Director of Revenue Cycle Management

LanceSoft, Inc.; Florida; Sur place; USD 90 000 - 110 000; Plein temps

Résumé du poste

LanceSoft, Inc. in Florida seeks a Director of Revenue Cycle Management to lead Medicaid/Medicare and commercial payer strategies across multi-program operations.

The role requires 7+ years in RCM with 2+ years in senior management, experience with FQHC/primary care revenue cycles, and Netsmart EHR expertise.

A bachelor's is required, master's preferred, and candidates should show strong analytics, KPI dashboards, and change-management skills.

Qualifications

• Bachelor's degree in healthcare administration, finance, accounting, business, or related field required; Master's preferred.
• 7+ years of progressive revenue cycle management experience, including 2+ years at a senior management level.
• Experience with primary care, FQHC, or community health center revenue cycle operations.
• Experience managing a revenue cycle of multi-program, multi-payer operations.
• Strong knowledge of Medicaid, Medicare, and commercial payer reimbursement methodologies.
• Expertise in claims processing, denial management, A/R, collections, and revenue-integrity practices.
• Strong analytics with KPI/dashboard capability and data-driven decision-making.
• Netsmart electronic health record experience required.
• Experience with Florida Medicaid and Florida MCOs required.

Connaissances

Revenue cycle management

Leadership

Analytics & KPIs

Payer reimbursement

Project management

Formation

Bachelor's degree

Master's degree

Outils

Netsmart EHR

Description du poste

Job Title: Director of Revenue Cycle Management

Duration:Permanent

Shift:Days 8 hours

Salary rate:100k and offering 100k plus.Anything over 100k will depend on the quality of the candidate This includes negotiation for a high-quality candidate for a sign-on bonus and/or relocation package.

Education Experience and Skill Required:

• Bachelor's degree in healthcare administration, finance, accounting, business, or a related field required; Master's degree preferred.
• At least seven years of progressive revenue cycle management experience, including significant behavioral health revenue cycle experience, of which 2+ years are at a senior management level.
• Meaningful experience with primary care, Federally Qualified Health Center (FQHC), or community health center revenue cycle operations.
• Experience managing a revenue cycle of a scope and scale comparable to Henderson Behavioral Health's, including multi-program, multi-payer operations.
• Strong working knowledge of Medicaid, Medicare, and commercial payer reimbursement methodologies and requirements.
• Sophisticated expertise in claims processing, denial management, accounts receivable (A/R) management, collections, and revenue-integrity practices.
• Strong coding and billing compliance knowledge.
• Working knowledge of provider and payer enrollment processes.
• Strong analytics and KPI/dashboard capability, with demonstrated ability to use data and financial reporting to drive decision-making.
• Experience improving an electronic health record's billing configuration, claims workflows, and related system build.
• Netsmart electronic health record experience required.
• Experience with Florida Medicaid and Florida Medicaid managed care organizations (MCOs) required.
• Demonstrated ability to lead both people and technology/process redesign initiatives, with strong project management, communication, and change-management skills.
• Experience with computer technology, general office equipment, and PC software in order to meet performance goals necessary to the position.
• Successfully clear initial background/drug screenings and all re-screenings as required for position.