Director Revenue Cycle Ops

RadNet; Owings Mills (MD); On-site; USD 95,000 - 110,000; Full time

Job summary

RadNet is seeking a Director of Revenue Cycle Operations to lead reimbursement operations, including AR management, billing, and reporting. You will drive cash goals, budgets, and compliance across practice departments to optimize reimbursement performance.

The role requires setting strategic plans, ensuring timely educational programs, and guiding teams to improve charge capture and billing accuracy in a fast-paced healthcare environment.

Qualifications

• Knowledge of government/managed care arena including systems audits, analysis, payor strategies.
• Knowledge of developing budgets.
• Ability to communicate effectively through verbal and written communication.
• Proficient computer skills.
• Solid understanding of billing and reimbursement processes.
• Ability to demonstrate analytical problem-solving skills.
• Able to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.
• Ability to share information effectively and provide appropriate direction to staff.

Responsibilities

• Responsible for daily managing of Reimbursement Operations functions and Team Member Human Resource related issues.
• Responsible for achieving AR goals discussed semi-annually.
• Must maintain or exceed cash goals monthly as well as cash goals on an annual basis.
• Prepares operating budgets and effectively analyzes performance against those budgets.
• Responsible for daily, weekly, and monthly analysis on accounts receivable and determine any fluctuations that can effect collect rates.
• Responsible for implementing and maintaining billing compliance policies and procedures according to company and governmental guidelines.
• Assists in the development and presentation of timely educational programs on reimbursement, and charge capture topics/issues.
• Reviews MDIV related accounts receivable reports to identify trends, issues and/or problems with charge capture, coding and/or billing activities of the subsidiary.
• Provides expert guidance on all reimbursement-related issues.
• Recognizes and reports any payment or payer trends to the National Director of Reimbursement Operations and/or Management towards problem resolution, and seeks assistance as necessary to assure the protection of the A/R.
• Effectively utilizes team members ensuring appropriate levels of productivity.
• Develops and implements action plans relating to accounts receivable to present to Management.
• Develops communication activities that support the Mission, Vision, and Values of Radiologix.

Skills

Payor strategies

Budgeting

Analytical problem-solving

Effective communication

Billing knowledge

Tools

Billing software

Job description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Director, Revenue Cycle Operations, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.

Job Summary

The Director, Revenue Cycle Operations is responsible for the reimbursement operation function for the subsidiary to include; accounts receivable management, billing, collections and critical data reporting. Facilitates communication among all practice departments regarding information needs and time requirements to optimize reimbursement performance.

You Will

• Responsible for daily managing of Reimbursement Operations functions and Team Member Human Resource related issues.
• Responsible for achieving AR goals discussed semi-annually.
• Must maintain or exceed cash goals monthly as well as cash goals on an annual basis.
• Prepares operating budgets and effectively analyzes performance against those budgets.
• Responsible for daily, weekly, and monthly analysis on accounts receivable and determine any fluctuations that can effect collect rates.
• Responsible for implementing and maintaining billing compliance policies and procedures according to company and governmental guidelines.
• Assists in the development and presentation of timely educational programs on reimbursement, and charge capture topics/issues.
• Reviews MDIV related accounts receivable reports to identify trends, issues and/or problems with charge capture, coding and/or billing activities of the subsidiary.
• Provides expert guidance on all reimbursement-related issues.
• Recognizes and reports any payment or payer trends to the National Director of Reimbursement Operations and/or Management towards problem resolution, and seeks assistance as necessary to assure the protection of the A/R.
• Effectively utilizes team members ensuring appropriate levels of productivity.
• Develops and implements action plans relating to accounts receivable to present to Management.
• Develops communication activities that support the Mission, Vision, and Values of Radiologix.

If You Are

• Knowledge of government/managed care arena including systems audits, analysis, payor strategies.
• Knowledge of developing budgets.
• Ability to communicate effectively through verbal and written communication.
• Proficient computer skills.
• Solid understanding of billing and reimbursement processes.
• Ability to demonstrate analytical PROBLEM-SOLVING skills.
• Able to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.
• Ability to share information effectively and provide appropriate direction to staff.

Ideal Candidate Will Possess

• Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
• Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
• Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
• Follows OSHA regulations, RadNet and site protocols, policies and procedures.
• Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.

Pay Range: $95,000 - $110,000 per year