Pay is commensurate with experience beginning at $73,400 annually. Full time, exempt, benefits eligible. Bert Nash offers excellent benefits which include medical, dental, vision, KPERS retirement, life insurance, an Employee Assistance Program (EAP) providing free counseling and resources, and generous PTO.

Caring. Hope. Giving back. Our mission at the Bert Nash Center as the Community Mental Health Center (CMHC) of Douglas County is to advance the health of the community through comprehensive behavioral health services responsive to evolving needs and changing environments. We accomplish this by believing in our team. Each person that works for the Bert Nash Center contributes directly to the success of our clients, organization, and community. Our values of compassion, integrity, equity and hope reflect in everything we do.

Responsibilities & Duties: Oversee the revenue cycle process including contracting, eligibility verification, billing, accounts receivable management, compliance, payer relations, revenue cycle integrity issues, analysis, and strategic revenue cycle management. Functions include coordinating with senior leadership and leading the Revenue Cycle Management team, overseeing coding, charge entry, billing, collections, process improvement. The Revenue Cycle Management Director will be responsible for monitoring key performance indicators (KPIs) related to revenue cycle performance and implementing strategies to improve metrics such as days in accounts receivable, denial rates, and gross collection margin while achieving business objectives.

• Directs and oversees the day-to-day management of Revenue Cycle Management processes
• Manage application of claiming, payments, denials, re-submissions and all facets of the Electronic Health Record system as it relates to accounts receivable
• Recommends reimbursement policy and implements revenue cycle procedures based upon trends in State and Federal mandates regarding reimbursement, industry trends, best practices, contract language and compliance
• Leads and manages the revenue cycle team, providing guidance, trainings, and support to ensure staff members are equipped with the necessary skills and knowledge to excel in their jobs
• Manages the comprehensive financial analysis of revenue cycle operations, identifying trends, opportunities, and areas for improvement
• Generates and presents reports to Senior Director of Finance and Administration on revenue cycle performance, financial metrics, and actionable insights to inform strategic decision-making
• Evaluates, implements, and optimizes revenue cycle management software and technology solutions to streamline processes, improve efficiency, and enhance revenue capture
• Collaborates with the Billing Project Manager and IT stakeholders to address system issues, implement upgrades, and ensure data integrity and security
• Ensure compliance of internal controls within the Revenue Cycle Management Department and throughout the organization
• Monitors managed care contracts to verify agreed-upon reimbursements
• Works closely with clinical managers and admissions to ensure optimal revenue cycle management
• Adheres to attendance standards in order to oversee the daily operations of revenue cycle management and ensure continuity of client care
• Demonstrate knowledge of payor contracts, review for compliance, make recommendations for revisions and assist with negotiating new contracts when appropriate
• Completes all paperwork associated with the financial, clinical, legal, or regulatory management of client cases in a timely and accurate manner
• Serves on the Senior Leadership Team contributing to center-wide strategic planning and participates in IDEB activities

Qualifications: The Revenue Cycle Management Director requires:

• Direct experience working with commercial insurance, Medicaid, and Medicare claims processing, including Medicaid Prospective Payment System (PPS) and Sliding Fee Scale
• Prior experience in a healthcare setting, preferably behavioral health, or prior experience leading a team in revenue cycle management
• Knowledge of accounting practices and procedures
• Experience with computerized billing and accounts receivable systems and internet transactions
• Excellent oral and written communication skills
• Attention to detail and the ability to handle multiple projects at once
• Ability to work in a fast-paced environment and respond quickly to changes in that environment
• Ability to exercise sound independent judgment
• A high level of trust, dependability, and confidentiality is required
• Ability to work independently and in cooperation with others
• Must be organized and efficient
• Flexibility in assigned working hours
• Energetic, positive approach to the rapidly evolving changes and challenges of a complex workplace

Preferred:

• Bachelor's Degree in healthcare administration, healthcare management, finance, business or related field
• Served in a senior leadership role or similar role previously
• 2-3 years’ experience as a Revenue Cycle Management Director in a healthcare setting, preferably behavioral health, or 5-7 years as a Revenue Cycle Management Manager in a healthcare setting with progressive experience leading a team in revenue cycle management