Revenue Cycle Director jobs in Santa Cruz, CA

Description

DESCRIPTION: Under the supervision of the CFO, the Revenue Cycle Manager will be responsible for supervision of the billing staff, as well as ensure all areas of the billing department run smoothly. The Revenue Cycle Manager will work in coordination with the CFO to ensure accuracy and the proper processing of all billing functions.

This position supports the organization's mission, vision, and values through excellence and competence, collaboration, innovation, respect, commitment to our community, and accountability and ownership. 

DUTIES AND RESPONSIBILITIES:

1. Oversee daily billing      department, accounts receivables and credentialing activities.
2. Supervise billing      clerks, billing leads, accounts receivable specialists, and credentialing      coordinator including performing evaluations and making recommendations      for career development.
3. Maintain patient      accounts receivable aging; review aging report and KPIs with the billing      staff routinely to ensure aging goals are met and recommend changes based      on trends.
4. Evaluate billing      errors and provide updates and training recommendations to CFO and billing      leads.
5. Regularly meets      with CFO to provide updates and recommendations regarding departmental      performance.
6. Analyze and      maintain appropriate billing procedures and accounts receivables      procedures to insure compliance of fiscal policies.
7. Analyze and      maintain optimal accounts receivable workflows and performance to meet      agency needs.
8. Oversee credentialing      coordinator’s tasks, workflows and deadlines to insure agency needs are      met.
9. Conduct meetings on      a regular basis with the billing staff to discuss any procedural changes,      as well as provide updates regarding health insurance billing or state      funded programs.
10. Conduct monthly      individual meets with billing clerks, billing leads, accounts receivable      specialists and credentialing coordinators to discuss workflow, goals and      development. 
11. Prepare and      evaluate a variety of departmental data reports in order to analyze the billing      functions, accounts receivables and credentialing status and make      recommendations to CFO as needed.
12. Maintain open      communication with the billing department, accounts receivables and      credentialing and remain up-to-date and knowledgeable of all billing      activities.
13. Maintain      interdepartmental communication regarding billing related issues.
14. Analyze work flow      and provides recommendations to CFO for improvements as needed.
15. Provide training      and support for revenue cycle staff as needed to ensure billing accuracy      and efficiency.
16. Work with Data      Services department and Systems to adhere to programs required for      reporting and billing functions.
17. Oversee daily      revenue cycle interdepartmental activities.
18. Attend, conduct      and/or facilitate interdepartmental meetings to optimize workflows for all      departments involved in revenue cycle.
19. Create and update      trainings and documentation related to billing for interdepartmental      trainings.
20. Analyze workflows      of interdepartmental activities and make recommendations to and      appropriate committee.
21. Identify and      monitor compliance of coding and billing of all interdepartmental      functions, services, supplies, medications and overall other revenue cycle      related areas.
22. Review new and      existing coding and pricing request for existing and current      programs/services.
23. Assist with      training to new and existing clinical providers.
24. Provide training      and support for revenue cycle staff as needed to ensure billing accuracy      and efficiency.
25. Coordinate      training and support for billing lead and billing clerks with state      programs, specialty programs and third party payers.
26. Ensure a productive work environment and achievement of goals through strategies and practices in line with the CARE fundamentals of communication.
27. Respond to co-worker and patient needs in ways that are helpful and beyond expectation.
28. Perform a variety      of office support and general clerical duties as needed.
29. Perform other      duties as assigned.

Requirements

Knowledge of: Basic and computerized billing procedures, especially relating to billing of insurances and state and federal programs; Microsoft Office including Outlook, Word and Excel

Ability to: Use basic math accurately; prepare reports; learn and draft new policies and procedures; organize work efficiently, using sound independent judgment; think independently and analytically; use a variety of standard office and computer equipment; communicate effectively and respectfully with a diverse group of individuals and clients, demonstrating a knowledge of and sensitivity to their needs; develop and maintain effective working relationships with Salud Para La Gente staff, patients, health insurance companies, government, and community agency representatives, and the public; and manage billing staff.

MINIMUM QUALIFICATIONS:

• Bachelor’s Degree in business administration or health related field or 5 years’ experience in financial operations related to billing and collecting revenue for medical or health services.
• Two years experience working with the following state programs and rules:
•  MediCal
• Medicare
• Child Health Disability Program (CHDP)
• Family Pact
• Healthy Families
• Minimum of two years of supervisorial experience.
• One year experience with standard ICD-10 medical and dental coding (experience to have occurred within the past two years).

PREFERRED QUALIFICATIONS:

• Bilingual Spanish/English

PHYSICAL DEMANDS:

• Standing, walking, sitting, typing, reaching, bending, moving and/or lifting up to 25 pounds.

**Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, [831-728-8250, and HRDept@splg.org].**