Revenue Cycle Director

Location: Middletown, NYPay Rate: $100,000/yrStatus: Full-Time | Exempt
Hours: Mon-Fri 8am-4:30pON-Site Position

OVERVIEW OF PRIMARY RESPONSIBILITIES:
The Revenue Cycle Director is responsible for the day-to-day management of billing, payment posting, collections and verification/authorizations. Qualified candidates will possess supervisory experience with the ability to perform and write formal staff evaluations, provide feedback, and offer mentoring opportunities to allow staff to grow and achieve agency outcomes. In addition, candidates will have in-depth knowledge of Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance billing processes particularly for NYS behavioral health services

PRIMARY FUNCTIONS:

Responsible for oversight of billing team of up to 8 staff
Supervisory position in charge of maintaining billing systems, insurance verification/authorization management, directing billing, and collections
Clear understanding and working knowledge of claims processing, payer denials and appeals processes
Preparation of recurring and adjusting journal entries within areas of responsibility.
Completes financial analysis for audits and performs monthly and year-end receivables and income analysis to ensure revenue is maximized, advising on corrective actions and implementation plans.
Monitors and evaluates work productivity standards including identified Key Performance Indicators of billing team and individual staff for total revenue, collection rates, days receivables outstanding, and claim denials; supervising, coach and take necessary action to facilitate achievement of performance targets
Proactively reviews payer-aging reports and establishes achievable goals for accounts receivable reduction and/or cash acceleration. Notifies leaders of potential systemic issues and high risk/high exposure situations. Recommend and implement solutions for resolving aging receivables
Understands and can effectively back-up any position within the Billing Finance unit for which they supervise. Develops cross-training plans for staff to accommodate times of vacancy/absence
Maintains billing and accounts receivable guidelines by writing and updating policies and procedures including recommend changes to departmental procedures, and workflow to promote process improvements.
Compiles and distributes to leaders’ analytical reports weekly, biweekly, and monthly on productivity, billing, collections, denials, and write-offs for monitoring operations and updating financial systems
Complies with federal, state, and local legal requirements by understanding existing and new legislation; enforcing adherence to requirements; advising management on needed actions.
Possess intermediate computer skills, which include knowledge of word processors, spreadsheet, and database software and file maintenance. Responsible to create and design useful spreadsheets & databases independently and utilizes skills to assist and train others.
Write formal staff evaluations, provide feedback to the staff, and offer mentoring opportunities to allow staff to grow and achieve agency outcomes.
Responsible for communicating effectively with staff and leaders on a consistent basis

QUALIFICATIONS AND ATTRIBUTES:

5 years of experience in healthcare revenue cycle management and/or medical billing processes including knowledge of ICD-10, CPT, and HCPCS codes required
5 years of progressive related supervisory experience required
Experience with Electronic Health Record (EHR) systems Medical Billing Clearinghouses
Applicants will possess intermediate computer skills with demonstrated strengths in Excel and database software
Applicants must have strong problem solving and analytical skills
Applicants must be able to lead and work effectively in a team environment and independently when necessary

EDUCATION AND EXPERIENCE:

Associate’s degree in accounting or
Associate’s degree in a related field, complemented by 10+ years of progressive experience and increasing levels of responsibility.
Bachelor’s degree in accounting is preferred.

PHYSICAL CHARACTERISTICS:
The position is primarily performed in an office environment and involves extended periods of computer-based work. The employee must be able to perform the essential functions of the position, including reviewing financial documents, entering and analyzing data, operating standard office equipment, and communicating and collaborating with colleagues and other stakeholders, with or without reasonable accommodation.

The role may require occasional standing, walking, reaching, and handling routine office materials. Reasonable accommodation will be considered for qualified individuals with disabilities in accordance with applicable federal, state, and local laws.

IND2024