Director of Revenue Management

www.all4kids.org

Want to work for an award-winning non-profit organization that continues to be recognized for making a positive impact in communities? Come find out why Los Angeles Business Journal is calling us one of the “Best Places to Work!”

With more than a century of experience, Children’s Bureau is a trusted nonprofit leader in strengthening vulnerable children, their parents and the communities in which they live. We thrive on innovation, thinking differently and bringing life-changing moments to those in need.

Understanding Our Core Values:

• Collaboration: We view responsibilities as shared and provide support, feedback, motivation to others.
• Equity Mindset: We stand by building an inclusive and equitable working environment. We believe everyone here within the organization enriches our diversity by exposing us to a broad range of ways to understand and engage with the world.
• Mission-Driven: We performs duties in a manner that exemplify the Mission and Vision and ensure customer satisfaction. Customers of Children’s Bureau are defined as clients, families, co-workers and vendors.
• Ownership: We effectively manage our own work, and the work of our teams when relevant, ensuring delivery of high-quality work.
• Initiative: We proactively seeks opportunities to develop self and serve the organization.
• Communication: We demonstrate empathy and listening.

Benefits and Perks:

• Robust benefits package
• Generous paid time off and a culture that promotes work life balance.
• Selfcare opportunities, employee engagement initiatives and an extensive health and wellness program offered for all staff.
• A culture that cultivates learning and promotes growth and development through our award-winning internal university.
• Trauma Informed Resilience Oriented Care (TIROC): We build trust for our communities by implementing trauma informed values in the work that we do.
• Recognized as “DEI Non-Profit of the Year” by Los Angeles Business Journal

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Children’s Bureau of Southern CA proudly is committed and supportive of complete pay transparency. The position of Director of Revenue Management will pay $95,000/annually.

Additionally, the lifespan compensation range of this position is: $95,000/annually -$110,000/annually

Must have Covid-19 Vaccine and Booster.

Learn more about the Job:

This role's primary purpose is to ensure that the Mental Health & Wrap information systems and revenue management systems are performing efficiently. This role provides supervision of the other Revenue Management Staff.

This position works closely with the Mental Health Utilization Managers (UM) of each site and with the UM and QI committees, providing data, analysis and trouble shooting. This role monitors the technological systems and the revenue generating systems to ensure they are accurately performing to their optimal levels by communicating findings to Director of Mental Health, Director of Quality Improvement, and working with the appropriate staff and their supervisors. Additionally the Director of Revenue Management assists with the resolution of revenue generating issues and contract utilization related to both in-house systems and Los Angeles County DMH system, with an emphasis on data interactions and data analysis as it relates to utilization management. This role is required to engage in project management, problem analysis, and provision of direct user support for problems /questions resolutions and/or other Exym related matters. This role is responsible for overall contract management utilization.

Job Responsibilities:

• Primary responsibility for overseeing the work of the department and supervision of the Revenue Management personnel and ensure the quantity and quality of Revenue Management personnel work product.
• Develop mental health projection, forecast, and budget.
• Responsible for the distribution of the monthly Financial Workgroup Dashboard, Productivity, and other program reports.
• Demonstrate advanced understanding and support the management of database systems in within the department.
• Lead in project management for Improvement of Children's Bureau’s EHR, trouble ticket, and reporting systems.
• Work directly with Quality Assurance team by placing proper safeguards in our EHR to prevent inappropriate billing activities.
• Lead in the maintaining, monitoring, analyzing all in-house and DMH County & State Reports; notifying Director of Mental Health of any irregularities. This role is a Primary conduit to Exym and must understand all functions of the system and is a primary problem solver.
• Oversee the provision of detailed reports from claims with problems to the Supervisors identifying the discrete problem and the responsible party to fix the problem(s). Disseminates in-house reports to appropriate supervisors/managers and Director of Mental Health to notify of any irregularities in data and also track trends related to these reports
• Collaborate with UM Supervisor on work flow and ensures that office-oriented directives and policies and procedures are implemented in a timely manner. This role has the primary responsibility of creating all necessary procedure guidelines to instruct the Revenue & Office Support Specialist on all revenue oriented tasks. Participates in training Revenue & Office Support staff ensuring that the evidence the skill to conduct each aspect of their role and evidences the same to the UM Supervisor.
• Maintain up-to-date information on any DMH and EDI issues or changes and disseminate the information to appropriate staff.
• Assists in monitoring data for identification of QA trends.
• Coordinate with DMH to ensure 100% compliance to State of California Standards.
• Utilize and respond to problems noted in the tracking system. Log calls, attempt to resolve problems and route that information to the QIC.
• Primary Revenue Management representative to Quality Improvement Committee (QIC) to address any system or programmatic issues.
• Maintain positive external contacts, attending all pertinent DMH meetings and trainings related to program, including reporting to funding sources, community resources, collaborative partners, all issues related to Information Systems, etc.
• Work with Information Technology department to comply DMH security standards.
• Create and expand procedures of Revenue Management Department including cross training of Revenue Management personnel.
• Responsible for the creation of Negotiation Package for renewal of mental health contract.
• Lead the Mental Health Utilization Manager meetings and address utilization of funds, staff productivity, and claim status.
• Responsible for the filing of Cost Reports. This also includes researching discrepancies and reconciling Exym vs DMH billing of the prior years’ cost reports.
• Serve as the primary contract liaison for contract settlements
• Verify payments received from DMH and to guarantee that the agency billings are being submitted and paid accordingly.
• Responsible for contract utilization.
• Monitoring DMH mental health contract and ensuring that Children’s Bureau operates within the contract provisions.
• Lead the preparation for the changes to billing practices that result from county Integrated Behavioral Health Information System (IBHIS) Changes.
• Other related duties as assigned.

Job Qualifications:

• Six years' experience in IS related to health services required
• Minimum four years comprehensive experience related to information technology.
• Two years supervisory experience
• Education, Professional Training, Technical Training or Certification
• Minimum Bachelor's Degree in Business Administration or Information Systems with two years post graduate experience.

Knowledge/Skills

• Exceptional computer literacy including Windows, Word, Access, and Excel required. Experience in on-line database tools such as Zoho, preferred
• Advanced understanding of electronic data interface (EDI) and agency-based electronic health record (EHR) system required.
• Experience with L.A. County Department of Mental Health (DMH) information systems required.
• Understanding of DMH contracts and provisions.
• Ability to analyze data to assist in identification of QA trends and problem solve through data analysis and technical audits
• Strong team and organizational and time management skills.
• Demonstrated strong communication and interpersonal skills required.
• Ability to multi-task and perform general administrative duties.
• Ability to work in a multi-cultural environment required.

General

• Maintains confidentiality in matters of agency operations, personnel, and clients.
• Maintains positive communications with all agency staff, clients and visitors.
• Exercise good judgment in performance of duties and responsibilities
• Supports existing agency policies, principles and mission.
• Other related duties as assigned.

Job Type: Full-time

Pay: From $95,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Required)

Experience:

• Health Service: 3 years (Preferred)
• Supervisory: 2 years (Required)

Ability to Relocate:

• Los Angeles, CA 90007: Relocate before starting work (Required)

Work Location: In person