Senior Director of Revenue Cycle Operations
Location:
Troy , Michigan
Posted:
November 17, 2017
Reference:
647521
Senior Director of Revenue Cycle Operations
U.S. Medical Management (USMM), an affiliate of a leading Fortune 250 company, manages a nationwide continuum of premier providers of medical services delivered primarily to the homes of elderly and homebound patients. Providing primary home care is the future of medicine, and at USMM, the future is now. With the knowledge and experience to address the evolution of healthcare, USMM is poised for a phenomenal future.
POSITION DESCRIPTION
This position will provide centralized management of all revenue cycle functions including but not limited to billing and collections, denials management, registration, intake, verification, cash posting and reconciliation, provider credentialing, and enrollment. The Director, Revenue Cycle Operations directs, manages, and implements programs and processes to increase revenue and support the organization's operational and strategic initiatives.
ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Lead the management of, and drive strategies to maximize reimbursement for all business lines of physician practices and ancillary services
  • Lead Revenue Cycle Operations and Provider Credentialing/Enrollment, fostering an environment of collaboration, accountability, and continuous improvement
  • Own and deliver on P&L and operational expectations
  • Identify and implement operational efficiencies across the revenue cycle focused on process improvement, standardization, and documentation of all systems and processes
  • Identify, analyze, and resolve all revenue cycle issues in a timely manner in collaboration with internal and external customers
  • Develop/modify written policies and procedures to ensure business functions of departments are performing accurately, efficiently, and ethically
  • Monitor compliance with all third-party payer requirements, exception handling, appeals, and denials
  • Determine key performance indicators and targets for each functional area and manage to those targets
  • Monitors the write-off process and credit balance process timely, to ensure all efforts are made to collect on due balances and refund balances as appropriate
  • Provides oversight of cash posting department to ensure payments are posted and reconciled timely and in compliance with payor contracts
  • Lead and develop revenue cycle staff through mentoring and coaching
  • Other duties/projects as assigned
REQUIRED KNOWLEDGE, SKILLS, AND EXPERIENCE
  • Bachelor's degree in Business, Finance, Accounting, or comparable years of leadership and revenue cycle experience
  • Minimum 5 years of steadily advancing leadership roles
  • Experience in revenue cycle operations
  • Ability to execute on operational concepts and achieve measurable targets
  • Experience with organizations that have billings of at least $100M annually
  • Effective communicator with the ability to partner with shared stakeholders to achieve mutual success
  • Demonstrated experience with prior implementation of revenue cycle initiative(s)
  • Experience providing service level agreements to internal and external customers
  • Experience creating departmental policies and standard operating procedures
PREFERRED KNOWLEDGE, SKILLS, AND EXPERIENCE
  • Minimum 10 years' experience in physician revenue cycle operations
  • Experience with credentialing/enrollment
  • Experience managing a large team (50+)
  • Ability to motivate team and create a culture of accountability at all levels

A little about us:
Our mission is to provide high quality, compassionate and cost-effective care to our patients through clinical leadership, outcomes management and maintaining an ethical workplace.

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