Description

Director of Revenue Cycle, Full-time

Cumberland Healthcare is currently searching for a Director of Revenue Cycle to join our Leadership Team!  The Revenue Cycle Director works to improve the revenue cycle and process by maximizing revenue and reimbursement through the effective management and utilization of revenue processes and information flow through operations and billing systems.

This position oversees the following departments:  Patient Financial Services/Business Office and Health Information.

Key Responsibilities

• Analyzing and implementing initiatives to increase revenue, working with areas of the facility to coordinate revenue procedures, credentialing payers with insurance and health plans to ensure proper set-up for reimbursement.
• Driving process improvement initiatives related to revenue cycle functions in collaboration with department leaders and managers.
• Responsible for the entre pipeline of charge capture activities from registration, coding, and billing for ensuring accurate reimbursement for services billed.
• This position serves as a key resource for setting up new service lines and corresponding charges and for facilitating the credentialing process for physicians and contracts with third party payers.
• Responsible for maintaining and overseeing the facility chargemaster.

Requirements

Qualifications

• Bachelor's degree in business, accounting or other related field
• 5+ years' healthcare revenue cycle experience with billing; reimbursement; and collections for inpatient, outpatient, and clinic environments (Critical Access Hospital and Rural Health Clinic experience preferred)
• Knowledge and familiarity of cost reporting preferred
• Insurance contract negotiation experience preferred
• Medicare/Medicaid payor knowledge preferred
• Possess management skills including ability to plan, organize, and direct staff using good communication and effective management techniques
• Meditech experience preferred
• Advanced knowledge of billing claim forms, UB-04, 1500, and EOB Interpretation
• Possesses strategic interconnectivity of all elements of the Revenue Cycle and how to maximize efficiency and effectiveness, from billing and NPIs to Payors to Cost Reports, etc. for Critical Access Hospital and Rural Health Clinic