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Director of Revenue Cycle

Chicago, IL, United States

At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!

General Summary:

This position is responsible for managing all activities within the revenue cycle management function for a practice or group of practice locations. RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, and patient and operational communications.

These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests.

Implement and maintain an efficient workflow within the practices

Ensure that all employees within the department have received the proper level of training to complete their daily tasks

Cross training in other departments to ensure the highest level of accuracy and efficiency.

Identify opportunities with RCM systems

Work with RCM leadership in the development of streamlining processes and maintain accurate and timely business office processes

Create and implement metrics for productivity and quality

Ensure adherence to and compliance of payor, government and internal system regulatory policies

Monitor key revenue cycle management performance levels for each team member as well as each RCM team

Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met

Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization.

Carry out supervisory responsibilities in accordance with company policies

This position is responsible for managing all activities within the revenue cycle management function for a practice or group of practice locations

RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, and patient and operational communications

Implement and maintain an efficient workflow within the practices

Ensure that all employees within the department have received the proper level of training to complete their daily tasks

Cross training in other departments to ensure the highest level of accuracy and efficiency

Identify opportunities with RCM systems

Work with RCM leadership in the development of streamlining processes and maintain accurate and timely business office processes

Create and implement metrics for productivity and quality

Ensure adherence to and compliance of payor, government and internal system regulatory policies

Monitor key revenue cycle management performance levels for each team member as well as each RCM team

Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met

Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization

Qualifications  Experience with accounts receivable/understanding of the revenue cycle

Strong managerial and business acumen in a corporate setting

Occasional travel may be required

Experience with accounts receivable/understanding of the revenue cycle

Strong managerial and business acumen in a corporate setting

Occasional travel may be required

Minimum Required: B.A. or B.S

Minimum Required: 5+ years of RCM experience with 2 years in a management role

Education And/Or  Experience • Minimum Required: 5+ years of RCM experience with 2 years in a management role

Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs. Insight is an equal opportunity employer and values workplace diversity!

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