Job Description

Director of Revenue Cycle Management

Business Office · Revenue Cycle Managers
Plantation, FL
Health Care
Full Time, Days
Weekly Schedule: Monday - Friday8:00am - 5:00pm
Bilingual: None
Bilingual Type: N/A
Posted 10/06/2017
Req # 601
  • PRIMARY FUNCTION
    • This position is responsible for the planning, organizing and executing day to day operations of claims processing, collections and payment functions for the organization. This position will establish effective claims management processes and controls to ensure the accuracy and timeliness of claim submissions, collections effort and payment distribution in compliance with all regulations. Additionally, this position will proactively identify, develop and execute solutions to improve overall effectiveness and efficiency within this Billing and Collections area, as well as manage team performance to meet and exceed key metrics.
  • ESSENTIAL FUNCTIONS OF THE JOB
    • This list may not include all of the duties that may be assigned.

      • Supervise team of Revenue Cycle managers and representatives.
      • Ensure that collection agents are prompt in following up on denied or rejection claims to ensure prompt payment.
      • Implement approved billing and collection procedures across the company.
      • Implement company billing policies and standards.
      • Provide CFO with billing and collection reports.
      • Ensure department remains compliant with HIPAA and company policies.
      • Oversee A/R and make sure claims are addressed in a timely manner to ensure prompt payment.
      • Develop and enforce company policies and procedures.
      • Keep CFO informed of department productivity, deficiencies and issues.
      • Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
      • Create and maintain training program for billing staff.
      • Maintains strictest confidentiality.
  • PERFORMANCE REQUIREMENTS
    • Education:
      • BA/BS degree or commensurate experience.

    • Licensure:
      • None Specified

    • Knowledge, Skills & Abilities:
      • Demonstrated excellent facilitation and relationship-building skills
      • Ability to work in dynamic environment and oversee multiple initiatives
      • Ability to identify problems, troubleshoot and recommend corrective actions
      • Superior organizational skills and the ability to multi-task high priority projects simultaneously.
      • Excellent written and verbal communication skills.
      • Ability to effectively present information in a group setting to internal and external audiences
      • Ability to evaluate, and recommend process alternatives.

    • Experience:
      • Experience managing accounts with partial payments, non-payments and overpayments
      • Experience participating in the development and implementation of billing, collections and reporting systems
      • Minimum of 5 years experience in a health care company with direct accountability for managing billing and collections team
COMPANY OVERVIEW: Founded in 1955, Pediatric Associates is one of the oldest and most respected pediatric practices in the United States. Pediatric Associates opened its first office in Hollywood, Florida. The Company was one of the first medical groups to introduce satellite office locations in consumer retail locations. They were also one of the first pediatric groups to embrace managed care in the 1970s, collaborating with insurance plans as healthcare partners with the common interest of providing South Florida's children with the best healthcare available. Today, Pediatric Associates is a national leader in pediatric population health management with over 200,000 patients under global risk. Keeping abreast of medical advances and changing lifestyles, Pediatric Associate’s modern facilities offer comprehensive services, including X-ray and state certified laboratories. The Company currently has 33 neighborhood locations, which are staffed by more than 200 employed providers who proudly serve families throughout Miami-Dade, Broward, Palm Beach, St. Lucie, counties, including Tampa and Jacksonville. Pediatric Associates will continue to bring the best possible healthcare service to its patients well into the 21st Century. Ease of access, prompt courteous service and responsiveness to our patients' concerns will always be their primary goal. Pediatric Associates has continued to thrive and today is recognized as one of the premier general pediatric and population health management practices in the United States.

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