Director of Revenue Cycle

Briarwood Village; Lima (OH); On-site; USD 90,000 - 140,000; Full time

Job summary

HCF is seeking a Director of Revenue Cycle to oversee policies and objectives of the revenue cycle across its Family of Companies, including pricing, billing, payer relationships, collections, denials, and reimbursement rates. This role aims to optimize cash flow and financial performance.

Responsibilities include managing the billing department, ensuring compliance with federal and state regulations, directing patient insurance documentation, analyzing claims, and collaborating with

Qualifications

• Bachelor's degree in Business, Accounting, or a related discipline.
• Experience with long-term care revenue cycle processes and billing.

Responsibilities

• Oversee operations of the billing department.
• Review and maintain pricing, billing, and collections policies.
• Ensure compliance with federal, state, and payer requirements.

Education

Bachelor's degree in Business/Accounting

Revenue Cycle experience

Job description

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.

Position 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.

Knowledge, Skills and Abilities: 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.

Benefits for the Director of Revenue Cycle:

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

What we look for:

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!

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.