Director of Revenue Cycle Management

About the Company

Provider of urgent and primary care centers for individuals in the Midwest, focused on an affordable approach to delivering urgent and primary care services. The Company’s primary objective is to provide a quality, convenient, and affordable healthcare option, with a commitment to offering a more personal care experience.

Job Summary

The candidate for this role must be located in the Chicagoland or North West Indiana Markets. 

The successful candidate will be responsible for the following:

• Influence all revenue cycle processes, including developing, revising, and enforcing policies, goals, and best practices to effectively manage the company receivables
• Manage the revenue cycle activities including billing, collections, payment posting, patient financial services, and other related items
• Advising on and managing vendor relationships around RCM
• Ensure that departments, functions, and teams are operating in compliance with payer requirements and patient expectations, as well as the company’s policies and procedures
• Engage in cross-functional and interdepartmental teams involving process improvement initiatives and projects for the organization
• Oversee the performance metrics and monitor effectiveness of overall operations of RCM and Billing
• Tracks and monitors key performance indicators on a daily, weekly, and monthly basis; reports key findings to appropriate leadership and stakeholders across the organization in a timely, accurate manner
• Monitor claim denials and work with operations and clinical teams to identify and remedy issues
• Participate in integration and conversion of different EHRs from acquired companies into common EHR by business line
• Confirm systems and processes are in place to ensure compliance with payor contract requirements
• Execute plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements
• Oversee the operations of the billing teams, encompassing charge entry, claims submissions, accounts receivable follow-up, and reimbursement management
• Design reporting to assure accurate and complete data analysis
• Other duties as assigned

Personal Attributes

• Demonstrated ability to adapt to changing circumstances and environment, strong analytical, critical thinking and organizational skills, attention to detail and ability to identify and implement process improvement capabilities
• Self-starter, starting, and completing tasks without daily direction
• Experience and desire to work in an undefined, start-up environment
• Career-motivated professional who is self-confident, energetic and possess a strong work ethic

Special Proficiencies 

• Ability to support growth and rapid integration in an acquisition environment
• Strong understanding of insurance claim filing requirements and regulations for Primary Care

• Expert in charge posting, claim processing, and payment collections
• Ability to collect and analyze data and metrics

• Effective at evaluating and streamlining processes to drive improved efficacy and efficiency

Education and Experience

• Bachelor’s degree, preferably in Accounting/Finance, Operations, or Healthcare Administration
• 10+ years of experience in finance and/or operations with 5+ years in an RCM leadership role within a healthcare system
• Experience in high growth, entrepreneurial companies
• Experience with EHR/PM systems

The Salary range for this position is $100,000 - $150,000, final base salary compensation will be determined by factors such as skills, experience and/or education.