Senior Director, Revenue Cycle Management (Finance)
The Senior Director of Revenue Cycle Management oversees and directs the overall policies, objectives, and initiatives of our organization's revenue cycle activities to achieve operational goals and cash flow targets for our customers. The Senior Director leads and manages several managers within the team responsible for day-to-day management of the team leaders and members. This role involves leading the strategic direction and daily operations of revenue cycle functions, ensuring compliance, optimizing processes and maximizing customer's cashflow.
Responsibilities:
· Leadership: Lead and manage large teams to improve processes around all revenue cycle functions, including billing, collections, cash posting, statement processing, accounts receivable, coding, denial management, contract management and underpayments.
· Strategic Planning: Develop and implement strategies to optimize the revenue cycle, ensuring compliance with regulations and achieving operational goals.
· Process Improvement: Review, design, and implement processes to enhance efficiency and effectiveness within the revenue cycle.
· Client Relations: Build and maintain strong relationships with clients (mainly hospitals) and senior management (C-Suite level). Meet with customers on a regular, consistent basis (up to 30% travel, but generally 10-20%).
· Reporting: Track metrics, identify trends, and make recommendations for areas of improvement.
· Budget Management: Develop budgets, policies, and procedures to support the functional infrastructure. Manage expenses efficiently.
· Compliance: Promote compliance with CMS, third-party payers, coding, and billing regulations.
· Education: Oversee the development and coordination of ongoing education for new on and offshore staff. Remain current on industry trends, market activities, and competitor offerings.
· Quality Assurance: Develop and oversee a comprehensive quality assurance and productivity program for all staff.
· Technology Optimization: Collaborate with operational leadership to optimize workflows and technology, including the use of AI driven functionality. Build and maintain vendor relationships.
· Performance Metrics: Develop and manage key performance indicators and metrics, ensuring adherence to fiscal targets.
- Sales: Participate in customer and prospective customer meetings as a subject matter expert on MEDHOST software products and services. Prepare RCM Service Contracts and participate in Contract “red-lining”. Work with Sales Team on answering hospital operation questions as well as educate them on software and services. Collaborate with the Marketing team to help create marketing material, sales campaigns, and assist in creating white papers as it relates to RCM Services
Requirements:
- Education: Bachelor's degree or equivalent work experience
- Experience: Minimum of 10 years in healthcare revenue cycle services in a hospital environment, with at least 5 years in a senior leadership role. Preferably with knowledge of MEDHOST revenue cycle software products and their use.
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Skills:
- Proven client relationship skills
- Experience with multi-facility entities to rural health/community hospitals.
- Ability to travel to hospital locations or events as assigned up to 30%
- Understanding of hospital operations and clinical/financial processes
- Excellent written, proofreading, and verbal communication skills
- Strong judgement, detail-oriented, organized, can multi-task, problem-solving abilities, attention to detail and work independently.
- Ability to work within a team environment, demonstrating supportive relationships with peers, clients, partners, and Hospital Executives while leading projects within the assigned focus area.
- Must be flexible with a “can-do” attitude and can remain professional under high-pressure situations.
- Ability to retain and protect confidential material.
- Strong computer skills in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.)
