Director of Reimbursement Operations
Company: RadNet
Location: Rochester
Posted on: February 22, 2021
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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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