Director of Revenue
1 year ago
Metairie
Job Description Position Duties: The position requires the following primary duties to be successful: • Managing the multiple components of the revenue cycle include pre-authorization, eligibility and benefits verification, claims submission, payments and payment posting, claims denial management, reporting, and any other functions which involve patient revenue management., • Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing of quality control audits, • Implementing and managing a system to ensure that accurate billing information is entered into the billing system, • Setting and meeting collections goals by department and for the organization overall by managing the collection processes for individual patients, attorneys, and insurance companies., • Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings, • Overseeing the hiring and training of staff, • Attendees monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes, • Planning and structuring the department workflow and staffing, • Correctly coding diagnoses and procedures, • Ensuring proper timely filing of all claims by implementing a timely standard of charge entry, • Annually reviewing and updating of charge master, • Negotiating contracts with insurance companies, • Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request, • Keeping updated records and tracking reports as required by management, • Insuring proper filing of liens The execution of the position is quantifiably measured by the following: • Establishing, managing, and meeting department goals, • Maintains quality control standards for the department through documented quality control audits, • Preferred Education Level: Master’s degree in Finance, Accounting, Healthcare Administration, or a related field., • Revenue cycle certification preferred., • Minimum of 5-7 years of experience in revenue cycle management, preferably in a multi-specialty medical clinic or similar setting., • Proven experience in a leadership role managing a revenue cycle team, as well as direct operational experience in all phases of medical revenue cycle, • MS Office & Excel experience, • Experience with EHR and PM software, specifically NextGen platform preferred., • Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills, • 40 hours per week; extended work hours from time to time to meet deadlines, • Setting goals, meeting deadlines and being compliant with departmental policies, • Ability to interact, engage and communicate effectively with executive management, managers and clinic employees, • Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard