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Director of Reimbursement Operations

Company: RadNet
Location: Rochester
Posted on: February 22, 2021

Job Description:

Come join at our Revenue Cycle team as a Director of Reimbursement Operations. This leadership career opportunity will be based at our RO (Reimbursement Operaion) in Rochester, NY. The Director is responsible for the reimbursement operation function for the subsidiary to include; Cash, payment posting, accounts receivable management, billing, collections and critical data reporting. Facilitates communication among all practice departments regarding information needs and time requirements to optimize reimbursement performance.The Director of Revenue Cycle Operations will:* Plan, direct and evaluate follow-up, collections, billing integrity and coding operations to ensure consistent positive cash flow to achieve operational efficiencies.* Provides leadership to ensure timely, efficient and accurate processing of claims; timely initial billing, follow-up, payment posting, denial management, self-pay AR and bad debt management.* Work collaboratively with all levels of personnel and management on revenue cycle performance to meet strategic goals and develop all guidelines, policies, and procedures through use of data analysis.* Continually monitor billable revenues to identify and explain significant variances.* Coordinate and lead scheduled management meetings; conduct detailed review of key performance indicators and trends within accounts receivable.* Monitor billing integrity charge audit/capture/reconciliation process and results to ensure charges are maximized for reimbursement.* Review and audit contractual write-offs and denials to identify potential reimbursement issues and opportunities.* Assess departmental capabilities and monitor staff performance.* Monitor accounts sent for collections and reimbursement received from insurance companies and other third party payers.* Ensure productivity of billing and collections team by developing and/or updating billing and collection processes, methods, policies, guidelines, best practices.* Daily, monthly and annual reporting, benchmarking and trending maximizing technology to improve function. Analyzing and summarizing data with subsequent communication to senior leadership and clinical operations.* Strategically identifies and communicates critical success factors necessary to support financial and organizational goals.* Supervise the use of revenue information systems/ software and maintain a comprehensive working knowledge of the system, reporting relevant information to senior leadership.* Recruit, motivate and develop professional operations team to inspire commitment and engagement and improvement performance standards.RequirementsThe ideal candidate will possess:* Bachelor's degree - preferred in business, healthcare, accounting or finance or equivalent of education and experience required* Minimum of 5 years previous healthcare administration /revenue cycle, billing management* Working knowledge of full scope revenue cycle management process; patient registration, coding, billing, payment posting, revenue assurance, billing integrity, denial tracking/resolution, accounts receivable, medical terminology, payer contract familiarity* Extensive knowledge of and experience in large scale receivables management* Ability to perform strategic planning and prioritize goals* Experience implementing and maintaining billing system* Strong proficiency in Microsoft office with advanced Excel skill* Strong analytical and problem solving skills with ability to identify trends, opportunities for improvement and effectively communicate both orally and in writing and present information and respond to questions knowledgeably* Ability to manage multiple projects

Keywords: RadNet, Rochester , Director of Reimbursement Operations, Executive , Rochester, New York

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