Director, Revenue Cycle
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Job Description
Director of Revenue Cycle Management at Guidelight Health leading and optimizing revenue cycle processes. Focused on team leadership, compliance, and strategic planning for healthcare revenue management.
Responsibilities:
- Revenue Cycle Oversight: Manage the end-to-end revenue cycle process, including prior-authorization, utilization review, billing, collections, and accounts receivable management.
- Billing and Collections: Oversee accurate and timely submission of claims to insurance payers and government programs.
- Compliance and Regulations: Ensure compliance with federal, state, and local regulations related to billing and revenue cycle management.
- Team Leadership: Hire, lead, and mentor the revenue cycle team, fostering a culture of continuous improvement and professional growth.
- Data Analysis and Reporting: Lead the establishment and implementation of KPIs for revenue cycle operations and oversee the measurement and reporting of KPIs.
- Collaboration: Work closely with clinical teammates, financial analysts, and IT departments to enhance revenue cycle processes and ensure seamless operations.
- Strategic Planning: Participate in strategic planning initiatives to enhance the financial performance of the organization.
Requirements:
- Bachelor's degree in healthcare administration, Finance, Business Administration, or a related field. Master’s degree preferred.
- Minimum of 5 years of experience in revenue cycle management, with at least 2 years in a supervisory or management role, preferably in a behavioral health setting.
- Strong understanding of billing practices, coding, and payer requirements specific to behavioral health care.
- Proficiency in revenue cycle management software and electronic health record (EHR) systems.
- Knowledge of relevant regulations and compliance standards (e.g., HIPAA, Medicare/Medicaid requirements).
- Excellent leadership, communication, and interpersonal skills.
- Flexibly and adaptability to meet the diverse needs of clients in a fast-paced environment.
Benefits:
- Health & Wellness: Medical, dental, vision, HealthJoy unlimited therapy, UHC wellness program, HSA/FSA options, and pet insurance.
- Time Off: Responsible PTO, in lieu of a traditional accrual-based policy, which allows full-time and part-time employees to take the time they need, when they need it, while ensuring continuity of care and team collaboration
- 401(k): With company match.
- Licensing: All licensing fees covered, including opportunities for cross-licensure when applicable.
- Professional Development: Annual stipend for tuition reimbursement, ongoing education, or CEUs.
- Clinical Supervision & Growth: Pre-licensed clinicians receive structured clinical supervision toward licensure, and all clinicians benefit from best-in-class supervision grounded in our state-of-the-art PHP/IOP curriculum.
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