Role Description
The Director, Revenue Cycle Operations is responsible for the reimbursement operation function for the subsidiary to include:
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Accounts receivable management
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Billing
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Collections
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Critical data reporting
Facilitates communication among all practice departments regarding information needs and time requirements to optimize reimbursement performance.
You will:
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Be responsible for daily managing of Reimbursement Operations functions and Team Member Human Resource related issues.
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Achieve AR goals discussed semi-annually.
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Maintain or exceed cash goals monthly as well as cash goals on an annual basis.
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Prepare operating budgets and effectively analyze performance against those budgets.
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Conduct daily, weekly, and monthly analysis on accounts receivable and determine any fluctuations that can affect collect rates.
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Implement and maintain billing compliance policies and procedures according to company and governmental guidelines.
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Assist in the development and presentation of timely educational programs on reimbursement and charge capture topics/issues.
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Review MDIV related accounts receivable reports to identify trends, issues and/or problems with charge capture, coding and/or billing activities of the subsidiary.
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Provide expert guidance on all reimbursement-related issues.
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Recognize and report any payment or payer trends to the National Director of Reimbursement Operations and/or Management towards problem resolution.
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Effectively utilize team members ensuring appropriate levels of productivity.
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Develop and implement action plans relating to accounts receivable to present to Management.
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Develop communication activities that support the Mission, Vision, and Values of Radiologix.
Qualifications
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Knowledge of government/managed care arena including systems audits, analysis, payor strategies.
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Knowledge of developing budgets.
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Ability to communicate effectively through verbal and written communication.
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Proficient computer skills.
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Solid understanding of billing and reimbursement processes.
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Ability to demonstrate analytical problem-solving skills.
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Able to exercise a high degree of initiative, judgment, discretion and decision-making to achieve department and organizational objectives.
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Ability to share information effectively and provide appropriate direction to staff.
Requirements
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Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
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Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.
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Follows all local, state and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights and ADA.
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Follows OSHA regulations, RadNet and site protocols, policies and procedures.
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Follows HIPAA, compliance, privacy, safety and confidentiality standards at all times.
Benefits
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Pay Range: $95,000 - $110,000 per year