Job Description

Director (Revenue Cycle)
Job Number: 19-07273
 
Be part of a company that delivers life-changing healthcare solutions. Eclaro is looking for a Director (Revenue Cycle) for our client in Coos Bay, OR

Eclaro’s client is among the world’s largest Healthcare companies, trusted by billions to provide superior, cutting-edge, and inexpensive medicine that improves health and well-being. If you’re up to the challenge, then take a chance at this rewarding opportunity!


Position Overview:
  • Provides leadership, direction, administrative oversight and change management towards continuous quality and efficiency improvement for revenue cycle functions of patient access, financial counseling, revenue integrity/CDM, health information management, payer contracting, reimbursement, accounts receivable and self-pay collections including optimal use of technology and vendor services
Responsibilities:
  • Responsible and accountable to direct, manage, lead, evaluate and develop the systems and personnel for revenue cycle functions
  • Develop, evaluate, monitor, improve and communicate key performance indicators for revenue cycle functions and prepares reports for CFO review and to support the annual financial audit
  • Develop, execute and maintain a detailed plan to improve revenue cycle performance and continually reduce days in accounts receivable, increase cash collections, reduce denials, reduce uncollectable write offs, improve patient and physician satisfaction
  • Develop plans to ensure that claims submitted comply with industry-wide leading practice and the rules and regulations of CMS, Medicaid and other payers
  • Directs and manages coding according to all HIPAA transaction set requirements and AHIMA ethical coding standards
  • Conducts analyses of variances, rejections, denials and write-offs to identify problems, trends and root cause solutions
  • Directs the development and implementation of goals and objectives for revenue integrity programs and processes (such as charge capture, compliance, Charge Description Master). Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services
  • Builds and maintains quality management and staff through thorough communication with leadership, other managers, staff and external sources, as needed
  • Develops and recommends operational and capital budgets for functions
  • Evaluates, negotiates and manages vendor/outsource services to support revenue cycle functions and optimal performance and customer service
  • Leads analyses and negotiation related to payer contracting
  • Researches and responds to physician requests for new products or procedure implementation; ensures that a requested product or procedure is not experimental, has federal approval
  • Ensures daily operations support and complies with all regulations and reporting needs set forth by the state of Oregon, CMS, the Joint Commission, Medicaid and other related agencies
Qualifications:
  • Bachelor of Science or Bachelor of Arts or Equivalent in related experience
  • Preferred Certified in Healthcare Compliance (HCCA)
  • Five years' supervisor or managerial experience in a health care setting, preferably with revenue cycle functions
  • Five years' experience working with registration, billing and financial data, accounts receivable, credit and collections, government and managed care reimbursement, and charge master/revenue integrity
  • Budgetary, documentation and reporting expertise
 

If interested, you may contact:
Daniel Villota
Daniel.Villota@eclaro.com
(646) 849-5358

 
 
Equal Opportunity Employer: Eclaro values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

 
 

Application Instructions

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