
Healthcare Revenue Management Director
6 days ago
Job Title: Healthcare Revenue Management Director
We are seeking an experienced Healthcare Revenue Management Director to lead our medical billing operations team. As a key member of our leadership team, you will be responsible for developing and implementing strategic plans to optimize the revenue cycle process, ensuring efficient medical billing operations while maintaining compliance with healthcare regulations.
Key Responsibilities:
- Strategic Planning: Develop and implement strategic plans to optimize the revenue cycle process, reduce claim denials, and improve cash flow.
- Team Leadership: Lead, mentor, and supervise remote medical billing teams, ensuring productivity targets and quality benchmarks are consistently met.
- Client Relationships: Serve as the primary point of contact for clients, addressing inquiries, resolving issues, and providing regular performance reports and updates.
- Regulatory Expertise: Ensure billing practices comply with healthcare regulations (e.g., HIPAA, payer policies) and maintain high accuracy and quality control standards.
- KPI Tracking: Monitor and report key performance indicators (KPIs) such as Days in AR, Clean Claim Rate, and Denial Rate, and provide actionable insights for improvement.
- Staff Development: Organize training sessions and continuous development programs for team members to keep them updated with the latest payer policies and coding changes.
- Error Prevention: Proactively identify potential risks or errors in billing processes and implement corrective action plans to mitigate revenue loss.
- Cross-Functional Collaboration: Work closely with coding teams, credentialing specialists, and revenue cycle management (RCM) teams to ensure smooth end-to-end operations.
- Technology Integration: Recommend and assist in the implementation of medical billing software and tools to enhance team efficiency and data security.
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