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Director of Revenue Cycle Management - $2000 Sign on Bonus

Location:Portland, ME
Employment Type:Full Time
Department:Administrative
Description:

The Director of Revenue Cycle Management is responsible for the implementation and maintenance of all systems affecting the billing, claims, collections, credentialing and coding, the reimbursement(payment)for services rendered to patients by major third-party payers of health care services.

 

$2000 sign on bonus

 

 

 

Many positions include sign on bonuses that are available to full-time newly hired staff.  The first half of the sign on bonus ($1000) will be paid after 90 days of full-time employment and the second half of the sign on bonus ($1000) will be paid after six months of full time employment.  If a new hire changes status to either part-time or per diem status during any of that timeframe, they will forfeit the sign on bonus that is yet to be paid.

 

Duties:
  • Responsible for the full revenue cycle management of the organization, including coding, billing, claims and collections.

  • Ensures that Credentialing is complete and accurate for all providers.

  • Manages denials, including reporting, accountability and resolution.

  • Responsible for contract Management with Insurance carriers, including negotiating reimbursement levels.

  • Ability to analyze and review billing requirements and automate the billing process.

  • Participates in development and implementation of policies/procedures to assure compliance with current and new regulatory standards affecting billing/revenue.

  • Reviews quality assurance standards, analyzes existing policies and procedures, and provides recommendations regarding the effectiveness of quality assurance programs; and assist in implementation of those processes.

  • Identifies and selects specific topics for review, as itimpacts billing/revenues related to problem procedures, high volume denials, high risk services, or other factors.

  • Responsible for the overall direction, coordination, and evaluation of Billing department with the billing department leadership.

  • Performance management, mentoring and staff development.

  • Using collaborative management practices, develops processes for and facilitates communications across and between programs and services, ensuring the best outcomes for clients and staff.

  • Demonstrates the CARE principles in fulfilling all job responsibilities and actively supports the integration of the CARE model in all programs and services.

  • In conjunction with the Vice President of CQI, measures the progress and outcomes of the department helping to ensure that outcomes are consistently of high quality across services and programs.

  • Communicates effectively with clinical and educational managers, program staff, the Senior Leadership Team, and other stakeholders.

  • Ensures services are in compliance with legal, contractual and regulatory requirements.

  • Performs other duties as assigned.
Qualifications:

Bachelor’s Degree in Business, Healthcare Management or other appropriate major required. Master’s degree preferred. Three to five years managing the revenue cycle of a healthcare organization similar in size and five to ten years of progressive experience within the health care industry (billing, provider services, or claims operations) preferred.

 

Spurwink is an equal opportunity employer



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