Director, Revenue Cycle Management

Job not on LinkedIn

🔥 8 minutes ago

🇺🇸 United States – Remote

💵 $150k - $195k / year

⏰ Full Time

🔴 Lead

👔 Director

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Tegria

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to advance care, improve performance, and tackle the biggest challenges in healthcare. They offer a range of services including patient access optimization, data analytics, cloud solutions, and revenue cycle transformation to create value and enhance healthcare delivery. Tegria focuses on streamlining operations, fostering innovation, and leveraging technology to maximize performance and improve patient experiences.

📋 Description

• Direct operational, financial, programmatic, and personnel activities for Tegria’s Revenue Cycle Services team • Lead claims, payments, credit balance, insurance reimbursement, denials, coding, systems, third-party management, and self-pay management • Establish, meet, and monitor goals and objectives aligned with Tegria’s strategic goals • Direct day-to-day operations, budgeting and forecasting, client financial management, and human resource management • Lead Operations, Client Engagement, and Business Development for Revenue Cycle Services • Set performance targets and drive continuous improvement • Develop and manage operational initiatives with measurable outcomes • Build and lead a collaborative team, fostering morale and defining collective success • Ensure development and retention of a successful customer base • Maintain partnership with MEDITECH to support enhancements, consulting engagements, implementations, and billing-as-a-service • Collaborate with executives to define goals, strategic plans, and informed decisions • Present to executives across Tegria, partner organizations, and healthcare clients • Partner with sales to attract new clients and expand current-client services, including an assigned revenue target • Drive business development strategies supporting growth, productivity, decision-making, and customer service • Lead product innovation and guide the product and services roadmap • Evaluate services, analyze data, identify issues, and implement innovative solutions • Integrate regulatory changes, industry trends, and best practices into Revenue Cycle programs • Align team goals with client objectives and measure and communicate success using data • Safeguard business-critical information and enforce compliance with standardized procedures • Implement contingency plans and maintain compliant policies, processes, and procedures • Allocate budget and personnel resources effectively • Hire, retain, train, coach, and evaluate team members, including pay reviews and corrective action • Perform other related duties as assigned

🎯 Requirements

• Bachelor’s degree in healthcare administration, business administration, or a related field, or an equivalent combination of education and experience • Extensive experience with direct accountability for P&L management, strategic planning, operations, financial oversight, and team leadership and development • Broad expertise in IT governance, change management, service delivery, and customer support • Proven track record of selling products and services to clients, with a background in business development, client services, or business operations • More than five years of experience working with electronic health record (EHR) applications • Comprehensive understanding of revenue cycle performance, including multiple billing, coding, and reimbursement models • Thorough understanding of applicable laws and regulations, including HIPAA, False Claims Act (FCA), Anti-Kickback Statute (AKS), Stark Law, Affordable Care Act (ACA), Fair Debt Collection Practices Act (FDCPA), state collection laws, EMTALA, IRS regulations for non-profit hospitals, and state-specific regulations • Advanced leadership skills, including building a high-performing organization in a remote environment, fostering employee engagement, and mentoring and coaching team members and peers • Ability to develop and execute strategic plans producing measurable business outcomes • Exceptional interpersonal, communication, and organizational skills • Ability to deliver engaging presentations, manage positive client relationships, and drive customer satisfaction • Ability to work independently and productively in a remote work environment • Proficiency with Office productivity and collaboration tools, such as O365 • Reliable internet access with sufficient speed to perform the job satisfactorily • Secure, private home office • W2 project-based consultants must provide a computing device meeting industry standards and security best practices

🏖️ Benefits

• Multiple health and dental plans with nationally recognized networks • Vision benefits • Total wellness program • Employee assistance program for employee and family • Retirement savings plans • Company-paid disability and life insurance • Pre-tax savings opportunities (HSA and/or FSA) • Professional development offerings • Remote work opportunities • Generous paid-time-off program • Flexible schedule accommodations