3 DIRECTOR - REVENUE CYCLE (RCM), LBH PARTNERS Jobs in Owings Mills, MD

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Director of Revenue Cycle Management (RCM)

CTTX Health

Owings Mills, MD | Full Time

$141k-187k (estimate)

1 Week Ago

DIRECTOR - REVENUE CYCLE (RCM), LBH PARTNERS

REVENUE CYCLE (RCM), LBH PARTNERS in Owings Mills, MD - LifeBridge Health

Owings Mills, MD | Full Time

$140k-185k (estimate)

3 Months Ago

DIRECTOR-REVENUE CYCLE MANAGEMENT 320996

Metro Assoc.

Owings Mills, MD | Full Time

$140k-185k (estimate)

1 Month Ago

DIRECTOR - REVENUE CYCLE (RCM), LBH PARTNERS

$140k-185k (estimate)

Full Time 3 Months Ago

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REVENUE CYCLE (RCM), LBH PARTNERS in Owings Mills, MD - LifeBridge Health is Hiring a DIRECTOR - REVENUE CYCLE (RCM), LBH PARTNERS Near Owings Mills, MD

Summary

POSITION SUMMARY:

Reporting to the Chief Operating Officer of PDI, the Director of Revenue Cycle Management (RCM) will provide integrated oversight and management of revenue cycle activities for assigned LifeBridge Health Partners (Partners) companies to achieve Service Level Agreements (SLAs). The Director is responsible in accordance with SLAs to establish, monitor and manage all functional areas of the intake, billing, and collection operations to support optimized billing and cash flow. The Director assists with overall business planning, strategy, budgeting, trend analysis, evaluation, and performance of the Partner’s revenue cycle outcomes to achieve KPI’s and SLA expectations. Consults, coordinates, and serves as a liaison with Partner Companies and LBH Revenue Cycle leadership to achieve all applicable goals.

Essential Functions:

Intake, Billing, AR Management: Directs the Intake, Billing, Collections and AR functions. Directs and manages teams responsible for these functions. Provides strategic leadership for assigned revenue cycle functions and resources to support effective operations. Establishes and implements intake, billing and collection processes to support achievement of SLEs and SLAs and efficient management of the revenue cycle processes affecting both unbilled and billed accounts receivable. Establishes and achieves KPI performance expectations, assesses variances, identifies, develops, and tracks corrective actions and reports outcomes for revenue cycle operations. Where work is done collaboratively with Partners leadership, actively participates in and facilitates the team planning to achieve SLAs, SLEs and KPIs results. Implements procedures to support the timely and accurate completion of intake, submission of claims to payers and timely and effective claims follow up according to SLEs, keeping in compliance with work standards for turnaround time staying within timely filing deadlines to avoid past-time filing denials and writeoffs. Implements procedures and processes for effective patient collections activities. Escalates issues, using data-informed approaches for informed decision-making to leadership regarding any barriers to SLA and SLE performance. Focus areas include: Payor contracting, EDI enrollment, insurance verification and benefit coverage, claim submission, claims follow up with emphasis on timely remittance receipt and posting of payment, denials with focus on avoidance, deposits, cash application issues, and any other issues affecting accounts receivable management. Establishes and monitors a program for adjustments, write-offs and refunds. Periodically and regularly reviews key transactions and specifically reviews and approves appropriateness of large balance transactions. • Mentors and coaches staff to optimize compliance with and achievement of LBH SPIRIT values and operations performance goals. Appropriately involves LBH HR resources to support achievement.

Operations Oversight: Provides operations oversight, technical support and guidance to Partners accounts based on SLA tier. Uses data -informed approaches to support smarter, more effective leadership decisions and achievement of best practice business outcomes. Provides direct or indirect services based on SLA Tier Agreements. Provides directly and/or advises on appropriate level of revenue cycle staffing needed to process referrals, claims and account inventories timely and accurately to maximize collections and achieve performance goals. Assesses and makes recommendations for labor needed for both current and outstanding work, distinguishing between temporary labor needs to resolve a surge of outstanding work and permanent work volume requirements. Assesses staffing is aligned with work volumes, identifies variances and recommends corrective actions. Identifies and measures vendor performance efficiency, KPI achievement and contract compliance. Develops and maintains collaborative effective informed communication and relationships with vendor contacts. Directs day-to-day operations and activities within assigned scope to achieve goals. Creates and maintains a tracking list of issues, actions, and problem-solving statuses. Monitors staff quality and productivity to ensure acceptable performance standards are maintained. Reviews results with associates preferably weekly and at least monthly. Mentors and coaches staff to optimize performance. Proactively maintains positive employee relations. Meets with the IS or technical teams of contracted vendors on a regular basis to discuss work requests, resolve issues, system changes and available features. Serves as a liaison between Partner, external vendors, and LBH leadership.

Fiscal Management: Monitors Partner Revenue Cycle performance and the RCM impact on Partner financial performance goals. Plans and coordinates intake, billing, and collection activities to ensure positive financial outcomes. Meets or exceeds KPI and budget expectations for assigned SLAs to support Financial Statement and Operating Cash Flow Margin performance. Indirectly influences outcomes when working in an SLA advisory capacity. Assesses and make recommendations for expenditures needed to achieve performance outcomes. Develops, implements monitors and complies with internal controls over accounts receivables and cash receipt functions. Stays abreast of local, state and federal payor and governmental regulations and monitors compliance. Ensures adherence to LBH corporate human resources, compliance and revenue cycle billing and collection policies and procedures. Acts as advisory or primary resource for Partner issues or concerns regarding PDI managed functions. Develops corrective actions and implements action plans to address financial and compliance concerns. Manages budget to ensure financial goals are met. Assists with budget preparation and monthly reporting of financial outcomes and KPIs. Prepares and distributes reports according to designated schedule. Meets with key stakeholders to review performance. Communicates with key stakeholders as often as needed.

Reporting & Analysis: Provides access to cohesive, consistent, high-quality data and analysis. Assesses availability and facilitates access to data, analysis, qualitative and narrative reports and dashboards concerning the activities and outcomes of revenue cycle functions, including both internally managed programs and external vendor performance. Ensures all activities are monitored and KPIs are reported on a regular basis. Convenes the appropriate stakeholders to intervene and decide on actions when indicators are not trending favorably.

Customer Service Models the behavior for customer service and takes initiative to ensure customer expectations are exceeded whenever possible. Seeks feedback about performance and services via regular meetings with key stakeholders. Extremely approachable, responsive, and able to communicate effectively with all levels of staff within LifeBridge Health and external partners. Regularly visits the LBH Partners, spends time on site or virtually with remote staff and seeks feedback regarding performance, needs and employee satisfaction.

QUALIFICATIONS AND REQUIREMENTS:

Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline.
Master's degree in business, accounting, finance, or healthcare administration.
5-7 years of relevant experience.
Experience with DME billing preferred.

Additional Information

As one of the largest health care providers in Maryland, with 13,000 team members, we strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.

Practice Dynamics, Inc., or PDI, was established in 1996 as the medical billing company for LifeBridge Health. PDI provides comprehensive professional billing services for hundreds of physicians and non-physician practitioners rendering services at Sinai Hospital, Northwest Hospital, Levindale Hebrew Geriatric Center & Hospital, Grace Medical Center and Carroll Hospital. PDI excels in both primary care and multi-specialty billing.