Director of Revenue Cycle

Company: Charlotte Eye Ear Nose & Throat Associates, P.A.
Location: Charlotte
Posted on: November 22, 2021

Job Description:

The Director of Revenue Cycle will be responsible for leading the Revenue Cycle Department to generate the best possible financial outcome for the company at the lowest possible compliance risk through research, collaboration, execution and communication. This position requires the ability to work onsite at our Charlotte, NC area offices. Candidates must be local or willing to relocate to the Charlotte, NC area in order to be considered.
Primary ObjectiveLead the Revenue Cycle Department to generate the best possible financial outcome for the company at the lowest possible compliance risk through research, collaboration, execution and communication.
Essential Functions

• Act as a resource for providers regarding billing of procedures
• Use the PB dashboard, monitor the KPI's each day, identifying any variations.
• Communicate with Supervisors and Managers within the Business Office regarding issues they have encountered which could potentially impact workflow or productivity within the department
• Communicate with Practice Managers any changes with insurance payors or Business Office processes which might impact the clinic staff.
• Oversee auditing of coding and communicate audit findings with providers.
• Monitor changes with coding and insurance policy regarding reimbursement and educate providers regarding these changes
• Work with Epic team to insure proper edits are in place to streamline billing processes.
• Keep CFO informed of any significant issues within the Business Office.
• Ability to meet the physical and mental demands of the position
• The ability to work on-site
• Predictable, reliable, and prompt attendance
  Skills and Abilities
  Detail oriented, Good Communicator, Ability to identify potential problems and resolve, ability to work with insurance companies and resolve issues impacting clinic revenue, Build a successful team, Work in a collaborative manner with Managers and staff.
  Core Competencies
  • Communication
  • Building Positive Working Relationships
  • Complex Problem Solving
  • Decision Making
  • Facilitating Change
  • Financial management knowledge
  • Planning and Organizing
  • Professionalism
  • Critical Thinking
    Training PeriodTraining period is typically 3 - 6 months. Candidate will know the mechanics of the job, but will need to learn the specifics as it applies to CEENTA and all related companies.
    Education
    • Bachelor's degree required
    • MHA or MBA Preferred
      Experience
      • Minimum 5-8 years of health care billing and/or coding management experience
      • Knowledge of CPT, HCPCS, and ICD-10 coding
      • Knowledge of revenue cycle KPIs
      • EPIC experience preferred
        Work EnvironmentThe work environment characteristics described are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The work environment of this position is variable. At times, this position may work in a quiet office, remotely, or possibly at a high-volume site location. This position utilizes a computer and telephone daily.
        Supervisory ResponsibilitiesSupervises Direct Reports:
        • Manager, Coding and Denials
        • Supervisor, Insurance
        • Supervisor, Posting
        • Manager, CredentialingCoach Department managers on business plans, staffing and decisionsEnsure all RCM department tasks are completed with compliance to the Company and regulatory standards including, but not limited to:
          • Account Receivables
          • ERA, Manual Check and Collection Agency Payment Postings
          • Statement Processing and Refunds
          • Medical Coding and Provider Training
            Position Type and Expected Hours of WorkSalaried exempt; 8:00am - 5:00pm, Monday - Friday
            Physical and Mental RequirementsThe physical and mental demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Physical Demands: Sitting for long periods of time, working on computer for long extended periods of time.Mental Demands: Multi-tasking
            Other DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. In addition to those essential functions identified above, individuals in this position are also responsible for performing other duties or tasks that may be assigned. CEENTA retains the discretion to ad or change the essential job functions of this position at any time without notice.
            A Typical Day in the PositionReview the PB Revenue Cycle Dashboard to identify any significant fluctuations in Charges, Payments, Days in A/R and other KPI's. Review WQ's monitoring them for increases and research to identify any issues contributing to the increase. Communicate with Business Office Managers and Supervisors to identify and address any issues impacting their department. Address any issues as they arise. Keep CFO and CEO informed as to any significant issues which may impact revenue.

Keywords: Charlotte Eye Ear Nose & Throat Associates, P.A., Charlotte , Director of Revenue Cycle, Executive , Charlotte, North Carolina