Director of Revenue Cycle Management

Discover Better Health Careers with Rendr! Who We Are Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County. Why Join Rendr? Opportunities for professional growth and development.  Competitive salary and benefits package.  (Salary is based on previous experience and years of service.) Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities. Benefits We Offer: Medical, Dental, and Vision Insurance 401k with Company Match Paid Time Off Paid Holidays/ Floating Holiday(s) Commuter Benefits Health Savings Account/ Flexible Spending Account/ Dependent Care Account Annual Performance Bonus Job Overview: Reporting to the VP of Revenue Cycle, the Director of Revenue Cycle is responsible for daily management of the revenue cycle team dedicated to billing and collections. This position will be responsible for the coordination and management of all revenue cycle functions to optimize and maximize collections.  Essential Functions: Oversees all functions of the Revenue Cycle process, including claim submissions, payment reconciliation and posting, patient account representatives, claims rejections/ denials, A/R follow up, patient statements, refunds and recoupments, revenue integrity, and external collections activities. Collects, organizes, analyzes, and disseminates significant amounts of information from various data sources with attention to detail and accuracy, in a timely manner. Provides data driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations. Monitors key performance indicators and escalates issues to senior management as appropriate. Analyzes data for insights into claims management, and for special prevention and denials management projects. This includes identifying denial trends by root cause, Payor-related issues, physician trends, etc. Oversees and manages payer related issues, including identifying and trending underpayments and overpayments, and communicating with payer representatives, and collaborating with our Managed Care team and Credentialing. Develops and ensures implementation of policies, guidelines, and implementation procedures; and ensures goals and objectives are properly defined and clearly established. Conducts site visits and regular meetings with site managers to discuss their billing issues. Oversees mergers and acquisitions and ensures a successful transition. Determines and maintains appropriate staffing metrics and measurements based on business demands. Assess and ensure adequate staffing is available to support and manage centralized functions for existing and new business needs. Works closely with leaders in the areas of Operations, Finance, Human Resources, Information Systems, credentialing, and Compliance to achieve business objectives and implement organizational strategy. Works with the Director if Revenue Cycle and company leaders to develop and implement the revenue cycle strategy. Works closely with IT department to optimize the use of technology to automate revenue cycle functions. Strong understanding of Rendr payer contracts; fee schedules, rules, and guidelines. Other duties as assigned. Qualifications: Bachelor's Degree in a healthcare or related field, with 8 years of healthcare revenue cycle experience. Bilingual in English and Chinese preferred. Demonstrated proficiency with physician billing platforms. Demonstrated skills in revenue cycle management, problem assessment, project management, analytical skills, and resolution and collaborative problem-solving in complex, interdisciplinary settings. Proficiency with excel, including experience in formatting, formulas, pivot tables, etc. 5+ years of team management experience, with track record of hiring, training and developing, and managing a sizable team to deliver reliable and high-quality RCM work Strong analytical capacity and experience tracking metrics related to coding error rates, billing turnaround, and revenue cycle analysis/reporting. Identification of key areas of RCM process improvement, future facing process mapping and project coordination. Ability and experience related to the creation and implementation of related policies. Deep experience in reviewing, designing, and implementing processes related to admissions, pricing, billing, compliance, etc., to ensure clinical revenue cycle is effective and optimized. Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We look forward to reviewing your application and exploring the possibility of you joining our team!

Created: 2024-10-29