Director of Revenue Cycle

HCF Management, Inc.; Lima (OH); Vor Ort; USD 110.000 - 170.000; Vollzeit

Benefits dieser Stelle

Promotion opportunities

Flexibility

Education/Learning

Competitive benefits package

Zusammenfassung

HCF Management, Inc. seeks a Director of Revenue Cycle to lead pricing, billing, payer relations, collections, denials, and reimbursement strategies across its family of companies.

The role focuses on optimizing cash flow and financial performance. You will oversee the billing department operations, ensure compliance with federal and state regulations, and collaborate across revenue cycle teams to improve accuracy and efficiency.

Qualifikationen

• Bachelor’s degree in business, accounting or related discipline.
• Understanding of long-term care billing processes and related regulations.
• Strong organizational, computer, and time-management skills.
• Experience in revenue cycle or billing roles in healthcare preferred.

Aufgaben

• Oversee and manage the operations of the billing department.
• Review, design, and maintain policies regarding pricing, billing, collections and analysis.
• Ensure billing operations comply with federal, state and payer regulations.
• Plan and direct patient insurance documentation, coding, billing and data processing.
• Analyze billing and claims for accuracy before submission to Medicare, Medicaid and insurers.
• Collaborate withCollections Manager and Denials Team to follow up on accounts.
• Track metrics related to billing turnaround, denials, and DSO.
• Maintain open communication with leadership on significant accounts.
• Audit current billing processes to improve efficiency and reimbursement rates.

Ausbildung

Bachelor's Degree in Business/Accounting

Jobbeschreibung

Introduction

As the healthcare industry continues to experience rapid growth, we remain dedicated to the basic fundamentals of a good employer. We offer many opportunities for growth, advancement, and on-the-job training. You want the best for your family, and we want the best for our family of employees. Enjoy a rewarding career filled with opportunities, recognition, challenges, security, and professional support.

Overview

The Director of Revenue Cycle is responsible for overseeing the overall policies and objectives of the HCF’s Family of Companies revenue cycle activities, including pricing, billing, third party payer relationships, collections, denials, and reimbursement rates, while monitoring adherence to HCF’s policies/procedures, to optimize cash flow and financial performance.

Benefits for the Director of Revenue Cycle:

• Promotion opportunities
• Flexibility
• Education/Learning
• Competitive benefit package

Responsibilities

• Follow HCF Policies and Procedures.
• Oversee and manage the operations of the billing department.
• Review, design, and maintain policies and procedures regarding pricing, billing, collections, and other financial analysis as needed.
• Ensure all billing operations are conducted in compliance with federal, state, and payer regulations, guidelines, and requirements.
• Plan and direct patient insurance documentation, coding, billing, and data processing to ensure accurate and efficient billing and account collection.
• Analyze billing and claims for accuracy and completeness before submission to Medicare, Medicaid, and insurance entities.
• Work in collaboration with Collections Manager, and Denials Team to follow up on outstanding accounts.
• Track and report metrics related to coding error rates, billing turnaround times, and DSO (Days Sales Outstanding).
• Maintain open communication lines with Collections Manager, Regional Directors of Operations, Business Office Managers, and Administrators on significant dollar amount accounts.
• Work in collaboration with the Compliance Department to manage relations with payers and providers to generate high reimbursement rates and low levels of denials.
• Auditing current processes and procedures to monitor and improve efficiency of billing operations.
• Perform other duties as assigned.

Requirements

• Must hold a Bachelor’s Degree in Business, Accounting, or a related discipline and/or have previous Revenue Cycle experience in long-term care.
• A thorough understanding of and experience with Long-term Health Care billing processes and strong organizational, computer, and time management skills are required.
• Experience – If you’ve had a job or experience in a position with similar goals and responsibilities, we’d love to connect with you.
• Skills – We’re looking for individuals that are compassionate, team players, social, trustworthy and service-minded.
• Characteristics – We’re looking for individuals that are self‑motivated, dependable, ethical, and ready to jump in and provide outstanding care and customer service to our residents.

The Company

Our Core Values, better known as We Care is that each and every employee in the organization is held to standards of Wholeheartedness, Excellence, Collaboration, Accountability, Respect, and being Ethical. Whether you work for HCF or become a resident of HCF, we can promise you one thing; we will treat you like family!