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Robert Half International Director of Revenue Cycle in Coeur d'Alene, Idaho

Description

North Idaho opportunity available for an experienced Medical Revenue Cycle Director!

• Oversees the operations of the centralized billing department, encompassing timely, clean claims submission, management of accounts receivable, denials management and remediation of underpayments

• Serves as the subject matter expert and primary resource for all hospital and professional billing processes, including policy and procedure development and implementation of workflow improvements

• Plans and directs effective workload assignments to ensure efficient billing and account collection within Steady State timelines, minimize overtime, and to allow staffing adjustment for changes in volume and business line priorities

• Budgetary responsibility: preparation of annual budgets and quarterly forecasts, and monthly monitoring of actual expense against budget

• Responsible for detailed analysis of performance and output, including claims accuracy and completeness; A/R reduction, third party and patient collections, compliance to payer requirements, denials and appeals effectiveness, edits resolution, staff productivity, and lean workflows

• Performs root cause analysis of claims denials, underpayments and write-offs. Collaborates with upstream departments and Payer Strategy to reduce preventable denials and improve success rate of appeals

• Routinely communicates performance updates and billing/net revenue impact of regulatory changes to leadership; takes appropriate and timely action to maintain performance to meet organizational targets

• Implements an effective quality audit program across all department functions and locations; provides timely feedback to staff

• Ensures that the activities of the billing operations are conducted in a manner that is consistent with policy and is in compliance with Federal, State, and payer regulations, guidelines, and requirements

• Stays current with federal, state, and commercial payer regulatory changes and updates. Communicates relevant information to maintain performance and reduce the risk of audit or denials

• Promotes employee engagement to achieve a positive and productive workforce

• Provides, oversees, and coordinates staff training and onboarding activities

To be successful in this role, you will need:

• Bachelor’s Degree in a related field required. Master’s Degree preferred

• Minimum 7+ years of current progressive hospital Business Office experience, including at least 5 years in a management role required

• Prior direct experience using Epic or similar electronic medical record system, required

• Familiarity with procedural coding and medical terminology highly recommended

• Current experience and familiarity with Medicare billing regulations and requirements, commercial and Medicare Advantage billing guidelines and payer reimbursement models

• Experience in creating PowerPoint presentations and comfortable presenting in group settings

• Demonstrated record of excellent customer service and achieving a positive patient experience

• Skill in developing, implementing, and sustaining Lean work processes

• Past direct experience preparing department operational budgets

• Analytical and problem-solving skills, sufficient to understand complex data reporting with ability to effectively communicate outcomes

Company highlights including:

• An engaged, excellence-focused Revenue Cycle Team.

• Expanding the Business Services department with room for future career development and continuous learning opportunities.

Requirements

Bachelor’s Degree in a related field required. Master’s Degree preferred

• Minimum 7+ years of current progressive hospital Business Office experience, including at least 5 years in a management role required

• Prior direct experience using Epic or similar electronic medical record system, required

• Familiarity with procedural coding and medical terminology highly recommended

• Current experience and familiarity with Medicare billing regulations and requirements, commercial and Medicare Advantage billing guidelines and payer reimbursement models

• Experience in creating PowerPoint presentations and comfortable presenting in group settings

• Demonstrated record of excellent customer service and achieving a positive patient experience

• Skill in developing, implementing, and sustaining Lean work processes

• Past direct experience preparing department operational budgets

• Analytical and problem-solving skills, sufficient to understand complex data reporting with ability to effectively communicate outcomes

Robert Half Finance & Accounting matches skilled professionals with remote or on-site jobs in accounting, bookkeeping, finance, audit, taxation and more on a full-time basis. Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches your skills and experience with jobs.

When you work with us, you’re working with the best. Robert Half has been recognized as one of FORTUNE’s “Most Admired Companies” every year since 1998 and was No. 1 on Forbes’ annual ranking of America’s Best Professional Recruiting Firms.

Questions? Call your local office at 1.888.490.5461. All applicants applying for U.S. job openings must be legally authorized to work in the United States.

© 2020 Robert Half Finance & Accounting. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (www.roberthalf.com/terms-of-use).

Salary: DOE

Location: Coeur du0027Alene, ID

Date Posted: January 8, 2021

Employment Type: Full-time

Job Reference: 03650-0011655864

Staffing Area: Full-Time Accounting u0026 Finance

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