Assistant Director, Revenue Cycle

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

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Emerus Holdings, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

🏥 Healthcare

💊 Pharmaceuticals

💰 Private Equity Round on 2015-08

Healthcare • Pharmaceuticals

Emerus Holdings, Inc. is the nation’s first and largest operator of neighborhood hospitals, dedicated to partnering with leading health systems to deliver excellence, empathy, and innovation in healthcare. Their unique model features small-format hospitals that offer a wide range of outpatient and ancillary services, including emergency care, imaging, specialty care, inpatient care, diagnostic testing, and pharmacy services, all within a single licensed facility. Headquartered near Houston, Texas, Emerus prioritizes patient-first care and has been nationally recognized for its high standards. With a diverse team of over 2,000 professionals across 20+ specialties, Emerus has proudly served local communities for over 18 years, emphasizing collaboration and integration with partner health systems across the U. S.

📋 Description

• Oversee daily revenue cycle operations • Supervise Revenue Cycle Managers across Billing, Coding, Payment Posting, Insurance Follow-up, Credit Balance/Refunds, and Customer Service • Support Managers with supervision and training of revenue cycle staff and Team Leads • Assist with hiring and personnel concerns • Develop, implement, and maintain policies and procedures to improve operational efficiency and accuracy • Monitor KPIs, analyze denial and payment delay trends, and provide reports and recommendations to leadership • Oversee EDI management, payer portals, clearinghouse, ERA, and EFT access and enrollments • Ensure revenue cycle metrics and goals are communicated and achieved • Implement process improvements and training as needed • Maintain compliance with billing and coding regulations and payer policies • Perform or oversee daily, weekly, and monthly department audits • Hold regular meetings with Managers and Team Leads to maintain operational continuity and improve efficiency and production quality • Serve as subject matter expert in revenue cycle operations • Ensure processes and new projects are maintained successfully and provide timely feedback to the Director of Revenue Cycle • Collaborate with the Director of Revenue Cycle and internal departments • Coordinate with the Revenue Cycle IT team on ticket completion and operational system issues • Attend required staff or company meetings • Perform additional duties as assigned

🎯 Requirements

• Bachelor’s degree in healthcare administration, business administration, or a related field • Master’s degree preferred • Extensive experience in institutional coding, institutional billing, institutional denials management, and payment posting • In-depth knowledge of healthcare regulations, privacy laws, billing requirements, CMS and State regulations, and payer policies • Strong leadership and team management skills • Intermediate to advanced Microsoft Excel and Microsoft Office skills • Excellent communication and interpersonal skills • Ability to analyze data, identify trends, and make data-driven decisions • Proficiency in healthcare information systems and patient access software • Knowledge of revenue cycle management processes and strategies • Proven track record in process improvement and implementing best practices • Demonstrated ability to lead and motivate teams, collaborate with other departments, and act as a strategic partner to the Revenue Cycle Director • Ability to work off-hours when required

🏖️ Benefits

• Teamwork-focused work environment • Diversity, equity, and inclusion commitment • Equal access to information, development, and opportunity