Director of Revenue

Position 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 audits
• Implementing and managing a system to ensure that accurate billing information is entered into the billing system
• Setting 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 meetings
• Overseeing the hiring and training of staff
• Attendees monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes
• Planning and structuring the department workflow and staffing
• Correctly coding diagnoses and procedures
• Ensuring proper timely filing of all claims by implementing a timely standard of charge entry
• Annually reviewing and updating of charge master
• Negotiating contracts with insurance companies
• Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request
• Keeping updated records and tracking reports as required by management
• Insuring proper filing of liens
• Other 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 goals
• Maintains quality control standards for the department through documented quality control audits
• Supports the successful attainment of the global revenue goal

Position 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 cycle
• MS Office & Excel experience
• Experience with EHR and PM software, specifically NextGen platform preferred.
• Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills
• Be 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 deadlines
• Setting goals, meeting deadlines and being compliant with departmental policies
• Ability to interact, engage and communicate effectively with executive management, managers and clinic employees
• Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard