This site uses cookies. To find out more, see our Cookies Policy

Director of Revenue Cycle in Philadelphia, PA at VNA of Greater Philadelphia.

Date Posted: 5/29/2018

Job Snapshot

Job Description

Position Summary: Report to the CFO and is responsible to develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and improve the overall efficiencies of the agency’s receivables.

Essential Functions:

  • Management oversight of all business related functions of the completed patient documentation to accurate adjudication of the patients account.
  • Specific areas of responsibility include Revenue Cycle Training, Claims Management, and Billing, Collections, Patient insurance, Data processing, Integrity of Patients Accounts, Physician Billing for Palliative Care, Accounts Receivable Management, Practice Management system file maintenance and third party revenue cycle vendors.
  • Responsible for provider reimbursement programs, polices and strategies to ensure unit cost controls meet or exceed agency objectives for medical cost containment.
  • Monitors aged accounts and verifies appropriate collections procedures are being followed.
  • Regularly provides upper management with revenue cycle status including reports, metrics and presentations.
  • Develops monitors and assesses business metrics in order to refine processes and improve efficiencies.
  • Resolves escalated reimbursement issues with Payors,
  • Responsible for Orders Tracking, Medical Records and Billing
  • Travel to physician practice for collections
  • Ensure agency maintain current with all federal, state and local regulations.
  • Responsible for some revenue related monthly journal entries.
  • Performs other duties as assigned

 

 
 

Job Requirements

  • Knowledge and Experience:
  • Possess strong understanding of various reimbursement methodologies with expert knowledge of payer billing requirements in both the homecare and hospice
  • Thorough understanding of governmental regulations, CPT codes, and ICD10 coding procedures. 
  • Ability to work collaboratively with all levels of the VNA
  • Ability to work with both financial and clinical leadership
  • Knowledgeable in payor requirements that require completion for reimbursement
  • Expertise in payor authorization requirements
  • Expertise in insurance verification processes
  • Working knowledge of the use of a claim clearinghouse (Zirmed a plus)
  • Must have strong analytical, communication, and presentation skills.
  • Proficient with Microsoft Office Suite (Outlook, Excel, Word, PowerPoint)

Education:

  • Bachelor’s degree in Finance, Business/Financial Management, or Healthcare Administration.
  • Minimum of 6+ years of progressive leadership experience within homecare/hospice with a focus upon revenue cycle management.

CHECK OUT OUR SIMILAR JOBS

  1. Administrative Jobs
  2. Bookkeeper Jobs