|Skills:||Billing,coding,collections,financial strategy,business planning and budgeting,management.
|Specialties:||Adult Health, Family Medicine, OB/GYN, Pediatrics, Behavioral Health, Dental
|Required Experience:||5 to 7 years
|Preferred Experience:||3 to 4 years
|Location:||550 S Pike W. Sumter 29150, SC, US
The Revenue Cycle Director (RCD)
directs and oversees all revenue cycle-related activities for the organization
in order to optimize the organization’s profitability and patient care
continuum. The RCD will assist with setting Tandem Health financial policies
and direction related to the revenue cycle, while also being an
active participant in helping
drive the organization’s overall
financial strategy, business planning, and budgeting. This position will work closely with Chief
Financial Officer to analyze billing and financial data in comparison to the
Duties and Responsibilities:
- Works closely with Athena staff to
monitor outstanding accounts receivable to ensure timely payments and claims
resolution to maximize revenue.
closely with provider relations staff at insurance companies to resolve
outstanding billing issues.
- Oversees the work of the Revenue Cycle
Manager and overall supervision of the Billing department.
adequate staffing levels for the Billing department, which may include
emergency coverage by the Revenue Cycle Manager and Director during unexpected
- Works closely with Compliance department
to ensure compliance with all billing and collections practices.
- Reviews insurance contracts for accuracy
and revenue maximization.
- Oversees and assists, as needed, with
reviews and updates to the fee schedules on an annual basis.
CFO with audit activities.
Tandem Health leadership in the annual budgeting and planning process.
the CFO in engaging the Board of Directors’ Finance Committee around issues and
trends in the revenue cycle.
CFO with management of cash flow and forecasting.
with monthly A/R reconciliation for medical and dental service lines.
reporting input for UDS, SAC grant as well as the Medicare and Medicaid cost
that all appropriate laws and regulations governing billing and collections are
- Remains up-to-date on all billing
guidelines, specifically those affecting the business of Federally Qualified
Health Centers (FQHC)
- Keeps CFO informed of regulatory changes
affecting the revenue cycle.
- Demonstrates cooperative co-worker and
community relationships by remaining friendly, polite, helpful, open-minded,
and non-critical/judgmental of others;
- Promotes a calm and effective work
environment by maintaining appropriate emotional control and displaying
appropriate behavior at all times.
- Builds a team, resolves conflict, and
facilitates group interaction both within the team and with cross-departmental
- Facilitates assigned staff time and
attendance to include requests for Paid Time Off and minimizing overtime.
- Oversees the hiring, orientation and
training and development of assigned team members.
- Provides coaching and counseling
utilizing Center-approved performance feedback tools and methods.
- Maintains a strong focus on ensuring
that all work efforts are aligned with organizational goals and objectives.
- Enables staff to achieve optimal results
by providing information, encouragement and support.
other duties as assigned
Education and Experience:
- Bachelor’s degree in relevant field required.
- A minimum of five (5) years Billing and
Collections experience required.
- A minimum of three (3) years of
supervisory experience required.
- Certified Professional Coder (CPC)
Skills, and Abilities:
- Must possess considerable knowledge of
the principles and practices of accounts receivable, billing and collections
practices, including, but not limited to, third party, Medicare and
Medicaid payors, as applicable in the FQHC setting.
to adjust to the changing needs of the health center.
to work independently and collaboratively to achieve goals.
to effectively lead and engage a team to accomplish goals.
be able and willing to work as a team member and a leader.
organized and detailed.
sound judgement and decision-making; able to assess and differentiate
written and verbal communication skills.
to maintain confidentiality in all aspects of information (including patient
data) in accordance with center’s philosophy and policy, and state and federal
regulations. Must handle the most sensitive and confidential matters with the
with computer skills (i.e. Microsoft Word, Excel, Access, and web-based applications).
to learn new software programs.
Very busy atmosphere. Highly stressful when dealing with individual
personalities of co-workers, patients and their families. Potential for rare exposure to blood-borne
diseases (Category II). Potential for
rare exposure to chemical hazards (Category B).
Considerable sitting, standing or
supplies/equipment up to 20lbs occasionally, and/or up to 10lbs