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HealthLinc Community Health Center
Valparaiso, IN | Full Time
$137k-182k (estimate)
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HealthLinc
Valparaiso, IN | Full Time
$137k-181k (estimate)
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Director of Revenue Cycle (47278)
$137k-182k (estimate)
Full Time | Ambulatory Healthcare Services Just Posted
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HealthLinc Community Health Center is Hiring a Director of Revenue Cycle (47278) Near Valparaiso, IN

As Director of Revenue Cycle, you direct and oversee the overall policies, procedures, objectives, and initiatives of HealthLinc’s revenue cycle activities to optimize the patient financial interaction along the care continuum. This position will review, design, and implement processes surrounding pricing, billing third party payer relationships, compliance, collections, and other financial analyses to ensure that the revenue cycle is effective and accurate. This position manages staff for efficiency and effectiveness, monitors benchmarks and reviews performance statistics. Individual must be able to process large quantities of data to monitor Key Performance Indicators (KPI) and research all barriers to successful revenue cycle management. This position will report to the Chief Financial Officer.
Job Responsibilities
  • Oversight and management of Revenue Cycle Management (RCM) including coding, billing, collections, and denial management as well as financial reporting within the organization functions.
  • Ensures claims, denials, and appeals are efficiently processed, and resolving billing-related issues.
  • Provides up to date education and training to clinical, coding and billing staff.
  • Conducts research and updates a list of all coding procedures.
  • Identify organization improvement opportunities based on performance metrics and trends.
  • Develops, implements, and oversees billing and coding policies and procedures.
  • Conducts ongoing evaluation of billing and coding policies and procedures to optimize efficiency and ensure compliance with regulatory and contract requirements.
  • Manage all Revenue Cycle staff including billing supervisors, billers, coders, accounts receivable team; this will include day to day supervision as well as development opportunities, training, and mentorship.
  • Perform as a FQHC practice expert for programs on all issues relating to billing.
  • Supervise the billing department operations; perform duties such as charge entry, payment posting, reimbursement management, insurance verification, and claim submissions.
  • Coordinate with Controller on accounts receivable follow-up practices and procedures.
  • Communicate with Managed Care companies acting as a liaison representing the Revenue Cycle Management for all reimbursement issues.
  • Conduct monthly analysis of Medicare/Medicaid/Third Party Payers
  • Acts as liaison between HealthLinc and Medicare/Medicaid/Third Party Payers
  • Actively seeks opportunities to improve revenue cycle and the financial outcomes, engaging staff in the process.
  • Review and resolve issues related to claim generation and rejected/denied billings.
  • Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations.
  • Audits records to ensure proper compliance and reimbursement for billing of services on a random basis.
  • All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
  • Please note 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 with or without notice.
Required QualificationsEducation/Training
  • Bachelor’s degree in related field, Master degree preferred
  • Medical Coding Certificate (not required but highly preferred)
Experience
  • At least 10 years of managerial experience in an outpatient setting
  • At least 10 years of experience with ICD10, CDT and CPT codes
  • At least 10 years of experience with medical records charts
Skills/Job Requirement
  • Strong organizational and time management skills
  • Strong attention to detail and understanding of best practices related to revenue cycle
  • Planning and problem solving skills
  • Ability to implement change in a positive, sensitive and forward thinking manner
  • Excellent written and verbal communication skills
  • Proven ability to work well in a team environment
  • Ability to remain flexible and adaptable
  • Ability to follow HealthLinc policies and procedures

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$137k-182k (estimate)

POST DATE

06/01/2024

EXPIRATION DATE

06/27/2024

WEBSITE

healthlincchc.org

HEADQUARTERS

KNOX, IN

SIZE

100 - 200

FOUNDED

1996

CEO

BETH A WROBEL

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

Related Companies
About HealthLinc Community Health Center

HealthLinc is a nonprofit organization dedicated to improving health care for the residents of northern Indiana. We hope to enrich our communities lives by providing affordable, quality health care for all. HeathLinc is dedicated to providing quality medical, dental and behavioral health services without regards for a patients ability to pay. HealthLinc accepts Medicaid, Medicare and Private Insurance and for the uninsured, provides services on a sliding fee basis based on income and serves the uninsured and underinsured in Northern Indiana. We strive to take a holistic approach to health and ... wellbeing and pride ourselves on creating a health care home for our patients. We now have five clinics to better serve our community. You can also check us out on Facebook @ https://www.facebook.com/HealthLinc Employment Opportunities HealthLinc is a fast-paced, team-oriented work environment with a strong sense of mission. We offer competitive salary and benefits. A variety of positions may become available throughout the year. More
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