Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to achieve operational goals and cash flow targets. Reviews, designs, and implements processes to optimize the revenue cycle and ensure compliance. Being a Revenue Cycle Director tracks metrics and reports that identify trends and makes recommendations for areas of improvement. May assist in the development of goals and strategies for the department. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to senior management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Summary:
This role is responsible for the maintenance of Revenue Cycle system applications: (including Provider Maintenance, Service and Procedure tables, Charge Masters, Fee Schedules, and researching and building of future system applications including Credentialing & Contract Management, this role will act as liaison between Revenue Cycle department, Patient Access Team, and all PCHC management and providers to research and resolve requests related to their position.
This role is responsible to maintain the automated credentialing system to assure operational efficiency and meet strategic goals; maintain Contract Management system in collaboration with the Chief Financial Officer, Controller and Director of Revenue Cycle and others; and effectively resolve reimbursement issues.
Uder the direction of the Director of Revenue Cycle this role is responsible to develop and implement organizational policies and procedures in areas of responsibility and will ensure organizational compliance.
This role will apply in-depth functional knowledge, managerial and leadership expertise to achieve focused business goals. This role is responsible to identify long term solutions to utilizing systems to improve operations and will implement short term solutions to allow the organization to operate at peak performance.
Essential Duties & Responsibilities:
Essential Skills / Qualifications:
Direct Reports:
Education Required:
Experience Required:
LANGUAGE SKILLS
Ability to understand HIPAA security regulations; read, analyze, and interpret general professional journals, technical procedures. Ability to read, analyze, and interpret technical directives is required. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Ability to effectively present information in one-on-one and small groups.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Intermediate mathematical skills.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written or verbal form. Ability to deal with problems involving several variables. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical regulations.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
SUMMARY OF OCCUPATIONAL EXPOSURE:
Classified by CDC as Low Risk