Director of Revenue Cycle Management

Company Overview:

Danbury, CT based company is a leading provider of durable medical equipment (DME) solutions serving the healthcare needs of patients across 14 states and growing. With a focus on specialized products, exceptional customer service, and innovative solutions, we are committed to improving the outcomes and the lives of our patient customers.

Our products serve patients in the post-surgical space with call points including Orthopedic, Spine, Pain management and Surgical Podiatrists. Our lymphedema product line includes call points of Vascular, Podiatry, Lymphedema Clinics, Post-Oncology and Wound care.

Job Description:

The Director of Revenue Cycle Management is responsible for overseeing and optimizing the entire revenue cycle process, from patient intake and insurance verification to billing and collections. This role ensures that the organization maximizes revenue, minimizes losses, and adheres to all regulatory requirements. The Director will lead a team of revenue cycle and administrative personnel and work closely with operations staff to maximize revenue collection from the products and services delivered.

Job Responsibilities:

· Leadership and Management:

• Oversee the daily operations of the billing/collections department including leadership, employee training, hiring, discipline, monitoring quality/quantity of work, and maintaining department policies/procedures.
• Establish performance goals and conduct regular performance evaluations.
• Collaborate with management and senior leadership to streamline processes and improve financial performance.

· Revenue Cycle Operations:

• Oversee patient intake, insurance verification, billing, coding, collections, and payment posting.
• Develop and implement policies and procedures to optimize revenue cycle processes.
• Adjudicate claims with Commercial, Medicare, Workers Comp and No-Fault insurers. This includes In-Network, Out-of-Network and TPA’s.
• Contact all payers for claims status, follow-up denials, or partial payments in a timely fashion.

· Financial Performance:

• Monitor and analyze key performance indicators (KPIs) related to the revenue cycle including denial trends and insurance aging.
• Identify areas for improvement and implement strategies to enhance revenue and reduce denials.
• Prepare regular financial reports for senior management.

· Technology and Systems:

• Become adept at managing information within the Company’s EMR and Waystar.

· Compliance and Regulatory Affairs:

• Ensure the organization's revenue cycle processes comply with all applicable regulations.
• Conduct regular audits and assessments to identify compliance risks and areas for improvement.
• Coordinate with providers and payers to facilitate timely and accurate credentialing.

Qualifications:

· Education: Bachelor's degree. Major in Healthcare Administration, Business Administration, Finance, or a related field preferred.

· Experience: Minimum of 7 years of experience in healthcare revenue cycle management, with at least 3 years in a leadership role.

Skills:

· Strong understanding of revenue cycle processes, including billing, coding, verification of benefits, authorization requirements for DME, denials management and collections

· Proficiency in data analysis, financial reporting, and revenue cycle analytics to identify trends

· Demonstrate process improvement, project management and workflow for organization

· Proficiency with revenue cycle management software and EHR systems.

· Strong leadership and team management skills.

· Strong communication and interpersonal skills.

If you're passionate about improving patient care through effective revenue cycle management, we invite you to apply today and join our dedicated team at Rebound Medical!

Job Type: Full-time

Pay: $100,000.00 - $120,000.00 per year

Benefits:

• 401(k) matching
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Ability to Commute:

• Danbury, CT 06810 (Required)

Work Location: In person

Salary : $100,000 - $120,000