Revenue Cycle Director jobs in South Carolina

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)

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Revenue Cycle Management Director for Pediatrics
  • Healthpro Heritage, LLC
  • Greenville, SC FULL_TIME
  • Overview

    HealthPRO Pediatrics has an exciting new opportunity for a RCM Director for Pediatrics! 

     

    The Revenue Cycle Manager for Pediatrics will be responsible for directing and coordinating the functions of the company’s revenue cycle for the Pediatric Division. Ensures compliance with regulations and contracts

     

    Pay rate range is $90,000 - $100,000.

    Responsibilities

    Responsible for leading the Pediatrics RCM Function and Directing the following processes and associated RCM Pediatrics teams:

    • Request for Insurance Verification (RIV), Prior Authorization Team, Billing and Collections, and RCM Customer Service
    • Managing RCM Pediatrics relationships with outsourced vendors. Responsible for ensuring vendor is correctly completing their work in accordance with the signed contracts
    • Responsible for Directing billed claims/invoices using the A/R software
    • Responsible for preparation and analysis of timely A/R reports related to receivables. 
    • Responsible for ensuring the billing of all co-insurance and private pay claims related to pediatric clinic and school billings
    • Responsible for subsequent or delinquent follow up billings and phone calls related to co-insurance and private pay claims
    • Manages credentialing requirements for Pediatric operations
    • Responsible for the accurate and timely preparation and submission of all reports required by management
    • Responsible for directing the follow up with the therapists, rehab managers or area managers concerning billing issues, to ensure the timely preparation of all invoices.
    • Responsible for communication with customers concerning billing, collection and reconciliation of invoices.

    Qualifications

    • Requires formal knowledge of medical billing.
    • Knowledge of behavioral therapy billing is a plus.
    • Understanding of requirements and regulations set forth by commercial insurance contracts.
    • Communications often dealing with sensitive, confidential issues aimed at collecting and reconciling various resident accounts.
    • Must be able to clearly communicate their expertise concerning any number of billing issues, requiring advanced oral and written skills.

    Recruiter : Email Address

    cmeckling@healthpropediatrics.com
  • 25 Days Ago

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Senior Director of Revenue Cycle Management - Direct Bill
  • Healthpro Heritage, LLC
  • Greenville, SC FULL_TIME
  • Overview Senior Director of Revenue Cycle Management - Direct Bill Responsible for directing and coordinating the functions of the company’s revenue cycle for the Direct Bill Division. Ensures complia...
  • 12 Days Ago

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Revenue Cycle Manager - Fast Track to Director
  • NorthPoint Search Group
  • Charleston, SC FULL_TIME
  • Revenue Cycle Manager - Fast Track to Director - in-office opportunity in Charleston up to $120K salary, DOE, plus benefits and perks. Qualified candidates, please submit your resume to jennifer@staff...
  • 17 Days Ago

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Patient Access Representative II - Part Time
  • Conifer Revenue Cycle Solutions
  • Rock Hill, SC PART_TIME
  • JOB SUMMARY Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and...
  • 19 Days Ago

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Patient Access Supervisor
  • Conifer Revenue Cycle Solutions
  • Rock Hill, SC OTHER
  • As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients...
  • 23 Days Ago

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Patient Access Representative III
  • Conifer Revenue Cycle Solutions
  • Mount Pleasant, SC OTHER
  • JOB SUMMARY Responsible for a wide range of duties in support of departmental efficiencies which may include but not limited to performing registration, patient pre-admission and admission, reception ...
  • Just Posted

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Hospital Revenue Cycle Director
  • Clinical Management Consultants
  • Clatskanie, OR
  • An exciting opportunity for a Hospital Revenue Cycle Director position is now available at an award hospital in Oregon. ...
  • 3/28/2024 12:00:00 AM

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PFS Billing & Denials Manager (FT Salaried)
  • Blanchard Valley Health System
  • Findlay, OH
  • PURPOSE OF THIS POSITION The purpose of this position is to develop, organize, implement, and direct the day-to-day acti...
  • 3/28/2024 12:00:00 AM

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Director of Revenue Management
  • Five Star Senior Living
  • Boston, MA
  • Key Responsibilities The Opportunity The Director of Revenue Management reports directly to the Office of the CEO and is...
  • 3/28/2024 12:00:00 AM

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Director of Revenue Management
  • Kimpton Hotels & Restaurants
  • Palm Springs, CA
  • Job Snapshot Why We're Here We believe heartfelt, human connections make people's lives better. Especially the people wh...
  • 3/28/2024 12:00:00 AM

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Director of Revenue Management
  • Crescent
  • Palm Beach Gardens, FL
  • PGA National Resort, a Palm Beach destination, is currently searching for an experienced, creative and analytical Direct...
  • 3/27/2024 12:00:00 AM

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Director of Revenue Management
  • AccorHotel
  • San Francisco, CA
  • Company Description Since 1907, Fairmont has served as the San Francisco residence for U.S. presidents, world leaders an...
  • 3/25/2024 12:00:00 AM

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Director of Revenue Management
  • AccorHotel
  • Long Beach, CA
  • Company Description Fairmont Breakers Long Beach will revive one of California's best-known and beloved luxury hotels. O...
  • 3/25/2024 12:00:00 AM

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Director of Growth
  • Dr. Squatch
  • Del Rey, CA
  • Why We Exist and What We Do: At Dr. Squatch ( www.drsquatch.com ), we're raising the bar on men's personal care with our...
  • 3/24/2024 12:00:00 AM

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Director jobs
$132,306 to $178,652

Revenue Cycle Director in New Haven, CT
Location.  BS, Accounting, Finance, with 10+ years of strong Revenue Cycle Management leadership in general acute care setting.  Must have strong accomplishments and steady work history.  Director exp.
January 06, 2020
Revenue Cycle Director in Pittsburgh, PA
While not on campus, the Healthcare Revenue Cycle Director will be able to enjoy plenty of dinning and shopping options.
January 08, 2020
Revenue Cycle Director in Pierre, SD
Healthcare providers often purchase and deploy designated revenue cycle management systems to store and manage patients' billing records.
November 28, 2019
The revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, according to the Healthcare Financial Management Association (HFMA).
February 10, 2020