Job Purpose The Director, Revenue Cycle Management is responsible for managing all operational aspects of our AR outsourcing engagements including overseeing their teams and maintaining a positive relationship with their clients.
Duties and Responsibilities
Provide assistance/resolution to external and internal client inquiries
Prepare reports or logs as required
Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members
Maintain a current working knowledge of all healthcare related issues and regulations especially Government payors
Responsible to report any detected trends in payments or denials, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported.
Maintain a professional attitude snd confidentiality at all times
Learn and comply with organizational and departmental policies and procedures
Establish realistic goals and priorities concurrent with organizational objectives
Adhere to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time. Adhere to all applicable laws and regulations and the company's governance/compliance program.
Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation. Assist with internal control failure remediation efforts.
Ensure concerns with internal control design or performance and process changes that impact internal control execution are communicated to management
Possess a full and complete understanding of the internal control requirements within their area of ownership/responsibility. Responsible and accountable for internal control implementation and performance within their area of ownership/responsibility. Ensures proper internal control change management protocol is followed and communicated.
Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
Other duties as assigned
Understand and comply with Information Security and HIPAA policies and procedures at all times and ensure all direct reports are trained and in compliance of said policies and procedures at all times
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and enforce such for all direct reports
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team
Qualifications
Bachelor’s Degree required
10 years minimum experience in a hospital business office setting or similar setting
7 years minimum experience managing hospital receivables in an Acute care setting or equivalent
Prior Management experience required
Knowledge of governmental, legal and regulatory provisions related to collection activity
Knowledge of insurance company practices regarding reimbursement
Ability to work well individually and in a team environment
Must be reliable, responsible, goal oriented and flexible
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Occasional travel to client locations
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Med-Metrix is a healthcare technology company that develops production applications for managing and processing patient health information. The company builds full-stack applications with modern cloud-native architecture, utilizing serverless technologies and AWS infrastructure to deliver scalable solutions. Med-Metrix operates under strict HIPAA compliance standards to protect patient protected health information (PHI), demonstrating a commitment to healthcare data security and regulatory adherence.
