Revenue Cycle Director

POSITION SUMMARY: The Revenue Cycle Director is responsible for driving BVEP's revenue cycle teams to achieve organizational initiatives and maximize reimbursements, while ensuring adherence to policies and procedures, regulatory compliance, and industry best practices.

REPORTS TO: VP of Revenue Cycle

Salary will be based on knowledge, sklls, ability, and experience.

Travel is required for this position.

ESSENTIAL RESPONSIBILITES:

• Build strong cross-functional relationships with leadership teams and internal departments to evaluate and drive key tactical initiatives impacting the revenue cycle
  • Collaborate with Operations and Physician leaders to positively impact the patient experience
  • Collaborate with Accounting on revenue recognition
  • Collaborate with IT and Operations to ensure data integrity
• Drive Revenue Cycle Performance:
  • Build and Lead the Billing Team
  • Achieve Target Performance Metrics
  • Analyze Payor Contracts & Mix to Maximize Reimbursements
  • Drive Software Utilization, Automation, and Innovation
  • Ensure Adherence to Best Practices, Regulations, Billing Compliance & Policies
  • Be Proficient in the key Software Systems impacting the Revenue Cycle
  • Ensure the Timeliness of Claims Processing including correcting rejected/denied claims
  • Monitor Accounts Receivable for both patient responsible and insurance receivable to ensure timely payment of amounts due
  • Maintain established schedule for sending out Billing Statements
  • Manage the Bad Debt Process
  • Monitor the accurate and timely processing of Refunds
  • Identify trends and variances in Revenue Cycle data to ensure the overall health of the company's receivables and processes. Prepare status reports and recommendations for areas of improvement
  • Provide a monthly summary on key financial performance indicators
  • Evaluate the Fee Schedule on at least an annual basis to ensure optimization
• Lead the Integration of New Practice Partners:
  • Perform due diligence analysis on potential practice acquisitions
  • Create the integration plan to transition new practices to standard Revenue Cycle processes
• Participate in other internal committees, special projects or activities that promote improvements in organizational performance and/or advance the mission, goals, and objectives of Bridgeview Eye Partners
• Perform any other duties as assigned

CORE LEADERSHIP EXPECTATIONS:

• Strategic Development:
  • Be a champion of the company's overall culture and commitment to patient care.
  • Align strategic goals and resources to maximize profitability.
  • Identify competitors, expansion opportunities, customers, markets, and new industry developments and standards.
  • Drive organizational innovation and change.
  • Collaborate across the organization to identify needs and develop scalable solutions.
  • Work on integration and post-acquisition teams as needed.
• Performance Management:
  • Drive operational excellence to achieve the organization's financial goals.
  • Manage the company's finances, identifying ways to increase revenue and decrease costs, analyzing financial reports, and preparing operating budgets.
  • Deploy data and research to drive business objectives.
  • Manage the daily operations and revenue generation of the company and ensure its continual growth.
  • Maintain compliance with the organization's policies and applicable regulatory guidelines.
• Staff Development:
  • Build and lead creative, collaborative teams; develop people; and link performance to overall business objectives.
  • Guide and evaluate the work of other employees, including peers, to ensure a healthy working environment.
  • Proactively recruit, hire, train, motivate and retain current and future leaders.
  • Foster a diverse and inclusive organization.

EDUCATION AND/OR EXPERIENCE:

• Bachelor's degree in accounting or related degree preferred.
• Experience in revenue cycle management required.
• Previous Optometry/Ophthalmology experience a plus.

COMPETENCIES:

• Healthcare (professional) billing, broad knowledge of CPT and coding, claim submission requirements and other related industry terminology and practical use.
• Thorough understanding of the revenue cycle and how the various components work together.
• Understanding of medical terminology and EHR software.
• Proficient in Microsoft Excel.
• Leadership
• Strategic Thinking
• Problem Solving/Analysis
• Project Management
• Change Agent
• Decision Making
• Presentation Skills
• Technical Capacity
• Organizational Skills
• Communication Skills

PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):

• Physical Activity: Talking, walking, hearing, repetitive motion.
• Physical Requirements: Sedentary work.
• The worker is required to have visual acuity to determine accuracy, neatness, and thoroughness of the work assigned.
• Travel will be required for this position and requires a valid driver's license.