The Director of Revenue Cycle Management Operations is responsible for all revenue cycle activities at assigned hospitals and supervise assigned staff in the performance of their duties; to promote best practices and work with wound center staff to implement and maintain RestorixHealth revenue cycle policies and procedures and to participate in the implementation of new centers.What We Offer:
· Monday - Friday schedule, no weekends
· RestorixHealth is proud to provide employees with a comprehensive and attractive benefits program which includes the following:
· Medical, Dental and Vision Insurance
· Health Savings Account (with employer match) and Flexible Spending Accounts (General Purpose, Limited Purpose and Dependent Care)
· Employer-Paid Basic Life Insurance, AD&D and Short-Term Disability
· Voluntary Buy-Up Life Insurance (for self, spouse & children), Short-Term Disability and Long-Term Disability
· Voluntary Accident, Critical Illness and Hospital Indemnity Plans
· Employee Assistance Program
· Pet Care Discount Program
· Unlimited Vacation Time and Paid Holidays
· 401(k) Retirement Plan (with employer match)
· Internal ongoing educational/training opportunities
· Competitive compensation
· Performance incentive opportunities
· Continuous coaching & mentorship
Primary Responsibilities:
• Act as a liaison between assigned center and hospital Registration, HIM, Coding, Charge Capture, Patient Accounts, and other Finance Departments as the RestorixHealth revenue cycle consultant/expert.
• Responsible for overseeing visits/accounts and helping assigned wound care centers and hospital clients resolve their revenue cycle issues to identify, analyze and propose resolutions for problems resulting in ADRs, denials or changes that impede timely and accurate billing of wound care/HBOT services and timely reimbursement for those services.
• Through regular analysis, ensure each assigned center is compliant with revenue cycle policies and procedures. Supports and facilitates process and procedural improvements to the revenue cycle that contribute to favorable financial results and operational efficiencies Communicate infractions with the appropriate parties.
• Manage, train, and monitor performance of assigned Revenue Cycle Representatives (RCRs) to include timely A/R follow up and collections, problem solving, communications with insurances, centers and hospital clients, payment analysis/billing worksheets for invoice creation, and write offs. Monitor outcomes and create competencies to assure ongoing training is provided as necessary.
• Incorporates best management practices in the achievement of goals and objectives to improve process in cooperation with Intake, Payment Integrity, IT, RDCT/Clinical Staff, and Billing/ Collections, etc. on policies and procedures, and technologies (throughout the company) to ensure that they are developing, building and complying with a clearly defined, effective revenue management approach consistent with the overall mission and strategic plan of the company and hospital partners.
• Responsible for monitoring of unbilled A/R and assuring POR aging remains current (not to exceed 25% of total A/R > 90 days outstanding). In collaboration with RCR, evaluation and analysis of unresolved third-party accounts, unresolved accounts include unbillable, unauthorized, rejected, denied, underpaid and recouped accounts receivable
• Develop procedures to track trends, minimize disruptions, improve workflows, and increase collections.
• Through effective escalation process, communicate to VP and RDs, financial impact that center revenue cycle clinical and operational processes have on indicators such as denials and bad debt.
• Develop positive working relationships with all involved personnel including partnering with RestorixHealth Regional Directors and Program Directors to maximize performance of each center.
• Visit all assigned wound care centers, as needed, to implement and maintain productive…