The Senior Director of Revenue Cycle Management (RCM), under the direction of the VP of Revenue Cycle, is responsible for managing revenue cycle staff, processes, and technology that support multiple locations and all payers. The Senior Director of RCM will develop and manage policies and procedures to optimize all facets of revenue cycle operations driving efficient, accurate, and compliant billing activities to maximize reimbursement.

Job Duties and Responsibilities:

• Leads, directs, and oversees operations and activities for all of the RCM functions aligned to the goals of the organization.
• Leads the development and implementation of revenue cycle strategies, processes, and improvement initiatives to continuously improve the RCM process to maximize our billings and collections.
• Determine the structure of the revenue cycle management team and front-line staff to maximize RCM operations and cost.
• Leads a high-performing revenue cycle team by fostering a culture of accountability, teamwork, and continuous improvement.
• Ensures compliance in all aspects of RCM activities including coding and billing rules and regulations by payer and state.
• Responsible for monitoring and responding to any legislation/regulatory billing changes.
• Ensure the identification, analysis, and implementation of solutions designed to improve collection rates.
• Drive the design, execution, monitoring, and assessment of key RCM performance metrics to refine processes and improve efficiencies/productivity to reduce overall costs.
• Lead and manage large revenue cycle projects such as audits, budgets, and technology enhancements.
• Develop key relationships with Payers and Industry leaders to respond to trends in the healthcare industry to drive any necessary changes or improvements in revenue cycle mgmt. activities.
• Responsible for building and designing a high-performance management team by function and infrastructure to scale with the projected sales growth of the business.
• Develop and implement strategies, processes, and technology to continuously improve and manage the revenue cycle in a fast-paced, high-volume, evolving healthcare market.
• Consult and work directly with leadership across managed care, payers, and with technology to advise and consult on key processes and resource needs to improve operations, productivity, and collection rates.
• Manage payor contracts and credentialing across all payers to ensure that contractual terms are optimized, up-to-date, and in compliance.

Education and/or Experience:

• Bachelor's degree in Finance, Accounting, Business Management or related field
• At least 5-years of experience in healthcare receivables management
• 3 years experience in a management role

Skills/Specialized Knowledge:

• Extensive knowledge of medical insurance billing and collections across Medicare, Medicaid, and managed care including ICD-10 and HCPC coding and terminology.
• Extensive knowledge in collecting, analyzing, and reporting revenue cycle management data used to identify opportunities and strategies for improvement.
• Proven record of managing and coordinating concurrent projects, competing priorities, and critical deadlines.
• Ability to present and communicate with various audiences including the Executive Team.
• Proficient in Microsoft Office 365 (Outlook, Excel, Word, and PowerPoint)
• Proficient in operating Homecare/Home Health EMRs including but not limited to Axxess, Alayacare, MatrixCare, ClearCare, WellSky, Kantime, and Kinser.

Other Duties:

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time.

Work Environment:

Remote, with occasional visits to agency/branch locations as needed. This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.