Director of Revenue Cycle Management
Chicago, IL, United States
Overview:
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 Companys primary focus is to provide a quality, convenient, and affordable healthcare option, with a specific focus on a more personal approach to care.
Job Summary
Midwest Express Clinic is seeking a Director of Revenue Cycle Management to join its growing team. This is a newly created role. The RCM Director will be an integral part of MECs financial infrastructure by creating and implementing policies and best practices, and managing the RCM function to ensure that billing and collection activities are timely and accurate.
Midwest Express Clinic is seeking a results-oriented, roll-up their sleeves, individual for the Director of RCM role. This position will work with Management and Finance Team to operate and navigate a fast-paced, highly entrepreneurial, private-equity backed environment.
Responsibilities:
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 companys 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
Qualifications:
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
Bachelors 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
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