Job Summary:

Responsible for directing the Revenue Cycle activity. This position manages the processes and provides guidance, direction, and support for one or more of the following areas: registration, financial clearance, referrals/authorization processing, charge capture, coding, insurance follow-up, and research billing.

Job Duties:

• Responsible for day- to-day management of Revenue Cycle activities within the guidelines/policies and procedures.
• Reviews and manages A/R; to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue, and monitoring and management of denial rates and denial categories related to activity.
• Responsible for monitoring A/R and cash trends and instituting measures to control negative trends.
• Continually monitors processes identifies problems or areas of concern and recommends corrective actions.
• Implements enhancements to Revenue Cycle efforts; works on process improvement across multiple A/R functions; including registration, verification of benefits, interaction with patients/families, self pay amounts, prior authorizations, insurance verification/follow up/denials, charge capture, timeliness and accuracy of coding and documentation, compliance, payer correspondence, and cash posting.
• Collaborates and coordinates activities with clinical departments to improve processes, resolve problems, and enhance communications.
• Management duties include interviewing, selecting, and training employees; setting and adjusting pay rates and hours of work; planning and directing work; appraising productivity and efficiency, handling complaints/grievances and disciplining when necessary.
• Performs all other duties as assigned.

Education:

Bachelor's degree in Business Administration or related field is required.

Experience:

Seven (7) years of revenue cycle management experience is required. Two years of experience in a leadership role is highly preferred.

Supervisory Requirements:

Has the authority to direct the work of others, hire or fire employees, or provide recommendations as to the hiring, firing, advancement, promotion, or any other change of status of other employees.