Director of Revenue Cycle Management
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About The Position
Discover Better Health Careers with Rendr! Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County. The Director of Revenue Cycle Management will report to the VP of Revenue Cycle and will be responsible for the daily management of the revenue cycle team dedicated to billing and collections. This position will coordinate and manage all revenue cycle functions to optimize and maximize collections. The Director will oversee all functions of the Revenue Cycle process, including claim submissions, payment reconciliation and posting, patient account representatives, claims rejections/denials, A/R follow-up, patient statements, refunds and recoupments, revenue integrity, and external collections activities. This role requires collecting, organizing, analyzing, and disseminating significant amounts of information from various data sources with attention to detail and accuracy, in a timely manner. The Director will provide data-driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations. Monitoring key performance indicators and escalating issues to senior management as appropriate is crucial. The Director will analyze data for insights into claims management and for special prevention and denials management projects, including identifying denial trends by root cause, Payor-related issues, and physician trends. Additionally, the Director will oversee and manage payer-related issues, including identifying and trending underpayments and overpayments, and communicating with payer representatives, collaborating with the Managed Care team and Credentialing. The role also involves developing and ensuring the implementation of policies, guidelines, and procedures; conducting site visits and regular meetings with site managers to discuss billing issues; overseeing mergers and acquisitions; and ensuring a successful transition. The Director will assess and ensure adequate staffing is available to support and manage centralized functions for existing and new business needs, working closely with leaders in Operations, Finance, Human Resources, Information Systems, credentialing, and Compliance to achieve business objectives and implement organizational strategy. Strong understanding of Rendr payer contracts, fee schedules, rules, and guidelines is essential. Other duties may be assigned as necessary.
