Director of Revenue Cycle

The Director of Revenue Cycle is responsible for managing all activities related to the Revenue Cycle and Enrollment Departments. The Director will maintain an in-depth knowledge and understanding of the business operations, will be accountable for the overall billing and enrollment functions within the center, and oversee all of the client billing and registration activities including accurate and proper documentation. The Director will lead staff in providing outstanding customer service to clients, co-workers, families, and responsible parties.

MINIMUM QUALIFICATIONS

· Bachelor’s degree in a related field: Business, Accounting, Finance, Healthcare Administration, Health Information Management.

· Five years of medical claims processing experience within an organization of $10 million or more in revenues and management experience.

· Three years of experience working within an EHR platform that supports a full array of healthcare or behavioral health services and working with a clearinghouse.

· Medical coding certification is preferred, but not required. (Certified Professional Coded CPC or Certified Coding Specialist – Physician Based CSS-P).

ESSENTIAL FUNCTIONS OF THE JOB

· Responsible for department KPIs, follow-up, payor accuracy, credentialing, client payer enrollment, access, billing, reimbursement, self-pay, financial counseling, revenue integrity, payer contracting, facility and professional billing, accounts receivable, and collections processes.

· Understands service provider contracting, value-based contracts, grants, third-party payers, mental and substance abuse board payers, state, local, and federal payers, and knowledge of out-of-state payers and contracting.

· Assures that clients, families, and responsible parties understand their financial obligations.

· Ensures processes exemplify a collaborative and team-oriented approach throughout the organization to develop, improve, and maintain productive relationships, solve problems, and contribute to organizational outcomes.

· Maintains sensitivity to the service population’s culture and socioeconomic characteristics.

· Maintains a personal commitment to professional behavior and socioeconomic characteristics.

· Maintains policies and procedures for billing compliance.

· Serves as a professional role model, leader, and mentor to team members by following organizational guiding principles and goals by establishing a good working relationship with the other departments and staff.

· Hire, supervise and develop staff through thoughtful and targeted evaluation tools.

· Works with the team to meet annual KPI’s as defined by leadership.

KNOWLEDGE, SKILLS, ABILITIES

· Experience with registration, billing, insurances, and claims; familiarity with commercial, Medicaid, and Medicare billing.

· Leadership, data analysis, Key Performance Indicator (KPI) reporting, and cross-functional collaborative experience are required.

· Detail-oriented with strong analytical, oral, and written communication skills.

· Prior experience leading a team, completing performance evaluations, hiring, and other HR/team management activities.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Supplemental pay types:

• Signing bonus

Ability to commute/relocate:

• Marion, IN: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person