Director of Revenue Cycle (10205)

ABOUT PARTNERCARE:

PartnerCare is a leading provider of interventional pain management and musculoskeletal services headquartered in Tampa, FL. With 50 providers and 30 locations across Florida, Georgia, North Carolina, Mississippi, and Tennessee, PartnerCare offers minimally invasive treatments that address the root causes of patients’ pain. Shore Capital Partners founded the platform through its initial investment in Jaffe Sports Medicine in October 2020 and the company has since partnered with an additional four leading interventional spine & pain practices. For more information, please visit: www.partnercare.com.

OUR COMMITMENT TO VALUES:

At PartnerCare, we are dedicated to upholding the core values of Compassion, Accountability, Respect, and Excellence in everything we do. We seek team members who are committed to providing high-quality patient care with empathy, taking ownership of their responsibilities, fostering a culture of mutual respect, and striving for continuous improvement. These values guide our work, shape our interactions, and define what it means to be part of the PartnerCare team.

SUMMARY

The RCM Director is responsible for overseeing and optimizing the end-to-end revenue cycle operations for an interventional pain management group. This role ensures efficient, compliant, and accurate billing, coding, collections, and reimbursement processes to maximize revenue while maintaining exceptional patient satisfaction. The Director will lead a internal team and external vendors, implement strategic initiatives through automation and collaborate with clinical and administrative leadership to drive financial performance and operational excellence. 

ESSENTIAL FUNCTIONS

• Revenue Cycle Management: Oversee all aspects of the revenue cycle, including patient registration, insurance verification, pre-authorizations, coding, billing, collections, and denial management, ensuring timely and accurate reimbursement.  
• Team Leadership: Manage third party billing vendors. 
• Improve workflow through automation utilizing advanced technology.  
• Process Optimization: Identify and implement process improvements to enhance efficiency, reduce denials, and accelerate cash flow while ensuring compliance with regulatory requirements (e.g., HIPAA, CMS, and payer policies, OCR scanners, pre-authorization, pre-submittal scrubbing).  
• Coding and Compliance: Ensure accurate coding practices (CPT, ICD-10, HCPCS) specific to interventional pain management procedures, maintaining compliance with federal, state, and payer regulations.  
• Financial Performance: Monitor key performance indicators (KPIs) such as days in accounts receivable, denial rates, and collection rates, and develop strategies to meet or exceed financial goals.  
• Technology Utilization: Oversee the use of revenue cycle management systems (e.g., HER, billing software) to streamline operations and improve reporting accuracy.  
• Collaboration: Work closely with clinical leadership and outsourced resources to align revenue cycle processes with patient care delivery, ensuring seamless patient experiences.  
• Training and Education: Develop and implement training programs for staff on billing, coding, and compliance best practices specific to pain management. 
• As other duties assigned. 

SKILLS, KNOWLEDGE, AND EXPERIENCE: 

• Certified Coder: AAPC or AHIMA 
• 3-5 years of coding experience 
• Minimum of 2 years of provider education 
• Minimum of 5 years in leadership with both internal and external teams 
• Knowledge of eClinicalwork, analytics platforms (i.e., PowerBi, Tableau, etc) 
• Strong excel skills (formulas, pivots) 
• Comprehensive knowledge of legal cases related to motor vehicle crashes 
• Strong knowledge of workers’ compensation 

DISCLAIMER: This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position.  Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.  Management reserves the right to alter, change or eliminate job duties at any time.  All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.  To perform this job successfully, the incumbents will possess the skills aptitudes and abilities to perform each duty proficiently.  Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others.  The requirements listed in this document are the minimum levels of knowledge, skills or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.