Director of Revenue Cycle

  • location: Atlanta, GA
  • type: Permanent
  • salary: $110,000 - $120,000 per year
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job description

The Director, Revenue Cycle is responsible for insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, proper coding, customer services relative to revenue cycle, training and development relative to revenue cycle, analytics, and all other revenue cycle management activities. Also, responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. The Director manages support staff of the Revenue Cycle team for all our Urgent Care Centers. This position reports to the CEO.

Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients accounts
Specific areas of responsibility include Revenue Cycle Training, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, practice management system file maintenance, and third-party revenue cycle vendors
Develops strategic, cost effective programs, and makes system or network changes to enhance competitive position
Monitors aged accounts and verifies appropriate collections procedures are being followed

Working hours: 8 AM - 5 PM

- 5+ years of experience in revenue cycle management

- 2+ years of experience in managing a team

- CPC Certification preferred

- Urgent Care, Primary Care or other Physician Specialty experience

Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims

Demonstrated experience in contract negotiation with third-party vendors and payers

Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint

Experience in using one or more Practice Management Systems/Billing Software

Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced environment

Ability to work within a team environment and maintain a positive attitude

Excellent documentation, verbal and written communication skills

Extremely organized with a strong attention to detail

Motivated, dependable and flexible with the ability to handle periods of stress and pressure

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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