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)
Under the general direction of the Chief Financial Officer (CFO), the Director of Revenue Cycle Management (RCM) is responsible for providing direction and support to the Director/Managers/Supervisors of Business Services, Patient Access, Financial Counseling, Pre-Certification, Billing, Follow-Up, Credit/Collections, Charity Care Write Offs, and Medicare Eligibility to achieve financial and performance goals in registration, customer service, billing and collections for Mountain Health Network (MHN). The Director of RCM is directly responsible for ensuring the service catalog (CDM) is current and is compliant with regulatory requirements, that all services are charged and billed appropriately, and that all revenue cycle processes result in all available reimbursement received. The Director of RCM is responsible for ensuring compliance with all Governmental and Payer contracting requirements, reviewing and advising the CFO of specific contract terms, negotiations with new payers and analyzing the reimbursement effect of proposed contracts. The Director of RCM is directly responsible for ensuring that the revenue cycle system applications are designed and configured appropriately and that all users are trained and proficient in the use of the system(s).
Supervises: Leaders of Business Services, Patient Access, Finance Counseling, Pre-Certification, Billing, Follow Up, Credit/Collections, and Charity Care, Medicare Eligibility.
Clear All
0 Revenue Cycle Director jobs found in Huntington, WV area