Director of Revenue Cycle Management - 901

Profile

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental health services to adults with serious mental illness. We partner with public sector entities and behavioral health organizations, and have over 150 programs and over 4,200 employees across the country. And weu0027re growing all the time! When you work at Telecare, you help to empower thousands of individuals every day in their journeys of recovery.u003c/pu003enu003cpu003eu003cstrongu003eEmployment Status: u003c/strongu003eu0026nbsp;Full Timeu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eShift:u003c/strongu003eu0026nbsp; 8am - 4:30pmu003c/pu003enu003cpu003eu003cstrongu003eDays:u003c/strongu003eu0026nbsp; Monday - Fridayu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003cspanu003eTelecare is proud to have been recognized by The Bay Area Business Times as the 9u003csupu003ethu003c/supu003eu0026nbsp;Best Place To Work In the Bay Area for 2020! This is the 18th time we have made the list!u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003cspanu003ePOSITION SUMMARYu003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cspanu003eThe Director of Revenue Cycle Management works with the Vice President of Revenue Cycle to proactively achieve company financial goals and strategic priorities.u003cspanu003eu0026nbsp; u003c/spanu003eThis individual must have a thorough understanding of the entire revenue cycle process and provide leadership as well as partner with other leaders within the organization. The Director RCM will drive performance improvement and revenue enhancement opportunities, and as a subject matter expert they will assist in providing strategy, decision support, organizational planning, and operational leadership to optimize productivity, quality, and overall company revenue.u003cspanu003eu0026nbsp; u003c/spanu003eThe Director of RCM will provide direct supervision to the Fee for Service Manager, Contract Billing Manager and Cash Management Supervisor.u003c/spanu003eu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003cspanu003eQUALIFICATIONSu003c/spanu003eu003c/strongu003eu003c/pu003enu003cp style=u0022margin-left: 27.0pt;u0022u003eRequired:u003cbr /u003eu0026bull; Bacheloru0026rsquo;s degree (business, accounting or healthcare preferred) and eight (8) years of billing and collection experienceu003cbr /u003ewith five (5) years of supervisory responsibilities in a billing environment for a large physician practice, hospital, oru003cbr /u003emedical backgroundu003cbr /u003eu0026bull; Five (5) years of successful staff management experience with proven ability to train, coach, performance improvementu003cbr /u003eand provide disciplinary actionu003cbr /u003eu0026bull; Detailed knowledge of Medicare, Medicaid and commercial insurance billing and collections, preferably in a psychiatricu003cbr /u003ehospital or skilled medical facility environmentu003cbr /u003eu0026bull; Proven leadership and management, and the ability to motivate, mentor and supervise a Revenue Cycle Managementu003cbr /u003eteam to successu003cbr /u003eu0026bull; Superior knowledge and experience in full revenue cycle, from admission to collectionsu003cbr /u003eu0026bull; Proven ability to develop and implement revenue cycle workflows, key performance indicators, service level agreements,u003cbr /u003eand policies and proceduresu003cbr /u003eu0026bull; Experience with analyzing, interpreting and implementing payer contracts with complex reimbursement structures,u003cbr /u003eincluding cost reimbursement, income statement/line item billing as well as capitated agreementsu003cbr /u003eu0026bull; Thorough understanding of medical billing, collections, write-offs, payment posting, audits, and of local and federalu003cbr /u003epayer regulationsu003cbr /u003eu0026bull; Ability to drive strategic initiatives, strategic planning and process improvementu003cbr /u003eu0026bull; Ability to gather and report key information and analyze outcome.u003cbr /u003eu0026bull; Goal driven with the ability to manage multiple priorities with a high level of detailu003cbr /u003eu0026bull; Strong working knowledge of Windows, MS Word, MS Excel, MS PowerPoint and various revenue and EMR software.u003cbr /u003eu0026bull; Must be at least 18 years of ageu003cbr /u003eu0026bull; Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days ofu003cbr /u003eemployment and maintain current certification throughout employmentu003cbr /u003eu0026bull; All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of theu003cbr /u003eapplicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances,u003cbr /u003eexcluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motoru003cbr /u003evehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughoutu003cbr /u003eemployment. Additional regulatory, contractual or local requirements may applyu003c/pu003enu003cpu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003cstrongu003eu003cspanu003eESSENTIAL FUNCTIONSu003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu0026bull; Demonstrate the Telecare mission, purpose, values and beliefs in everyday language and contact with the internal andu003cbr /u003eexternal stakeholdersu003cbr /u003eu0026bull; Establish and implement metrics to monitor revenue cycle including outstanding revenue, cash as a percentage of netu003cbr /u003erevenue and net collectible value, conversion rate, denial rate, unbilled, etc.u003cbr /u003eu0026bull; Process large quantities of data, monitor and set Key Performance Indicators and research any and remove all barriers tou003cbr /u003esuccessu003cbr /u003eu0026bull; Implement current and future strategies to improve cash flow and minimize bad debtu003cbr /u003eu0026bull; Manage the operations of the revenue cycle management department, encompassing claims submission, paymentu003cbr /u003eposting, accounts receivable follow-up and reimbursementu003cbr /u003eu0026bull; Work with internal stakeholders and business partners to evaluate and analyze existing systems and processes, andu003cbr /u003edevelop strategic objectives and implement improvements that support revenue cycle goals and growthu003cbr /u003eu0026bull; Work with IT to develop analytics dashboard and integrate multiple systems to produce real-time data for operational,u003cbr /u003emanagerial, and executive leadership including revenue, projected revenue, projected cash collection, productivity,u003cbr /u003edenial metrics, etc.u003cbr /u003eu0026bull; Establish corporate common language and standard for service delivery, licensing, and accreditation as it relates tou003cbr /u003erevenue.u003cbr /u003eu0026bull; Participate in payer negotiations, review contracts, implement contracts and oversee resolution of contract paymentu003cbr /u003eissues, and assist in collection effortsu003cbr /u003eu0026bull; Develop long and short-term plans for achieving program objectives and operational goals both requiring fiscal visibility,u003cbr /u003ebudgetary control, productivity targets, develop data collection systems and prepare regular statistical and progressu003cbr /u003ereportsu003cbr /u003eu0026bull; Research and process large quantities of data analyze trends and identify and correct areas where behavior is notu003cbr /u003ecompliant with expectationsu003cbr /u003eu0026bull; Analyze, interpret and implement payer contracts with complex reimbursement structures, including costu003cbr /u003ereimbursement, income statement/line item billing as well as capitated agreementsu003cbr /u003eu0026bull; Collaborates with other management staff and company leaders in strategic planning and development of the Revenueu003cbr /u003eCycle Management with the goal of ensuring ongoing effective billing and collection of revenuesu003cbr /u003eu0026bull; Establish, update, maintain and implement program centric Revenue Cycle policies and proceduresu003cbr /u003eu0026bull; Recruit, hire, train and mentor department staff to maximize their professional growth and the overall growth of theu003cbr /u003edepartmentu003cbr /u003eu0026bull; Establish clear performance objectives, clearly communicate objectives and consistently monitor performance againstu003cbr /u003eobjectives to accurately and fairly evaluate and drive employee effectivenessu003cbr /u003eu0026bull; Demonstrates an understanding of Telecareu0027s customers including clients/residents, families and governmental agenciesu003cbr /u003ein all interactions and conductu003cbr /u003eu0026bull; Accountable for meeting customer needs and adapting to changing customer needs alwaysu003cbr /u003eu0026bull; Remove barriers that prevent the timely billing and collection of patient accounts and Implement current and futureu003cbr /u003estrategies to improve cash flow, minimize bad debtu003cbr /u003eDuties and responsibilities may be added, deleted and/or changed at the discretion of management.u003c/pu003enu003cpu003eu003cstrongu003eSKILLSu003c/strongu003eu003c/pu003enu003cpu003eu0026bull; Strong leadership and management skills with the ability to motivate, mentor and superviseu003cbr /u003eu0026bull; Skill in gathering and reporting information and analyzing outcomesu003cbr /u003eu0026bull; Strong verbal and written communicationu003cbr /u003eu0026bull; Strong working knowledge of Windows, MS Word, MS Excel, MS PowerPoint and various revenue and EMR softwareu003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003ePHYSICAL DEMANDSu003c/strongu003e u003cbr /u003eu003cbr /u003eThe physical demands here are representative of those that must be met by an employee to successfully perform the essentialu003cbr /u003efunctions of this job.u003cbr /u003eThe employee is constantly required to sit and occasionally required to stand, walk, reach, twist, bend, pull and lift and carryu003cbr /u003eitems weighing 10 pounds or less as well as to do simple grasping. The position requires manual deviation, repetition andu003cbr /u003edexterity. Visual requirements include computers and books exposure.u003c/pu003enu003cpu003eu003cstrongu003eu003cspanu003eEOE AA M/F/V/Disabilityu003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003epriority123u003c/pu003enu003cpu003eu003cspanu003e#LI-AM1u003c/spanu003eu003c/pu003e,EqualOpportunityEmployerDescription:Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities,PayTransparencyPolicyStatement:The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c),MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:true,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:4f54269c-3a81-e250-e075-3a1a05307eef,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2020-12-14T17:51:29.553Z},{JobBoardId:2fcbb6f4-e717-17cb-9327-3dd87a55b08d,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2020-12-14T17:51:29.553Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null});

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