The RCM CBO Director is responsible for comprehensive oversight of all functions performed in a region. The Regional Director will develop and implement the strategies necessary to effectively meet regional goals, including: accounts receivable, cash collections, denials, DSO, department productivity, and quality metrics. The ideal Regional Director must be able to supervise and mentor the managers of various departments, ensuring optimal performance and compliance of all regional and corporate policies and procedures. The right candidate will possess several years of healthcare management experience, must have strong communication, problem solving, and decision making skills and be proficient in Word and Excel. Experience with GPMS and NextGen is preferred but not a requirement.
BA/BS degree along with a minimum of 3-5 years of related experience in the Patient Accounts field along with at least 1-3 years of experience directly related to managing RCM accounts receivables.
Requires knowledge of physician billing and CPT-4/ICD-10 coding.
Strong managerial skills necessary.
Develops short and long term financial goals and objectives for the Patient Accounts Department.
Develops and/or oversees policies and procedures designed to ensure the appropriate functioning of the department.
Responsible for the departmental salary and operating budgets for the departments which make up Patient Accounting.
Directs and develops subordinate staff.
Responsible for overseeing the Hospital Associates’ job responsibilities and ensuring that the needs of the Medical Directors are met.
Manages the accounts receivable in an efficient and effective manner.
Ensures the maximization of patient revenue, payment reimbursement, and cash flow.
Maintains regular and direct contact with various company departments.
Responsible for overseeing provider enrollment activities and ensuring that the region’s health plan enrollments are timely and accurately completed.
Assumes responsibility for ensuring continued professional growth and development.
Serves on various intra-departmental committees and attends appropriate company management and staff meetings.
Develops and ensures that departmental customer service/public relations are given appropriate priority and are properly handled.
Directs the preparation of recurring and special financial reports and statistical analysis which reflect the financial status of the Region’s accounts receivable. Reviews and interprets various information and reports trends, movements, and status to the Vice President of Patient Accounts.
Performs other job-related duties within the job scope as requested by the Vice President of Patient Accounts.
Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
Embodies the principles of the corporate Mission Statement and Philosophy at all times.
Complies with departmental and company-wide policies and procedures.
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