Revenue Cycle Director

RESPONSIBILITIES:

1. Develop strategic plans and programs for the Revenue Cycle team and ensure goals and objectives of the team are properly defined and clearly established.
2. Assist with evaluation of new payment models, development of metrics for performance and implementation of accounting system to monitor performance and training of staff of new methodology.
3. Evaluate Fee Schedule annually and provide recommendations for approval of fee increases, including costs of supplies.
4. Establish Key Metrics to meet national standards for Revenue Cycle Performance.
5. Develop and utilize appropriate quality improvement tools to measure accuracy and efficiency of billing. Address areas of concerns identified from such efforts and report to the CFO.
6. Assure compliance with HIPAA privacy and security standards.  
7. Maintain good relationship with insurance companies; identify possible problems that may cause any slowing of the cash flow (i.e., new insurance plans, new network providers, reference services, or new providers).
8.  Establish a comprehensive training program for Revenue Cycle staff to ensure that all staff are proficient and timely in their performance.
9. Review and evaluate the performance of the team, on regular and periodic basis, and ensure the overall performance of team is on track, and well within the pre-established goals and objectives.
10. Consult with the IT staff in practice management system activities including the month-end close, hardware support, identifying systems issues, submitting support calls, and training personnel on systems procedures.
11. Ensure billing and coding practices are in compliance with federal and state law and regulation.
12. Coordinate with Clinic Managers and Leads to establish training and performance measures for patient registration, insurance verification, collection of co-pays and other Revenue Cycle Functions. Provide training materials and feedback on consistent and comprehensive feedback on performance.
13.  Participate as a change agent and capable of guiding the organization in initiating various change management initiatives with the view of leading and guiding the organization towards the future.
14. Assist with meeting quality measures by completing tasks related to VFHC initiatives.