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Director of Revenue Cycle - Louisville, United States - Vaco
Description
Overview:
The Medical Director of Revenue Cycle plays a critical role in overseeing and optimizing the financial operations within the healthcare organization.
This individual is responsible for developing and implementing strategies to maximize revenue, minimize financial risk, and ensure compliance with regulatory requirements.
The ideal candidate will possess a deep understanding of healthcare revenue cycle management, coupled with strong leadership and analytical skills.
Responsibilities:
Strategic Leadership:
Develop and implement strategic initiatives to optimize revenue cycle performance, enhance financial outcomes, and support organizational goals.
Collaborate with executive leadership to establish key performance indicators (KPIs) and benchmarks for revenue cycle metrics.
Provide guidance and direction to revenue cycle staff, fostering a culture of accountability, efficiency, and continuous improvement.
Revenue Cycle Management:
Oversee all aspects of the revenue cycle, including patient registration, coding, billing, collections, and accounts receivable management.
Ensure accurate and timely billing processes in compliance with regulatory guidelines, payer requirements, and contractual obligations.
Monitor revenue cycle workflows and identify opportunities for process improvement and automation to streamline operations and maximize revenue capture.
Financial Analysis and Reporting:
Analyze revenue cycle data and financial performance metrics to identify trends, variances, and areas for improvement.
Prepare regular reports and presentations for senior leadership, highlighting key performance indicators, revenue projections, and actionable insights.
Develop and implement strategies to address revenue leakage, denials, and other financial challenges impacting revenue cycle operations.
Compliance and Regulatory Compliance:
Ensure compliance with federal, state, and local regulations governing healthcare billing, coding, and reimbursement.
Stay abreast of changes in healthcare regulations and payer policies, and implement necessary updates to revenue cycle processes and procedures.
Collaborate with compliance officers and legal counsel to address compliance issues and mitigate financial risks.Relationship Management:
Collaborate with internal stakeholders, including clinical departments, finance, IT, and compliance, to optimize revenue cycle processes and workflows.
Build and maintain effective relationships with external stakeholders, including third-party payers, government agencies, and regulatory bodies.
Serve as a subject matter expert on revenue cycle matters, providing education and guidance to internal and external stakeholders as needed.
Qualifications:
Medical degree (MD or DO) with board certification in a relevant specialty (e.g., Internal Medicine, Family Medicine, etc.) preferred.
Minimum of [X] years of experience in healthcare revenue cycle management, with demonstrated leadership experience in a managerial or director-level role.
Strong understanding of healthcare billing, coding, reimbursement methodologies, and regulatory requirements (e.g., CMS guidelines, HIPAA, etc.).Proficiency in revenue cycle technologies, EMR/EHR systems, and healthcare billing software (e.g., Epic, Cerner, Meditech, etc.).
Excellent analytical, problem-solving, and decision-making skills, with the ability to analyze complex financial data and develop actionable recommendations.
Effective communication and interpersonal skills, with the ability to collaborate and build relationships across all levels of the organization.
Proven track record of driving process improvement initiatives, achieving measurable results, and managing change in a dynamic healthcare environment.
Vaco values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
EEO Notice
Vaco is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
As part of this commitment, Vaco LLC and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations.
If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact.
Vaco also wants all applicants to know their rights that
workplace discrimination is illegal .
By submitting to this position, you agree that you will be giving Vaco the exclusive right to present your as a candidate for the foregoing employment opportunity.
You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications.You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application.
In exchange, Vaco agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.Privacy Notice
Vaco LLC and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco") respects your privacy and are committed to providing transparent notice of our policies.
Virginia residents may access our state specific policies .
Residents of all other states may access our policies .
Canadian residents may access our policies in English
and in French .
Residents of countries governed by GDPR may access our policies .
Pay Transparency Notice
Determining compensation for this role (and others) at Vaco depends upon a wide array of factors including but not limited to:
the individual's skill sets, experience and training;
licensure and certification requirements;
office location and other geographic considerations;
other business and organizational needs.
With that said, as required by local law, Vaco believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
The individual may also be eligible for discretionary bonuses.#J-18808-Ljbffr
