[Hiring] Director RCM Operations @Omega Healthcare Solutions

Role Description

The Director of RCM Operations leads and coordinates all client service and operational activities for assigned accounts, ensuring high client satisfaction and strong performance outcomes. This role oversees end-to-end Revenue Cycle Management (RCM), including front-end, mid-cycle, and back-end functions, with working knowledge of Accounts Receivable (AR), while monitoring KPIs, driving process improvements, and ensuring revenue and cash collection goals are met. The position requires strong P&L and operational performance management, the ability to proactively resolve client issues, and excellent rapport-building and communication skills. A solid understanding of hospital coding and professional (ProFee) coding is mandatory for the success in this role.

• Direct the RCM operations functions to ensure all operations are consistent with Omega’s policies and procedures.
• Identify goals and initiatives to ensure efficient and effective operations for assigned clients.
• Analyze and ensure compliance with operational KPI metrics.
• Develop the infrastructure and support framework to enable revenue growth, enhance profitability and/or productivity.
• Identify, develop, and implement best practices and procedures for internal and external operational improvements.
• Collaborate with senior/executive leadership to evaluate and adjust processes to improve operational efficiency and provide operational excellence.
• Direct the overall audit and compliance requirements needed to comply with Federal, State, and Local laws as well as client contract requirements.
• Serve as Liaison with Corporate concerning administrative matters in regard to client, consultant, and/or core employee matters.
• Participate in formulating RCM market strategies and make recommendations on major business decisions.
• Coordinate and ensure escalated issues are resolved.
• Ensure employees are trained in new and existing systems and processes.
• Develop annual budget requirements for operations teams.
• Act as Revenue Cycle subject matter expert for our clients and advise on best practices.
• Revenue Cycle reporting and analysis of KPIs.
• Establish adequate staffing levels based on revenue, account volume, account dollar value, ratio of accounts to employees, etc.
• Ensure staff is trained effectively and efficiently to meet current and anticipated production goals.
• Oversee and direct management activity related to productivity reporting, QA audits, hiring, training, coaching, monitoring, appraising, disciplining, and terminating.
• Lead monthly and quarterly meetings with client(s), coordinating with internal client staff to create an agenda, assist in compiling and reviewing reports, and ensure minutes are completed.
• Continually assess staff, workflows, and systems, implementing, proposing, streamlining, and/or changing existing processes to improve overall client performance while maintaining profitability.
• Ensure effective and timely communication occurs within and across the department through formal staff meetings, ad-hoc meetings, one-on-one feedback sessions, written materials, or other informational mediums.

Qualifications

• Bachelor’s degree in business/HIM or equivalent plus advanced relevant formal training.
• Expertise in End to End RCM, with strong focus in AR and Coding is required.
• Strong knowledge of hospital coding and professional (ProFee) coding is required.
• Experience working with/managing global resources (India, Columbia, Philippines, etc.).
• Minimum 4 to 6 years of experience in Revenue Cycle and HIM Leadership Roles, including patient access, scheduling, prior authorizations, coding, CDI, billing and/or insurance follow-up.
• Experience working with scheduling, coding, and billing or collections system and standard office software products required.
• 3+ years previous first-line management experience.

Preferred Education and Experience

• Master’s degree.
• Relevant Coding certification.
• Experience in staffing preferred.

Travel

• Travel required; up to 20%.

Supervisory Responsibility

• Yes, has the following direct reports: Sr. Manager RCM, Manager RCM, Supervisor RCM, QA Insurance Reps, Insurance Reps, Patient Account Reps, Billers, Payment Posters, Regional Coding Manager, Coding Manager, Coding Supervisor, Tech, Interim HIM Director.

Work Environment

This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.
• The employee must occasionally lift or move up to 25 pounds.
• Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. Ability to work EST or CST is mandatory. This position occasionally requires long hours and weekend work.

Security Access Requirements

In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega Healthcare systems set forth in the “Standard Manager” profile.

• Microsoft Office
• ADP
• Oracle
• Reviewmate
• E3- Supervisors, Managers, Office Employees
• Standard Manager
• Standard

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [email protected].

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.