors the accounting and billing department. Provides financial oversight, leadership and support. Prepares financial reports, maintains subsidiary ledgers and completes journal entries. Organizes and performs work effectively and efficiently. Maintains and adjusts schedule to enhance team performance. Effectively demonstrates strong leadership abilities and promotes the mission, vision and values of the agency on a daily basis. Demonstrates positive interpersonal relations in dealing with all members of the organization. 1.0 60%

QUALITY OF WORK

1.1 20% Provides leadership and oversight of the Billing Team to ensure accurate, timely, and compliant claims processing and cash collections as evidenced by: Directs Billing Team operations to ensure claims are submitted accurately and within established timelines to optimize reimbursement and cash flow. Establishes performance expectations and monitors team output to ensure quality and efficiency in billing processes. Ensures appropriate processes are in place for identifying, escalating, and resolving claim errors and discrepancies to support clean claim production. Oversees payment posting accuracy and ensures timely resolution of variances impacting financial reporting and collections. Maintains accountability for meeting monthly billing deadlines and overall claims throughput targets. 1.2 20% Leads strategies and oversight to maintain accounts receivable performance and Days Sales Outstanding (DSO) within established organizational targets as evidenced by: Establishes accountability for routine A/R review processes and ensures timely follow-up on delinquent accounts in accordance with established policies and procedures. Monitors A/R trends, identifies risks, and directs corrective actions to improve collections performance and reduce aged receivables. Serves as escalation point for complex billing and payer issues, ensuring timely resolution and minimizing revenue impact. Oversees development and utilization of A/R reporting tools to support team performance and leadership visibility. Partners with Revenue Cycle leadership to ensure alignment of A/R management strategies with overall financial performance goals. 1.3 10% Ensures organizational compliance with all regulatory and financial reporting requirements related to reimbursement and revenue cycle activities as demonstrated by: Provides oversight and accountability for timely and accurate completion of Annual Medicare Cost Reports across applicable entities. Oversees preparation and submission of Quarterly Medicare Credit Balance Reports to ensure compliance with regulatory requirements. Coordinates and ensures readiness for financial reviews, audits, and external data requests, including appropriate documentation and response management. Establishes processes to ensure data integrity and accuracy in all regulatory reporting activities. Supports financial leadership with analysis and insights related to reimbursement reporting and ad hoc financial requests. 1.3 10% Provides strategic oversight of revenue cycle systems and workflows to ensure operational efficiency and compliance as demonstrated by: Oversees maintenance and optimization of the EMR and billing system related to payor setup, service configuration, and claims processing functionality. Ensures standardized processes and procedures are developed, documented, and consistently followed across billing operations. Directs implementation of approved rate changes, payor updates, and system enhancements, ensuring accurate system configuration and communication to stakeholders. Serves as executive resource for system-related issues, ensuring appropriate training, support, and process improvements are implemented. Ensures coding structures (HCPCS, CPT, Revenue Codes) are maintained accurately within systems to support compliant billing practices. Provides strategic input to leadership on operational improvements, system enhancements, and opportunities to improve revenue cycle performance. 2.0 10%

PRODUCTIVITY/USE OF TIME

2.1 5% Organizes and performs work effectively and efficiently as evidenced by: Participates in continuous performance improvement and completing all required educational programs for the Agency and profession. Recognizes and performing duties in an independent manner. Accepts personal responsibility for the completion and quality of work outcomes. Meets assigned deadlines Meets productivity expectations. Maintains a clean and safe environment. 2.2 5% Maintains and adjusts schedule to enhance team performance as evidenced by: Reports to work on time and returning promptly from errands, breaks, and meals. Manages personal work schedule and time off to promote smooth agency operations. Assists other team members to ensure completion of all work assignments. Demonstrates flexibility with changing workload/assignments. 3.0 10%

SITUATIONAL LEADERSHIP AND TEAM WORK

3.1 5% Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Communicates in a positive and productive manner, demonstrating respect for team members. Manages stress and personal feelings without a negative impact on the team. Maintains a positive attitude about assignments and team members. Promotes professional/personal growth of co-workers by sharing knowledge and resources. Collaborates and cooperates with other agency employees. Gathers feedback and input from staff when making changes in the department or agency. 3.3 5% In working relationships with other members of the management team, the Director of Revenue Cycle consistently demonstrates positive interpersonal relations skills. 4.0 20%

MISSION, VISION, VALUES

4.1 10% Maintains and promotes customer loyalty. Responds to all customers in a courteous, sensitive and respectful manner. Abides by the confidentiality and ethics policies of Well Care. Participates in community outreach activities that promote goals and objectives of the Agency. 4.2 10% Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by: Practices personal cost containment by responsible use of equipment, supplies, and resources. Completes the review period without a formal disciplinary action. Presents a clean and neat appearance in personal attire and one's work area. Performs his/her job in accordance with documents procedures established to maintain the safety and health of patients, employees, and visitors.

JOB SPECIFICATIONS

Education:

Bachelor's degree in Accounting or Finance with a minimum of 3 years experience in accounting/finance functions.

Licensure/Certifications:

None.

Experience:

Revenue Cycle leadership, accounting and billing experience preferred. Knowledge of Medicare and Medicaid guidelines, computer knowledge, word processing.

Essential Technical/Motor Skills:

Working knowledge of Microsoft Word, advanced Excel, E-mail, basic technical or medical knowledge of home health billing requirements.

Interpersonal Skills:

Excellent interpersonal skills required. Teamwork and communication skills essential for dealing with agency team as well as outside contacts.

Essential Physical Requirements:

Long periods of sitting or standing, walking, lifting and carrying files, reaching, stooping, long periods of data entry.

Essential Mental Abilities:

Prioritizing and good organizational skills required. Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgement, ability to follow procedures, ability to work independently.

Essential Sensory Requirements:

Must possess good sight, hearing, verbal skills, in order to carry out routine daily activities. Exposure to

Hazards:

Office environment, toner for office machines, high pitch of printers. Other

• Hours of Work:

  8:00 am
• 5:00 pm, Monday
• Friday.

Population Served:

All internal and external customers.