As a ‘billing content expert’ this individual will partner directly with stakeholders on revenue cycle performance to meet short term and strategic goals and provides analytical analysis.

Establishes and maintains an effective team environment, providing leadership and supervision to assigned. Maintains staffing sufficient to ensure the efficient and quality delivery of services.

Leading financial (billing / collections) staff, in partnership with appropriate cross-functional teams, the Director of Revenue Cycle will ensure consistency in all billing related matters, both patient and insurance carriers, while championing the patient experience.

Resolving, or directing to the appropriate parties, escalated patient concerns and complaints regarding billing and collection issues in accordance with MHF guidelines, in adherence to Service Excellence and Patient Satisfaction initiatives.

Compile various billing / collections reports (and related financial reports) including quality assurance, and various clinic statistics (e.g. Patient volume, cancelations, utilization).

Establish and direct effective standardize workflows throughout the Revenue Cycle, creating policies and procedures in accordance with implementation of all work processes.  Develop and evolve appropriate staff training related to Billing / Collections, and recommend effective procedures and workflows to maximize staff efficiency in support of clinical operations and overall billing / collections.

Proactively identify and correct operating issues that will maximize the effect on cash flow and mitigate financial or operational risks.

Ensures that operating expenses are within established budgets and fiscal guidelines. Develop performance indicators and monitor operational results to ensure established targets are met or exceeded.

Direct and lead all departmental staff, design the appropriate organization structure for the Revenue Cycle team, while being responsible for all leadership activities in collaboration with Human Resources.

Develops and Implements training programs and manuals that are relevant and necessary for the continuous development of the technical competencies of the Revenue Cycle team. This includes all appropriate Standard Operating Procedures (SOPs) and related workflows to improve department efficacy while improving collection rates and speed.

Ensure compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.

Leads and participates in staff meetings and attends other meetings and seminars as requested.

Five (5) years leadership experience in revenue cycle environment or other Finance-related discipline

Bachelor’s degree in finance, business, healthcare administration or other related field, or equivalent combination of education and experience.  

Strong background in medical billing concepts.

Knowledgeable of applicable state and federal regulations.

Proven managerial competencies in leadership, team development, coaching, mentoring with proven track record of building and developing high performing teams.  

Excellent written and verbal communication skills and the ability to handle sensitive and confidential situations and documentation.

Demonstrated record with analytical, critical thinking and problem-solving skills.

Ability to maintain and build trust; protect and preserve confidential information along with high attention to detail.

Able to prioritize effectively and meet strict deadlines while managing multiple, competing tasks in a fast-paced organization.

Exemplary team player able to form functional work relationships with colleagues, superiors, cross-functional partners.

Advanced knowledge of Microsoft Office Suite; Microsoft Word; Microsoft Excel; design software; internet software; and electronic database employee records systems.

Advanced operation of a workstation including all appropriate electronic tools, including specialized software, Microsoft Office Suite, and standard business platforms.

Use/storage/maintenance of multiple usernames and passwords.

Advanced use of Windows Explorer (electronic file-handling).

Advanced computer-related problem-solving skills through the use of available trainings and help desk.

Medical Clinic / Hospital and / or insurance billing experience required.

Allscripts EHR experience preferred.

Combination of the following preferred:

1. Certified Coding Specialist (CCS) or Certified Coding Assistant (CCA) or Certified Professional Coder (CPC).

2. Certified Professional Biller (CPB).

3. Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA).

Must be able to pass a pre-employment drug test, physical, and a background check to include a 7-year criminal, 10-year SSN & employer history reference check. 

Must be able to provide proof of COVID-19 vaccination on the first day of work.  

Excellent interpersonal skills.

Attention to detail.

Must be able to work flexible schedules.