Senior Director, Revenue Cycle Managed Services – RC Ambulatory

🕒 il y a 10 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟠 Senior

👔 Directeur

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 10%

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Impact Advisors

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2007

💼 Conseil

🏥 Santé

🤖 Intelligence artificielle

Consulting • Healthcare • Artificial Intelligence

Impact Advisors est une société de conseil spécialisée dans le secteur de la santé, offrant des services d'amélioration de la performance grâce à des technologies avancées pour les systèmes de santé, les hôpitaux et les régimes de santé. Elle propose des services de conseil stratégique et opérationnel couvrant les domaines clinique, financier et technique. Ces services incluent l'optimisation du cycle de revenus, la gestion des effectifs et de la chaîne d'approvisionnement, l'amélioration de la qualité clinique, les implémentations EHR/ERP, la modernisation des TI, la cybersécurité ainsi que le traitement des données et l'intelligence artificielle (IA). L'objectif est de fournir une valeur mesurable et durable, ainsi que de transférer les compétences aux équipes clients. Impact Advisors met l'accent sur la mise en œuvre collaborative, le retour sur investissement mesurable et la durabilité à long terme des améliorations.

Description

• Lead end-to-end revenue cycle operations for a medical group • Lead registration, eligibility verification, authorizations, coding workflows, billing, collections, denials, payment posting, credits, refunds, and patient financial services • Develop and execute strategies to improve cash flow, reduce days in accounts receivable, lower denial rates, increase net collection rates, and strengthen financial performance • Establish, monitor, and report revenue cycle performance indicators • Partner with physicians, practice administrators, finance, compliance, coding, credentialing, contracting, IT, and operations leaders • Ensure billing, coding, claims, collections, and documentation comply with regulations, payer requirements, HIPAA, Medicare, Medicaid, and internal standards • Oversee denial prevention and resolution, root-cause analysis, appeals, payer trend reporting, and corrective action plans • Direct payer issue escalation, reimbursement analysis, contract performance monitoring, and collaboration with managed care or contracting teams • Lead revenue cycle system optimization, workflow redesign, automation, reporting enhancements, and new technology implementation • Prepare executive reports, financial analyses, dashboards, forecasts, and recommendations • Develop policies, procedures, training materials, audit processes, and internal controls • Manage, coach, and develop revenue cycle managers, supervisors, analysts, and staff • Evaluate and manage billing, clearinghouse, collection agency, technology, and outsourced service vendors • Support budgeting, staffing models, resource planning, productivity standards, and workforce development • Identify operational risks, financial trends, and process improvement opportunities • Lead cross-functional initiatives to improve revenue integrity and patient satisfaction • Travel to client site as needed, anticipated to be 25%

🎯 Exigences

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field required • 10–15 years of progressive healthcare revenue cycle experience • Minimum of 5 years of revenue cycle leadership experience managing teams, supervisors, or managers • Strong knowledge of professional billing, coding workflows, charge capture, payer reimbursement, claims adjudication, denial management, patient collections, and accounts receivable management • Demonstrated success improving revenue cycle performance metrics, operational efficiency, cash collections, and compliance outcomes • Experience with electronic health record, practice management, clearinghouse, reporting, and revenue cycle systems • Working knowledge of Medicare, Medicaid, commercial payer guidelines, HIPAA, compliance requirements, and applicable billing regulations • Strong analytical, financial, problem-solving, communication, and executive presentation skills • Ability to lead change, influence stakeholders, manage competing priorities, and drive measurable results across multiple sites or specialties • Master’s degree preferred • Revenue cycle, HFMA, MGMA, AAPC, AHIMA, CHFP, CRCR, CPC, or related certification preferred • Experience supporting multispecialty physician groups, hospital-owned practices, or large ambulatory networks preferred • Experience leading system conversions, revenue cycle transformation projects, centralization initiatives, or automation programs preferred • Knowledge of value-based care, risk-based contracts, payer contracting, provider enrollment, credentialing, and revenue integrity programs preferred

🏖️ Avantages

• Annual performance bonus may be available for salaried positions • Additional benefits and perks may be available depending on the position and employment terms • Caring, fun, honest, and autonomous work environment • Diversity and inclusion environment where employees feel valued and empowered