Director Revenue Cycle

Revenue Cycle Manager Oversee the operations of the revenue cycle/billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. Serves as the practice expert and go-to person for all coding and billing processes. Implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness. Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills. Follow up on claims using various systems, i.e. practice management and clearinghouse. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings. Supervises billing office personnel, which includes work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance. Keep up to date with carrier rule changes and distribute the information within the practice. Associates degree, preferably in business administration or related field. Bachelor's degree preferred; 7+ years of medical insurance/healthcare revenue cycle experience will be considered in lieu of the degree. Medical Coding Certification required. Minimum of 3 years medical insurance/healthcare billing and collections experience in a medical practice or health system, with a deep understanding of medical billing rules and regulations. Orthopedic preferred. Minimum of 2 years' supervisory or management experience is preferred.