Director of Revenue Cycle

Medical Associates is looking for a talented leader to fill our Director of Revenue Cycle on our leadership team!

Skills You Bring:

• Dynamic, resourceful leader who brings an entrepreneurial spirit to deliver revenue cycle initiatives that drive results, persuade and influence others, and adapt to changing business conditions.
• Highly articulate when communicating and builds credibility with interactions; must be able to influence across all levels of the organization, from team to the executive level
• Action oriented, hands-on and with demonstrated experience in an innovative, fast-paced, performance-oriented environment
• Robust understanding of financial performance and business acumen

Benefits Package Includes:

• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay additional annual Profit Sharing)
• Flexible Paid Time Off Program
• Medical and Dependent Care Flex Spending Accounts
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Major Responsibilities:

• Maintain thorough knowledge of Medicare, Medicaid, and other third party payor regulations, ensuring Clinic compliance with these regulations. Serve as the subject matter expert on regulatory, compliance, and legal requirements associated with medical billing. Be the principal resource that directs providers and clinical departments in coding compliance and claims denial prevention. Identify revenue opportunities for departments.
• Direct patient scheduling, registration, billing, and collection processes to ensure accurate billing and efficient account collection. Establish and direct policies for assigned areas. Review and enhance insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices. Ensure systems are fully functional and maximized, and recommend new processes to improve workflows.
• Optimize clinic revenue through strategic third party payor contract evaluation, negotiations, and contract management.
• Review, monitor, and recommend updates to the Clinic’s fee schedule to maintain fees at levels that maximize reimbursement.
• Develop and monitor key performance indicators to measure Revenue Cycle process effectiveness, efficiencies, financial performance (collection rates, adjustments, bad debts, appeal rate success, etc.), team productivity, and customer satisfaction in patient facing areas. Implement strategies to improve lower performing areas and achieve best practice results. Regularly provide senior leadership with revenue cycle status including reports, metrics, and analysis.
• Oversee the accuracy and appropriate delivery of services in assigned areas indirectly through the supervision of others. Assist direct reports in problem solving and provide counsel and direction. Provide leadership and management development and succession planning within all assigned areas. Serve as a liaison to MA physicians and professional staff, clinical staff, and other business partners. Resolve conflicts and complaints as necessary.
• Provide leadership in operational strategy development and implementation of new and existing services, processes, and information systems. Ensure achievement of key organizational objectives in assigned areas.
• Lead budget development and financial oversight, and participate in facilities planning and development for assigned areas.
• Complete all other assigned projects and duties

Knowledge, Skills and Abilities

Experience: Five years to ten years of similar or related experience. Ideal candidate would have significant Revenue Cycle Leadership as a manager or above in an organization similar to our size or larger. Someone who can build rapport and credibility with everyone and will really collaborate as a team.

Education: Bachelor's degree, Master's preferred.

Interpersonal Skills: The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job.

Physical Aspects:

Reaching - Extending hand(s) and arm(s) in any direction.

Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping - Applying pressure to an object with the fingers and palm.

Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision - 20 / 40 or better in the best eye with or without correction.

Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers

Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status. Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster