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Revenue Cycle Management

4 weeks ago

Manila, National Capital Region, Philippines Sysgen RPO, Inc. Full time

Position: Revenue Cycle Management (RCM) and Client Journey Director

Employment Set Up:100% Remote

Our client, is a national mental health organization is currently seeking an RCM and Patient Journey Director. This role will be responsible for directing and administering the operation of Billing, Collections, and Payment Posting. The ideal candidate will have a strong background in leading process improvement with multiple stakeholders, with a strong focus on revenue improvement and financial counseling for our clients.

Key Responsibilities

  • This role will oversee multiple teams and will work with the Head of Revenue Cycle Management to coordinate all Revenue Cycle Management responsibilities, projects, and initiatives.

  • Monitor daily production of claims, denials, and appeals, and identify ways to optimize cash posting and collections and maintain reporting

  • Be an effective change manager who can present data to explain why change is required and then execute the changes with minimal disturbance to ongoing operations

  • Collaborate with the Center of Excellence to ensure that the client receives a transparent and pleasant billing experience

  • Maintain and/or create policies and procedures to ensure that staff are trained correctly and have a reliable resource

  • Ensure compliance with Federal, State, and payer-specific billing requirements

  • Stay informed of industry trends and regulations to ensure that we have competitive RCM processes in place

  • Support vendor relationships to achieve goals and objectives

  • Support the integration of company mergers and acquisitions

  • Target revenue recovery efforts throughout the reporting areas by analyzing problems and presenting solutions. Present findings that can be shared with staff, leadership, and external stakeholders.

  • Provide expectations and metrics to the staff that align with company goals

  • Lead and mentor the growth and development of the RCM staff by providing routine assessments of their performance

  • Drive RCM projects and implementation efforts and ensure timely completion

  • All other duties as assigned to support the improvement of the patient's billing experience.

Qualifications

  • Bachelor's degree in business administration, finance, healthcare administration, or a related field or equivalent experience required

  • 10 + years of relevant healthcare and RCM leadership experience

  • Experience with self-developed systems planning, delivery, deployment, validation, and support

  • Strong data and analytical skills

  • Strong presentation skills and experience presenting and communicating with the executive team

  • Proven project management, transformation experience, and some knowledge of technology platforms

  • Thorough knowledge of patient financial standards relating to billing, collections, and cash posting.

  • Superior critical thinking, analytical, and problem-solving skills

  • Ability to lead cross-functional teams in Discovery and Development

  • Strong interpersonal skills with experience motivating and leading a group of long-tenured employees

  • Excellent communication, relationship building, time management, and organization skills are necessary

  • Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders

  • Ability to work in a high volume, fast-paced environment with tight deadlines and multiple interruptions

  • Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry

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