Remote Director, Revenue Cycle Management

Summary

Join Circle Medical Technologies as a Director, Revenue Cycle Management to oversee and manage the financial operations related to the revenue cycle. As a key member of our team, you will develop and implement strategies to optimize revenue cycle and maximize revenue generation.

Requirements

• Must have excellent organizational skills, communication skills, and the desire and ability to learn and move quickly
• Knowledge and experience working with big commercial payers
• Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required
• Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations
• Strong problem-solving skills and ability to make timely decisions
• Strong attention to detail
• Demonstrated coding and billing knowledge/experience preferred
• Experience with the provider payor credentialing process

Responsibilities

• Develop and implement strategies to optimize revenue cycle and maximize revenue generation
• Manage and lead revenue cycle team including Billing and coding manager, Patient billing manager
• Ensuring compliance with all regulations and guidelines such as HIPAA and CMS billing requirements
• Negotiate and maintain relationships with Commercial Payors to facilitate timely and accurate reimbursement
• Monitor and Analyze KPIs related to revenue cycle performance such as days in AR, denial rates and cash collections
• Manage EHR/Medical billing Partner, holding them accountable to contract obligations, and SLAs
• Identifying and implementing process improvements to enhance efficiency and effectiveness in revenue cycle operations
• Providing training and education to staff on revenue cycle processes, policies and procedures
• Conducting regular audits to ensure accuracy of billing practices and no revenue leakage
• Oversee Weekly billing processes, including reporting and account balancing

Benefits

• Flexible vacation, eligibility after 90-days
• Plus 10 annual paid Holidays
• $500 annual education and development reimbursement
• Full medical/dental benefits, enhancing local provincial coverage + life & disability
• Wellness perks, including discounts for mental health programs and online wellness courses