Company Overview
Our client is the largest and fastest growing on-site radiology practice in the US. It is an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients. With state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, it exceeds the expectations of its clients, patients, and partners. It serves its clients with an operational focus, and, above all, a commitment to quality patient care.
Position Summary
The Director of Revenue Cycle who will lead a multi-faceted revenue cycle team, and be responsible for proactively driving revenue cycle transformation goals and ensuring full integration of revenue cycle strategies and activities as well as optimization and implementation guidance of revenue cycle operations required for radiology billing, billing system configuration, charge capture, coding, claim submission, insurance and patient accounts, collections, payment posting and customer service for our local radiology practices. This includes collections performance, billing team oversight, expense management, and vendor relations in accordance with company policies and in compliance with federal and state billing regulations. The Director will drive transformation of revenue cycle by applying technology, standardization and process improvement. The Director will oversee the strategic growth and development of RCM services while effectively managing the training and utilization of RCM staff, technology, and resources to ensure quality, high performing, standardized work processes and results. The Director must demonstrate a high degree of subject matter expertise and authentic leadership in order to develop, support, and sustain a successful RCM operation in a complex and changing operational environment.
Successful candidates will be healthcare leaders with a successful record in leading a high-volume, results-oriented revenue cycle team/division for a large, complex healthcare organization with a regional or national presence. Outstanding interpersonal and communication skills, mentorship and management of a high functioning team, and a strong track record of driving business results are essential.
Position Duties and Responsibilities
- Leads, manages and improves revenue cycle team, processes, policies and procedures, and technologies (across multiple local practices, vendors and billing offices) to ensure that they are developing, building and complying with a clearly defined, effective revenue management approach
- Oversees the management and continuous improvement of the operational standards and execution in the above listed functions to positively impact the overall collection, financial yield, cost of collection, accounts receivable days, and the service experience throughout. Leads and/or coordinates Breakthrough Business Process Improvement (LEAN) projects to increase effectiveness, improve efficiency, reduce denials, eliminate waste, and improve service experience
- Oversees the Financial Assistance (Charity), Financial Clearance, and Collection guidelines as well as the allocation of write-offs, related controls, and the procedures and tactics to maintain optimal levels of bad debt and charity
- Achieves radical, measurable performance improvements in each function of a scaled revenue cycle service operation, intervening on unfavorable trends and areas of risks. Develops and monitors a relevant performance reporting suite of metrics, and related structure of performance review meetings to establish an accountable environment
- Researches, develops, and applies proven financial, workforce, and process management principles and methods to optimize the revenue cycle. Monitors the local and national emerging and best practices associated with Revenue Management. Constantly reviews and evaluates the effectiveness and efficiency of revenue cycle operations and recommends and guides modifications as conditions change
- Continuously enhances the patient and physician service delivery aspects of the Revenue Cycle, including monitoring contact center metrics, patient satisfaction survey data, physician satisfaction survey data, and other data points to refine the procedures which impact the delivery of service and customer satisfaction
- Completes or contributes to the completion of various financial forecasts and plans, including annual budgets, annual capital needs, month-end financial reporting, receivables levels (days in AR and aging), cost center productivity, and input to long-range strategic plans.
- Leads and manages talent management activities such as hiring, retention, promoting, job performance evaluations, teammate retention, disciplinary actions, compensation adjustments, and termination with appropriate approvals as required
- Works with business unit executives and other functional area executives to develop a strategy that drives continuous business process improvement for growing revenue and mitigating denials
- Defines and implements vendor strategy. Cultivates and manages strong revenue cycle external contracts/relationships, performance and service levels, including functions outsourced, core and bolt-on technologies, specialty recovery vendors and collection agencies
- Develop and implement A/R, billing turnaround, clean claims, payer turnaround, adjustment, rejection, collection, bad debt and other metrics to measure revenue cycle performance
- Monitor key metrics and leading indicators to identify and ensure successful coding, claim submission and reconciliation and collections. Implement actions plans as appropriate
- Create policies, procedures and standards that support Best Practices and effective management within a cross-departmental organizational structure;
- Serve as a mentor, leader, partner and resident expert in the capture, management, and collection of patient service revenue, utilizing the drivers of financial performance (e.g. physician referrals, capacity utilization, payment denials) to attain short and long-term business, service and quality objectives;
- Accountable for superior customer service in call answering, inquiry follow-up, tactful, compassionate, professional and courteous handling of customers.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
- A. or B.S. in Business Administration or related field from a four year College or University and 7 or more years of related experience; or an equivalent combination of education and experience
- 7-10 years of management experience in revenue cycle in a fast paced, high volume, managed care environment preferred
- Demonstrated knowledge of Healthcare reimbursement/collections, medical billing, CPT/ICD9/ICD10 coding, financial reporting and management, with a strong knowledge of the collections process
- Radiology Revenue Cycle and Billing experience is preferred
- Experience in Diagnostic Radiology and Vascular Interventional Radiology (VIR) coding or supervising coders is preferred
- Experience in areas such as business process re-engineering, transformation, Six Sigma and Lean methods
- Experience in billing system and payor setup / configuration
- Able to adapt to changes in the work environment and manage competing demands
- Excellent inter-personal, verbal, and written communication skills
- Advanced computer skills and proficiency in Microsoft Office – Word, Excel, Powerpoint; knowledge of various ADT/Billing Information Systems (e.g. EPIC, STAR, Meditech) required
- Demonstrated ability to successfully lead process improvement projects
- Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups
- Effectively thinks big picture and also has ability to drill down into the details
- Strong communications skills; ability to listen attentively and to communicate information clearly and effectivelySelf-starter with high degree of drive, initiative, and follow through
By clicking Send Application, you agree to BlueSky Professional Services Group’s Privacy Policy.