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Director of Revenue Cycle

Company: NORCAL Ambulance
Location: Livermore
Posted on: September 25, 2022

Job Description:

Job Summary:Under supervision of the Executive Vice President, the Director of Revenue Cycle is responsiblefor coordination and supervision of the Accounts Receivable Department and the entire revenuecycle of NORCAL Ambulance. The position will have direct oversight of the revenue Cycle ofNORCAL Ambulance and is responsible for creating and establishing policies and procedures tomeet revenue cycle objectives. Additionally, this position is responsible for ensuring the timelyand accurate billing of ambulance transports, analyzing trends to improve operationaleffectiveness, and reducing accounts receivables across the department landscape. Theposition will display professional conduct and appearance, act as a role model whiledemonstrating leadership skills and a high level of competence in the assigned work area. Theposition works closely with all departments to ensure effective revenue cycle management soNORCAL Ambulance can improve customer advantage, loyalty and trust.Essential Duties & Responsibilities: Lead day-to-day operations and broad scoped work assignments focused on maximizingquality and production processes; initiate development of new approaches to streamlineexisting processes, reorganize work, implement new technologies, and improve cashflow. Develop reporting tools to track key performance indicators (KPIs) and monitor andmanage overall collections performance. Develop in depth intimacy of AR functions and operations, including the flow of revenue. Respond to the Finance Team and Executive Team with appropriate analysis andexecutive-level communications, highlighting: performance, costs, and effectiveness ofthe billing and collections function. Continually monitor the regulatory environments to ensure that payors evolvingreimbursement structures, documentation requirements, and other requirements areevaluated and necessary changes in policies and procedures (and systems) are madewithin EMS. Ensure training and quality standards, as well as resources, are in place for designateddepartments. Build departmental redundancy so that collections are never disrupted. Maintain strict confidentiality; adheres to all HIPAA guidelines/regulations. Follow all CMS guidelines and stay abreast off all updates. Ensure all staff are compliant with industry regulations. Develop streamlined workflows while maintaining a minimalistic approach so thatrevenue is not disrupted. Ensure aging claims are worked in a timely manner Identifies issues and provides effective leadership for revenue cycle performanceimprovement initiatives, working collaboratively with operational leadership and otherorganizational business units. Drive independent revenue cycle operational decisions to resolve complex issuesimpacting collections. Review and approve write-off requests per policy. Provide feedback to supervisor andstaff if write-of requests are not in compliance with policy requirements. Review avoidable write-off trends, identify and implement opportunities to reduceavoidable write-offs. Pull reports to review aged outstanding accounts receivable and take necessary actionto address backlogs or to identify unworked accounts. Develop and maintain a robust backend collections team with a goal orientated andtransparent KPI's for staff. Create successful appeal processes for different payers while maintaining revenueintegrity. Conduct employee evaluations, develop performance improvement plans, and follow thecompanies progressive disciplinary plan when necessary. Encourage and foster a safe, inclusive environment where employees feel valued aspart of a focused, supportive, professional team. Other duties as assigned.The duties and responsibilities included in this job description are not intended to be all inclusiveand the Director of Revenue Cycle will be expected to perform other reasonable job-related dutiesas assigned.

Keywords: NORCAL Ambulance, Livermore , Director of Revenue Cycle, Executive , Livermore, California

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