Sr. Director of RCM Operations at Omega Healthcare Management Services Private Limited

Summary/Objective
The Sr. Director RCM Operations directs and coordinates all operations and client service activities associated with assigned Omega client(s), ensuring external client satisfaction on service and performance. Full RCM includes RCM (front, middle and back end) operations and HIM operations. Monitors key performance indicators (KPIs) by client. Acts proactively to identify and resolve client issues. Develops methods to increase productivity and develop process improvement. Coordinates, manages, and facilitates workloads, identifies priorities, and projects, and assures all revenue and cash production goals are met.

Essential Job Functions

• Direct the RCM and HIM operations functions to ensure all operations are consistent with Omega’s policies and procedures.
• Identifies goals and initiatives to ensure efficient and effective operations for assigned clients. Analyze and ensure compliance with operational KPI metrics.
• Develop the infrastructure, 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 and HIM 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.
• Acts as Revenue Cycle subject matter expert for our clients and advises on best practices.
• Revenue Cycle reporting and analysis of KPIs
• Establishes adequate staffing levels based on revenue, account volume, account dollar value, ratio of accounts to employees, etc. to effectively manage production. As needed, adjusts staffing levels as necessary for expanded or changed services.
• 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.
• Leads monthly and quarterly meetings with client(s). Coordinates with internal client staff to create an agenda, assist in compiling and reviewing reports, ensure minutes are completed.
• Continually assesses staff, workflows, and systems. Implements, proposes, streamlines and/or changes existing processes to improve overall client performance while maintaining profitability or creating a more cost-effective use of resources.
• 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 medium.

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast paced, changing environment.
• Demonstrate strong organizational skills and be detail oriented.
• Ability to self-motivate and self-direct.
• Ability to achieve set goals and deadlines.
• Demonstrate strong time management skills.
• Demonstrate excellent leadership, mentoring, and interpersonal skills.
• Demonstrate the ability to analyze and problem solve.
• Demonstrate strong commitment to team environment.
• Ability to collect, create, and research complex or diverse information and act/plan accordingly.
• Experience budgeting and monitoring financial indicators.
• Ability to maintain professionalism when interacting with internal and external customers.
• Ability to draft presentations using PowerPoint and present information to large groups.
• Proficient personal computer skills with MS Office (Word, Excel, Power Point, Outlook).

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. This position occasionally requires long hours and weekend work.

Travel

Travel required; up to 20%

Required Education and Experience

• Bachelor’s degree in business/HIM or equivalent plus advanced relevant formal training. 
• Minimum 5 to 7 years of experience in Revenue Cycle and HIM Leadership Roles, including management of patient access, scheduling, prior authorizations, coding, CDI, billing and/or insurance follow-up with at least 5 years previous first-line management experience.
• Experience working with scheduling, coding, and billing or collections system and standard office software products required.
• Experience working with/managing global resources (India, Columbia, Philippines, etc.)

Preferred Education and Experience

• Master’s degree
• Second-line leadership preferred.
• Experience in staffing preferred.

Additional Eligibility Qualifications

None required.

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.

AAP/EEO Statement

Omega is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

Other Duties

Company