Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
EMS Revenue Cycle Director
Join Chicagoland’s award-winning ambulance service and become a part of the best EMS team, with the latest equipment and technology, providing emergency and non-emergency care to the community and renowned healthcare facilities.
The EMS Director of Revenue Cycle is responsible for leading, strategizing and optimizing the revenue cycle for the billing and collection departments. This position provides oversight and manages the daily operations for emergency and non-emergency ambulance claims to ensure timely billing, collection and account resolution. This position provides leadership, mentoring and management for 15 employees and reports directly to the COO and CEO.
The Director is responsible for accuracy and compliance of claims processing, denial adjudication, and collection processing.
This position is responsible for overseeing and ensuring timely month end closing & evaluation of processes and key statistical indicators to ensure integrity and compliance of revenue cycle processes.
The Director oversees verification of patient accounts, coding, credentialing, data entry, payment posting, scanning of documents, auditing, and customer satisfaction related to revenue cycle matters. The Director reviews and analyzes reports on a daily, weekly, monthly and annual basis to identify trends. This position oversees analysis and recording of adjustments, denials, write offs and reviews reports to identify trends.
The Director will Identify and measure benchmarks for accounts receivable and staff performance and evaluate staff and establish goals and objectives.
The Director will act in a professional manner at all times and collaborate with Senior leadership internally and externally.
Experience & Knowledge
Extensive knowledge of ambulance accounts receivable claims processing
Extensive knowledge of CMS compliance and Federal and State laws
Knowledge of HIPAA guidelines and confidentiality
Extensive knowledge of Medicaid ambulance billing procedures (IL preferred)
Management experience of billing and collection staff
Minimum of 5 years of revenue cycle experience with at least 3 years in a management role
Strong managerial and business acumen
Excellent communication skills both written and verbal
Ability to problem solve and diplomatically deescalate situations
Proven track record developing strong relationships with internal and external customers
Desire to work collaboratively as a team member.
Bachelor’s degree in Business or Healthcare Administration or related experience and education
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