Director of Revenue Cycle Management
Nashville, TN Revenue Cycle
Job Type
Full-time
Description

  

The Director, Revenue Cycle Management will report directly to the Chief Revenue Officer and work closely with the Chief Financial Officer. This role is responsible for overseeing the day-to-day operations of the revenue cycle management process at Tennessee Orthopaedic Alliance (TOA). This includes assisting with the development and implementation of policies and procedures, key performance indicators and partnering with the organizations leadership team on the strategic vision of Revenue Cycle Management (RCM).


RESPONSIBILITIES:

To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below.

  • Plan and manage revenue cycle projects.
  • Implement and oversee daily operations with payment methodologies
  • Lead teams in the review of various aspects of the revenue cycle processes, evaluate alternatives, best practices, and provide recommendations for process efficiencies and improvement.
  • Lead process improvement initiatives and ensure successful implementation of revenue cycle changes and meet TOA RCM goals.
  • Participate in the review of revenue cycle systems and work with teams to define requirements and implement new systems or system enhancements that result in increased integration of systems and automation of processes.
  • Assist with the development and reporting of goals and benchmarks for key metrics in the revenue cycle.
  • Partner with cross-functional teams such as Operations/Information Technology/Clinical personnel to identify the root cause of issues precluding goals from being met and manage remediation plans and teams.
  • Act as liaison to improve the communication and working relationship between Senior Leadership and RCM teams
  • Assist with the development of training materials and deliver training for various aspects of the revenue cycle.
  • Lead change management projects for improvements in the revenue cycle including but not limited to changes in payers, service capture, billing rules and rates, and organization structure.
  • Recommend and implement report enhancements that improve the management of various aspects of the revenue cycle.
  • Manage teams with direct supervisory responsibility and work with indirect reports to implement revenue cycle improvements that result in process efficiencies and improved Accounts Receivable metrics including decreased denials and increased collections.
  • Periodically manages direct reports and work with  indirect reports regarding performance evaluations, revenue cycle orientation, training, and resolution of employee problems as required within position responsibilities.
  • Assist with development of policies, procedures, and best practices to ensure that revenue cycle performs to meet organizational goals
  • Utilize analytical skills to review reports and communicate to Site Management, Revenue Cycle Management, Senior  Leadership, Shareholders, Providers, and TOA’s Board of Directors.
  • Work with revenue cycle vendors to ensure optimal process and results and monitor vendors to identify issues or problems to      maintain best practices.
  • Help develop the revenue cycle team managers and develops to ensure best practices of RCM.
  • Perform additional duties and activities as required.
Requirements

  

Education and Experience:

  • Bachelor’s degree in Healthcare Business/Finance/ or related field preferred.
  • Minimum 7 years revenue cycle experience preferred.
  • Minimum 5 years management/supervisory experience preferred.
  • Project management experience required.
  • Experience in Healthcare industry required
  • Experience working in a large, geographically distributed environment preferred.
  • Experience working with payers and contracts
  • Experience working with a diverse team 

Other Skills and Abilities:

  • Demonstrate fundamental knowledge of Payer Reimbursement policies from Medicare, Medicaid, and commercial insurance.
  • Strong background in clinic, surgical, and ancillary provider services.
  • Strong communication skills, both verbal and written.
  • Demonstrated aptitude towards problem identification, resolution and comprehension.
  • Ability to think conceptually using creative, comparative and inductive reasoning to apply to existing concepts or to define new concepts.
  • Ability to work collaboratively with vendors, building and developing effective business relationships.
  • Possess and stay abreast with knowledge about revenue cycle processes and systems.
  • Certifications in revenue cycle a plus.