Pay is commensurate with experience beginning at $81,450 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: 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. Specific duties include but not limited to:
- 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
- Ensure compliance of internal controls within the Revenue Cycle Management Department and throughout the organization
- Serves on the Senior Leadership Team contributing to center-wide strategic planning and participates in IDEB activities
Qualifications: The Revenue Cycle Management Director requires but not limited to:
- Bachelor's Degree in healthcare administration, healthcare management, finance, business or related field
- Hands on experience working with commercial insurance, Medicaid, and Medicare claims processing, including Medicaid Prospective Payment System (PPS) and Sliding Fee Scale
- Prior experience as a Revenue Cycle Management Director in a healthcare setting, preferably behavioral health, or prior experience as a Revenue Cycle Management Manager in a healthcare setting with progressive experience leading a team in revenue cycle management
- Served in a senior leadership role or similar role previously
- Knowledge of accounting practices and procedures
- Experience with computerized billing and accounts receivable systems and internet transactions
- Flexibility in assigned working hours
- Energetic, positive approach to the rapidly evolving changes and challenges of a complex workplace