DIRECTOR OF REVENUE CYCLE & CLINIC SUPPORT SERVICES at Primary Care Associates of Appleton

Appleton, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

15 May, 26

Salary

0.0

Posted On

14 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Leadership, Revenue Cycle Management, Clinic Support Services, Charge Reconciliation, Denial Management, Root Cause Analysis, Process Improvement, Cash Collections, Coding Optimization, Regulatory Compliance, Data Tracking, Epic System, Staff Scheduling, Performance Evaluation, Interdepartmental Collaboration, Change Management

Industry

Medical Practices

Description

Description SUMMARY: The Director of Revenue Cycle and Clinic Support Services is responsible for activities performed by patient accounts, coding, front desk, scheduling/switchboard, transcription and medical records/imaging prior authorization. DUTIES AND RESPONSIBILITIES: Provide leadership and direction for the Revenue Cycle and Clinic Support Services departments, ensuring alignment with the organization’s vision and values. Maintains positive relationships with all customers, employees, providers and patients. Establish employee relationships and maintain a high level of visibility and accessibility Lead change initiatives, supporting the organizational changes for staff and providers and developing strategies for successful implementation. Ensure departments are completing their charge reconciliation process timely. Work with coding, billing, and clinical departments to reduce claim denials through root cause analysis and process improvement. Implement effective denial management procedures and monitor the financial impact Achieve goal of reducing bill hold days below established target by participating in revenue cycle committee meetings with members of finance, coding and providers. Lead initiatives to improve upfront cash collections through efficient collection processes. Coordinate discussions with coding team to optimize documentation and coding practices that impact revenue capture. Lead the implementation of new coding changes and provide education to providers and departments to maintain compliance and improve efficiency. Utilize data to track performance indicators such as registration accuracy, denial rates and collection rates. Serve as the primary point of contact for revenue cycle and clinic support services inquiries for the clinic. Lead efforts to improve operational processes within each department. Maintain staff schedules to assure adequate staffing within departments. Ensure compliance with all regulatory requirements within the departments. Develop denial metrics for the radiology prior authorization team to ensure the organization is meeting benchmarks. Develop metrics with transcription team to ensure timely completion of transcription, which allows for claims to be dropped timely. Utilize Epic system to review dashboards, reports and work queue monitoring to improve accuracy and overall metrics. Interdepartmental collaboration with all Leadership Team members. Responsible for the education of all staff and must assure all staff is competent. Manages multiple departments/staff and assures all issues are addressed timely. Delegates and prioritizes work assignments in relation to organizational needs. Provides clear communication and expectations for staff. Complete performance evaluations timely based on organizations policy. Completes tasks and assignments in a timely, accurate and efficient manner. Performs other related duties as assigned by Leadership. SUPERVISORY RESPONSIBILITIES: Directly supervises 20-25 employees within the listed department(s). Carries out director responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Requirements Associate's Degree (AA) or equivalent from a two-year college or technical school, or six months to one-year related experience and/or training, or equivalent combination of education and experience. Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience preferred Computer skills required: Human Resource Information Systems; Microsoft Office Suite; EPIC Experience Preferred OTHER SKILLS REQUIRED: Previous management experience preferred Strong organization skills Demonstrates self-starter behavior Possess a high degree of confidence Possess a high degree of independent judgement Acts independently and will deal with a certain level of ambiguity Ability to work well with all customers of Primary Care Associates Ability to function as a part of a team with cooperative attitude Ability to work under pressure and in a fast-paced environment Ability to prioritize and work efficiently PHYSICAL DEMANDS AND WORK ENVIRONMENT: Continually required to stand, walk, sit, bend, stoop, talk or hear. Continually required to utilize hand and finger dexterity While performing the duties of this job, the noise level in the work environment is usually moderate. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust focus. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Responsibilities

This director role oversees all activities for patient accounts, coding, front desk, scheduling, transcription, and medical records/imaging prior authorization, ensuring alignment with the organization's vision and values. Key duties include leading change initiatives, reducing claim denials through process improvement, monitoring financial impact, and ensuring timely charge reconciliation and cash collections.