Director of Revenue Cycle

HCF Management, Inc.; Lima (OH); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Promotion opportunities

Flexibility

Education/Learning

Competitive benefit package

Job summary

The Director of Revenue Cycle at HCF leads the revenue cycle strategy across the family of companies, including pricing, billing, payer relationships, collections, denials, and reimbursement rates. You will ensure compliance with policies to optimize cash flow and financial performance.

We offer opportunities for growth, on-the-job training, and a supportive team environment. A Bachelor's degree and extensive experience in long-term care billing are required.

Qualifications

• Bachelor’s degree in Business, Accounting, or related discipline.
• Strong understanding of long-term health care billing processes and organizational, computer, and time-management skills are required.

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.

Skills

Revenue cycle management

Billing operations

Coding and documentation

Regulatory compliance

Data analysis

Education

Bachelor's degree in Business/Accounting

Job description

Introduction

As the healthcare industry continues to experience rapid growth,we remain dedicatedto the basic fundamentals of agood employer. We offer many opportunities forgrowth, advancement, andon-the-job training. You wantthe best for your family, and we wantthe best for our family of employees. Enjoy arewarding careerfilled with opportunities, recognition, challenges, security, and professional support.Join our helpful, caring, friendly team today!

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.