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Hybrid Director of Revenue Cycle at Medical Associates

Medical Associates · Dubuque, United States Of America · Hybrid

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Medical Associates is looking for a talented leader to fill our Director of Revenue Cycle on our leadership team!
 
Skills You Bring:
  • Dynamic, resourceful leader who brings an entrepreneurial spirit to deliver revenue cycle initiatives that drive results, persuade and influence others, and adapt to changing business conditions. 
  • Highly articulate when communicating and builds credibility with interactions; must be able to influence across all levels of the organization, from team to the executive level
  • Action oriented, hands-on and with demonstrated experience in an innovative, fast-paced, performance-oriented environment
  • Robust understanding of financial performance and business acumen
Benefits Package Includes: 
  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing)
  • Flexible Paid Time Off Program
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.
Major Responsibilities:
    • Maintain thorough knowledge of Medicare, Medicaid, and other third party payor regulations, ensuring Clinic compliance with these regulations.  Serve as the subject matter expert on regulatory, compliance, and legal requirements associated with medical billing.  Be the principal resource that directs providers and clinical departments in coding compliance and claims denial prevention.  Identify revenue opportunities for departments.
    • Direct patient scheduling, registration, billing, and collection processes to ensure accurate billing and efficient account collection.  Establish and direct policies for assigned areas.  Review and enhance insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices.  Ensure systems are fully functional and maximized, and recommend new processes to improve workflows.
    • Optimize clinic revenue through strategic third party payor contract evaluation, negotiations, and contract management.
    • Review, monitor, and recommend updates to the Clinic’s fee schedule to maintain fees at levels that maximize reimbursement.
    • Develop and monitor key performance indicators to measure Revenue Cycle process effectiveness, efficiencies, financial performance (collection rates, adjustments, bad debts, appeal rate success, etc.), team productivity, and customer satisfaction in patient facing areas.  Implement strategies to improve lower performing areas and achieve best practice results.  Regularly provide senior leadership with revenue cycle status including reports, metrics, and analysis.
    • Oversee the accuracy and appropriate delivery of services in assigned areas indirectly through the supervision of others.  Assist direct reports in problem solving and provide counsel and direction.  Provide leadership and management development and succession planning within all assigned areas.  Serve as a liaison to MA physicians and professional staff, clinical staff, and other business partners.  Resolve conflicts and complaints as necessary. 
    • Provide leadership in operational strategy development and implementation of new and existing services, processes, and information systems.  Ensure achievement of key organizational objectives in assigned areas.
    • Lead budget development and financial oversight, and participate in facilities planning and development for assigned areas.
    • Complete all other assigned projects and duties
    Knowledge, Skills and Abilities
    Experience                   Five years to ten years of similar or related experience. Ideal candidate would have significant Revenue Cycle Leadership as a manager or above in an organization similar to our size or larger.  Someone who can build rapport and credibility with everyone and will really collaborate as a team.
     
    Education                     Bachelor's degree, Master's preferred.
     
    Interpersonal Skills      The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust.  Obtaining cooperation (internally and/or externally) is an important part of the job.
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