Director of Revenue Cycle Management

JOB PURPOSE: The Director of Revenue Cycle Management is responsible for overseeing the process of collecting and organizing analytical data related to an organization’s revenue, AR, budget, and other financial activities. They plan, approve, and supervise the deployment of systems and processes to manage and analyze financial data and other records. They confirm that all systems are designed to ensure compliance with regulatory standards. They train and supervise a team of revenue specialists.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Prepare outline for and support the annual revenue budget process.
• Serve as the supervisor of revenue staff.
• Ensure efficient processing of billing claims, insurance follow up, collection activities, and denials.
• Grow a team of expert representatives.
• Provide strategic direction in support of critical revenue cycle initiatives and goals.
• Mentor, guide and provide oversight assistance of the team.
• Maintain and analyze revenue to ensure compliance with revenue recognition.
• Make appropriate changes to address any issues or trends after review with management.
• Prepare and review complex journal entries and account reconciliations.
• Responsible for revenue cash receipts for operated and non operated properties.
• Provide key reporting and actionable data across the revenue management teams.
• Oversee multiple operational teams responsible for the revenue cycle projects for one or multiple clients.
• Aid and assist in the integration of revenue, receivable and billing activities for future acquisitions.
• Partner with finance team to assist with budgeting, forecasting and strategic planning.
• Comply with all federal, state and local regulatory guidelines and laws.
• Other duties as assigned.

QUALIFICATIONS/EDUCATION:

• Bachelor’s degree in accounting / business or equivalent job experience.
• Extensive experience with common billing systems.
• Comfortable performing workflow analysis assessments.

ESSENTIAL KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:

• Excellent organizational skills and attention to detail.
• Knowledge of payer systems, revenue software and government affairs.
• Proficient with Microsoft Office Suite, particularly Excel.
• Demonstrated strong leadership and problem-solving capabilities.
• Inspire as a leader and foster a positive environment for growth.

PHYSICAL DEMANDS:

Physical demands described are representative of those that must be routinely met by an employee to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

• Ability to lift up to 25 pounds.
• Ability to perform job responsibilities in a facility with multiple levels and without elevator or mechanical transportation.
• Operates a computer and keyboard.

WORK ENVIRONMENT:

Working conditions described are representative of those that must be met by an employee while performing the essential duties of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

Smoke-free working environment.

This position description is not intended to be a complete list of all responsibilities, duties or a skill required for the job and is subject to review and change in accordance with the needs of OVP Health and contractual obligations.

EEO STATEMENT

OVP Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.  In addition to federal law requirements, OVP Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation and training.

OVP Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.  Improper inference with the ability of OVP Health/Healthcare employees to perform their job duties may result in discipline up to and including discharge.