Job Description

• Provide strategic leadership and direction, and collaborate with other key leaders across the organization; build and maintain relationships with payer partners
• Manage budgets, oversight and internal audit/monitoring, and build/maintain cross-departmental relationships for up/downstream operational functions
• Ensure billing processes recover the maximum permitted payments in compliance with regulatory and contractual obligations
• Manage revenue cycle management team, including hiring, coaching and development, engagement, and retention
• Ensure all claims and invoices are billed accurately and timely using the correct forms and adhering to policies
• Assess and innovate new technology (EDI and billing management software) to create efficiencies and automate manual, paper-intensive processes and leverage enhanced data and reporting
• Meet company and department key performance indicators; analyze performance trends to identify emerging billing and collections issues and develop effective solutions
• Identify, assess, and promote improvements to internal processes and workflow to improve performance (billing efficiency, collections rates and speed, compliance, and client satisfaction)
• Lead cross-departmental initiatives to minimize write-off rates and resolve payer billing issues
• Understand government and managed care billing and collections while being a subject matter expert to the revenue cycle team

Required Skills and Experience

• Bachelor’s degree in Business, Management, Healthcare, or related field
• 10+ years’ work experience in the healthcare billing or revenue cycle management field, including experience managing a mid-sized or large RCM department within a provider organization (e.g., homecare, hospice, DME, etc.)
• Experience and knowledge of government and commercial payer billing regulations and best practices
• Experience working with major billing/practice management and EDI platforms
• Strong analytical and problem solving skills
• Excellent interpersonal skills; ability to lead a team and effectively communicate and influence across departments
• Strong proficiency in Microsoft Excel

Physical Requirements

• Repetitive motions that include the wrists, hands and/or fingers
• Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
• Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus