Overview:
The Director of Revenue Cycle reports to the VP of Finance and Revenue Operations of Vinfen and is
responsible for the billing, collection, and reporting of all third-party insurance revenue of Vinfen
Corporation and its affiliate corporations in order to meet the company’s goals of effective revenue cycle
management, collections against billed amounts, targeted days of open (uncollected) accounts receivable
and the aging of those receivables. The Director of Revenue Cycle Management is responsible for
managing the Outpatient Billing and Collections Team, so staff understand all relevant information and
develop and implement systems for all sources of revenue. The Director of Revenue Cycle Management
ensures the company’s processes produce required documentation to support accurate billing that
complies with all private, state, and federal regulations and accounting standards. He or she is also
responsible for designing and monitoring documents, systems and training, internal controls, and
collaborating with managers of program operations to ensure operations staff produce timely and accurate
billing information that complies with pertinent requirements and regulations.
At least ten years’ revenue cycle experience in a complex health care environment with an electronic health
record and practice management system. Experience with behavioral health claims submission, denial
management and systems conversion experience preferred. Five to seven years of management experience
at manager level required, director level strongly preferred.
Responsibilities:
Additional responsibilities includ
- Management oversight of all business-related functions of the Revenue Department, including contract and third-party billing, payment posting, accounts receivable follow-up, payor contracting, and information systems maintenance and the internal controls related to these functions.
- Develops, monitors, and assesses revenue metrics to refine processes and improve performance,including ensuring all billing is submitted to payers promptly and well within timely filing limits.
- Regularly provides upper management with revenue/payment status including reports, metrics, and presentations.
- Develops, monitors, and assesses revenue metrics to refine processes and improve performance.
- Oversees maintenance and updates of the relevant modules, set-up, and data tables in the electronic health record systems and related billing engines.
- Directs resolution of billing and payment issues and ensures proper communication to executive and program leadership in accordance with established parameters.
- Ensures analysis and correction of root causes of denials, billing errors, database errors, etc. that result in non-payment or denied claims.
- Collaborates with other departments/programs, especially program operations, to design systems, train staff, implement monitor and implement changes needed to ensure effective and timely revenue workflow.
- Establishes relationship with key personnel at payer organizations and granting/contracting agencies.
- Resolves escalated reimbursement issues with payers.
- Experience with systems such as MMIS, eHana, ARPlus/Hill, NetSmart and WaystarPerforming other duties as assigned
About Vinfen:
Why Vinfen? We are committed to you! We offer great training, great benefits, career growth and job security!
Our comprehensive and generous benefits package includes:
Qualifications:
- Bachelor’s degree in accounting, finance, business administration, or related field required. Master’s Degree in accounting, finance, business administration or related field strongly preferred. In some instances, experience may be substituted for academic training. Certified Medical Coder designation preferred.
- 7 to 10 years’ revenue cycle experience in a complex health care environment with an electronic health record and practice management system. Experience with MA and CT state billing (DMH, DDS, MRC, DMHAS, DDS CT, etc.) requirements as well as systems & conversion experience preferred.
- 5 to 7 years of management experience at manager level required, director level strongly preferred.
- 10 or more years’ experience with medical billing and collections at a medium to large size human services organization, hospital, or large specialty/behavioral health provider.
- Proven healthcare claims billing, accounts receivable management, grant management, and accounting knowledge
- Demonstrable knowledge of claims denial management and denial avoidance procedures
- Demonstrated knowledge of healthcare payor contracts and health care fee schedules
- Proficiency in Microsoft Office with advanced Excel skills.
- Must be able to successfully pass a CORI, Education, Credit, Reference and Employment verification checks
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