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Director of Revenue Cycle DME and Physician Practice


This is a Full-time position in Houston, TX posted February 23, 2021.

Director of Revenue Cycle DME and Physician Practice

Tuesday, February 9, 2021

The Director of Revenue Cycle is responsible for all aspects of revenue cycle for the Company’s new and growing DME and physician practice businesses, including the supervision of staff in the performance of their duties. Responsibilities include the development, implementation and assurance of best practices in revenue cycle operations including, charge capture, billing policies, standards, practices and collection of revenue.The position will work with both the Company’s DME and physician practice leadership, revenue integrity staff, finance and other teams to ensure staff are educated and implement and maintain RestorixHealth revenue cycle policies and procedures.

Primary Responsibilities:

The Senior Director of Revenue Cycle Operations has overall responsibility for the day-to-day operations. As Senior Director, they will also interact and collaborate with multiple teams which are assigned to support this client, creating a cohesive joint effort for the client for best in class revenue cycle services.

Ideally you will be located near White Plains, NY so you can collaborate with the VP of Finance.

Primary Responsibilities:

  • Directly oversee multi-specialty revenue cycle(s) for a growing physician practice and a DME suppliers
  • Resolve complex issues and interface directly with high-level operations and stakeholders
  • Develop, plan, organize, and implement current and future strategies to increase and improve cash flow, and manage the overall health of the client’s receivables
  • Provide leadership and direction for day-to-day operations within revenue cycle management to ensure all services are billed and collected accurately and efficiently
  • Review, design, and implement processes surrounding billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that revenue cycle is effectively and properly utilized
  • Implement best practices to continue to improve while reducing third party rejections and denials
  • Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the policy
  • Tracks metrics related to the revenue cycle performance to develop sound revenue analysis and reporting
  • Lead and manages staff performance and facilitate appropriate staff training, feedback, performance reviews for resources, including outsourced staffing
  • Place high emphasis on developing a consistent and coordinated billing model that can sustain or improve financial performance within an evolving landscape
  • Ability to provide recommendations to improve overall collections through multiple billing software/platforms
  • Enhance and standardize work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors
  • Strong leadership skills and demonstrates capability to inspire staff to pursue excellence in goals and productivity, capable of coaching and improving staff in need of professional develop. Places high priority on overall team performance
  • Possess thorough understanding of hospital, ambulatory and clinic revenue cycle functions and related information systems
  • Demonstrate excellent oral and written communication skills as well as strong interpersonal skills to create positive relationships internally and externally
  • Perform other special projects duties as needed or assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 10+ years of management experience in leading large claim volume revenue cycle
  • 10+ years of progressive billing experience including experience in across specialties in a multi-payer setting for a physician practice and, preferably a DME provider
  • 3+ years of experience building / managing a team
  • Understanding of compliance programs associated with Revenue Cycle department
  • Thorough understanding of relevant Medicare / Medicaid billing and reimbursement requirements, utilization management, and managed care principles
  • Intermediate proficiency within Excel (e.g. ability to create pivot tables& formulas)

Preferred Qualifications:

  • MBA
  • Prior experience managing a P&L or budget
  • DME billing experience
  • Physician practice management billing experience
  • Certified coder
  • Ability to work cooperatively in multi-disciplinary teams.
  • Ability to promote subordinate staff professional growth and expertise.
  • Demonstrated ability to work with all levels of personnel at client hospital sites.
  • Excellent organizational and analytical skills required.
  • Strong, effective interpersonal and written communication skills required.