Director of Revenue Cycle
Job Type
Full-time
Description

Office location: St. Clair Shores, Michigan

Occasional travel to Grand Rapids and Flint- 2x per month


Reports to: Senior Director of RCM


The Director of Revenue Cycle is responsible for providing leadership, direction, management, and administration of departmental operations and services to ensure accomplishment of strategic objectives under the direction of the Solaris Corporate Senior Director of Revenue Cycle. This position ensures maximum collection efficiency while creating a culture of accountability and service to our patients. The Director of Revenue Cycle is responsible for the direction and oversight of the following centralized units within the Michigan region: Financial Clearance, Authorization, Financial Counseling, Coding, Revenue Integrity, Claim Readiness and Generation, Insurance AR (Accounts Receivable) Follow-up, Payment Posting, Denial Management, Customer Service, and Scheduling. Responsible for accuracy and compliance of claims processing, denial adjudication and collection processing as well as timely month end closing and evaluation of processes to ensure integrity and compliance of revenue cycle processes.


ESSENTIAL JOB FUNCTION/COMPETENCIES  

  • Directs, supervises, and coordinates overall Revenue Cycle Management (RCM) functions and activities in accordance with standards established by institutional, governmental, and other regulatory entities
  • Provides daily oversight of regional Revenue Cycle Management department, ensuring services are consistently delivered across all affiliate practices
  • Hires and retains a high-performing managerial team
  • Leads and motivates the team for maximum employee engagement
  • Ensures processes occur accurately and timely within assigned areas, holding the team accountable for driving results
  • Defines and measures Key Performance Indicators (“KPIs”), initiating root cause analysis and processes to ensure KPIs are aligned with best practices 
  • Contributes to the development of the region’s mission, goals, policies and procedures, budget, work standards in coordination with the Corporate Senior Director of Revenue Cycle and the direction of the Executive Operational Leadership
  • Initiates and ensures adherence to personnel policies and practices
  • Ensures the development and delivery of required staff training using a competency-based assessment program
  • Evaluates how staff resources are allocated to support business activities and revenue cycle initiatives
  • Presents regular report outs on the status of the regional Revenue Cycle department operations and performance to applicable board of directors and corporate leadership teams
  • Resolves problems and recommends changes to corporate leadership to ensure optimal practice operations
  • Collaborates with corporate and practice leadership on revenue cycle initiatives and operational processes with a fiscal impact
  • Evaluates the effectiveness and support of information technology applications to support operations and oversees enhancements/implementation of new applications, as needed, in coordination with corporate RCM leadership
  • Oversees Quality Assurance program that supports and contributes to the key elements of operational practice and compliance, including, but not limited to, financial performance indicators, patient satisfaction, and billing/coding compliance
  • Represents the department at public and professional meetings and conferences as requested
  • Facilitates communication and ensures proper flow of information at a corporate, regional, and local level 
  • Coordinates, as requested, operational committees and physician advisory committees
  • Collects data, prepares reports, analyzes statistics, and responds to correspondence in a timely manner
  • Supports Contract Management/Credentialing in the evaluation and negotiation of managed care contracts and operations in conjunction with senior corporate management
  • Demonstrates professional behavior reflective of leadership best practices
  • Maintains professional affiliations and enhances professional development to keep pace with revenue cycle industry trends
  • Manages special projects assigned by the Corporate Leadership
  • Manages the successful revenue cycle onboarding and integration of potential new practices/offices into the regional RCM model, including oversight of RCM diligence 
  • Identifies areas for improvements and drives change initiatives to improve overall RCM operations and financial outcomes
  • Maintains strict confidentiality

 

Requirements

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

Membership or affiliation with American Urology Association, MGMA and/or HFMA is highly recommended

KNOWLEDGE | SKILLS | ABILITIES

  • Demonstrates understanding of business and how actions contribute to company performance
  • Strong understanding of corporate finance and performance management principles
  • Excellent managerial and financial skills
  • Professional verbal and written communication skills
  • Ability to manage multiple tasks with excellent critical thinking skills while meeting company deadlines
  • Familiarity with diverse business functions
  • In-depth knowledge of corporate governance and general management best practices
  • Well organized with the ability to maintain accuracy and confidentiality
  • Ability to manage large team
  • Maintains a high level of confidentiality and ethical behavior
  • Excellent leadership communication skills
  • Skilled at garnering trust of physicians and partnering with them in education and coaching around RCM best practices 
  • Keeps abreast of industry trends and seeks opportunities to build knowledge and expertise via certifications, seminars, and other learning opportunities. 

EDUCATION REQUIREMENTS

Bachelor's degree in healthcare administration or business Management (master's degree preferred) 

EXPERIENCE REQUIREMENTS

  • Minimum 7 years RCM management experience within a physician practice, Managed Service Organization (MSO), or other medical environment
  • Proven experience in high-level leadership roles
  • Experience in Urology or physician practice environment preferred

PHYSICAL DEMANDS


Carrying Weight Frequency 

1-25 lbs. Frequent from 34% to 66%26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. . Seldom, up to 2%100 + lbs. Seldom, up to 2%

Lifting – Height & Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%Floor to Chest, 26-50 lbs. Seldom: up to 2%Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%Floor to Waist, 26-50 lbs. Seldom: up to 2%