Director of Revenue at Omega Hospital LLC

Job DescriptionJob DescriptionPosition Duties:The position requires the following primary duties to be successful:Managing the multiple components of the revenue cycle include pre-authorization, eligibility and benefits verification, claims submission, payments and payment posting, claims denial management, reporting, and any other functions which involve patient revenue management.Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing of quality control auditsImplementing and managing a system to ensure that accurate billing information is entered into the billing systemSetting and meeting collections goals by department and for the organization overall by managing the collection processes for individual patients, attorneys, and insurance companies.Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetingsOverseeing the hiring and training of staffAttendees monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changesPlanning and structuring the department workflow and staffingCorrectly coding diagnoses and proceduresEnsuring proper timely filing of all claims by implementing a timely standard of charge entryAnnually reviewing and updating of charge masterNegotiating contracts with insurance companiesCollaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding requestKeeping updated records and tracking reports as required by managementInsuring proper filing of liensOther duties as requested of the Director of Revenue that are consistent with and appropriate for this position title and role.Position Metrics:The execution of the position is quantifiably measured by the following:Establishing, managing, and meeting department goalsMaintains quality control standards for the department through documented quality control auditsSupports the successful attainment of the global revenue goalPosition Requirements:Preferred Education Level: Master’s degree in Finance, Accounting, Healthcare Administration, or a related field.Revenue cycle certification preferred.Minimum of 5-7 years of experience in revenue cycle management, preferably in a multi-specialty medical clinic or similar setting.Proven experience in a leadership role managing a revenue cycle team, as well as direct operational experience in all phases of medical revenue cycleMS Office & Excel experienceExperience with EHR and PM software, specifically NextGen platform preferred.Preferred: Ability to multi-task under time pressure. Strong communication and leadership skillsBe team oriented and able to work with various departments. Be able to make sound decisions while on the move in a fast-paced organization.Position Miscellaneous:40 hours per week; extended work hours from time to time to meet deadlinesSetting goals, meeting deadlines and being compliant with departmental policiesAbility to interact, engage and communicate effectively with executive management, managers and clinic employeesPhysical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard