Revenue Cycle Director for Novant Health's SC Physician Practices

65 Fairchild St, Charleston, SC 29492, USA Req #664
Wednesday, December 11, 2024
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Job Description: Revenue Cycle Director, Novant Health - South Carolina Physician Practices
Overview: At Novant Health's Charleston & Hilton Head Physician Practices, we are committed to delivering high-quality, compassionate care to our patients. As the Revenue Cycle Director, you will play a pivotal role in managing the full spectrum of revenue cycle processes, ensuring the efficient, accurate, and compliant billing and collections systems for the physician practices in the SC region. This role is critical to optimizing financial performance while supporting our clinical teams and enhancing the patient experience.
Key Responsibilities:
Revenue Cycle Leadership:
  • Lead and manage all aspects of the revenue cycle for SC Physician Practices, including patient registration, insurance verification, coding, billing, collections, and accounts receivable management.
  • Ensure that the revenue cycle operations are aligned with Novant Health’s strategic objectives, optimizing the financial health of the physician practices while maintaining the highest standards of patient care.
  • Develop and implement strategies to improve revenue cycle performance, focusing on maximizing reimbursement, reducing claim denials, and improving cash flow.
Team Management & Development:
  • Supervise and mentor the revenue cycle team, including billing specialists, coding staff, and patient services representatives. Foster a culture of accountability, collaboration, and continuous improvement.
  • Conduct performance evaluations, provide ongoing training, and ensure the team has the necessary tools and resources to perform effectively.
  • Encourage a patient-centered approach within the revenue cycle team, ensuring that patient interactions remain professional, efficient, and focused on a positive experience.
Financial Performance & Oversight:
  • Oversee the timely and accurate submission of claims to insurance companies, ensuring that claims are properly coded, compliant with industry standards, and compliant with payer requirements.
  • Collaborate with clinical and administrative leadership to address billing issues, improve revenue capture, and identify opportunities for improving overall revenue cycle processes.
  • Monitor accounts receivable aging and collections efforts to ensure the practice meets established financial targets.
  • Conduct regular audits of revenue cycle processes and identify areas for improvement to reduce operational costs, improve accuracy, and enhance overall performance.
Compliance & Regulatory Adherence:
  • Ensure that revenue cycle operations comply with all federal, state, and payer regulations, including HIPAA, Medicare, Medicaid, and other insurance requirements.
  • Stay current with industry changes, coding updates, payer policies, and emerging regulations to maintain compliance and mitigate risks.
  • Lead initiatives to ensure proper coding and documentation for compliance with payer audits, preventing overpayment or underpayment issues.
Patient Experience:
  • Collaborate with patient services teams to ensure a seamless billing and collections experience for patients, including addressing any billing inquiries and resolving disputes in a professional and timely manner.
  • Ensure that patients receive accurate and timely information regarding their billing and financial responsibility.
  • Implement processes to educate patients about insurance coverage, out-of-pocket costs, and financial assistance programs as needed.
Technology & Data Management:
  • Oversee the utilization of electronic health record (EHR) systems, billing software, and other tools used within the revenue cycle process, ensuring optimal use and integration across the organization.
  • Analyze data and reporting to identify trends, track key performance indicators (KPIs), and make data-driven decisions to improve operational efficiency.
  • Work closely with IT and other departments to troubleshoot system issues and implement process improvements related to the revenue cycle.
Collaboration & Communication:
  • Partner with physicians, clinical staff, and practice managers to ensure smooth and effective integration of revenue cycle processes with patient care operations.
  • Provide regular reports to leadership on revenue cycle performance, highlighting key trends, challenges, and opportunities for improvement.
  • Participate in cross-functional teams to address issues affecting the revenue cycle, including payer contract negotiations, workflow optimizations, and patient access processes.
Qualifications:
Education:
  • Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field (Required)
  • Master’s degree in Healthcare Administration or Business Administration (Preferred)
Experience:
  • Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting (Required)
  • At least 3 years of leadership experience in managing a revenue cycle team (Required)
  • Experience in a multi-specialty physician practice or hospital setting (Preferred)
Certifications:
  • Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) (Preferred)
  • Other relevant certifications in revenue cycle management (e.g., Certified Medical Reimbursement Specialist, Certified Coding Specialist) (Preferred)
Skills:
  • Strong understanding of healthcare revenue cycle management processes, including coding, billing, collections, and payer relations.
  • In-depth knowledge of ICD-10, CPT, HCPCS coding, and payer-specific billing requirements.
  • Proven leadership abilities, with experience managing and developing teams.
  • Excellent analytical and problem-solving skills, with the ability to use data to drive decisions and improvements.
  • High level of attention to detail and ability to manage multiple priorities.
  • Strong communication and interpersonal skills, with the ability to collaborate effectively with internal teams, patients, and external stakeholders.
  • Proficiency in EHR systems, billing software, and Microsoft Office Suite.
Essential Functions:
Leadership & Team Management:
  • Lead the revenue cycle department, fostering a high-performance culture and ensuring the team is well-equipped to meet departmental and organizational goals.
  • Ensure ongoing professional development for the team through training, mentorship, and performance feedback.
Financial Oversight:
  • Manage financial aspects of the revenue cycle, ensuring timely and accurate billing, claims processing, and collections to support the financial health of SC Physician Practices.
  • Track and report on revenue cycle metrics, setting goals for improvement and ensuring adherence to financial targets.
Compliance & Risk Management:
  • Stay abreast of changes in billing, coding, and payer regulations, ensuring the practice remains compliant with all applicable laws and standards.
  • Lead efforts to mitigate risk related to coding, billing errors, and payer audits.
Operational Efficiency:
  • Develop and implement process improvements to streamline operations and reduce inefficiencies in the revenue cycle.
  • Work cross-functionally to optimize the integration of revenue cycle processes with patient care workflows and practice management.
Collaboration & Communication:
  • Regularly communicate with executive leadership and other departments to address revenue cycle concerns and ensure alignment with organizational goals.
  • Foster relationships with payers, ensuring the organization is fully aware of payer policies and reimbursement trends.
Join Our Team: If you are an experienced revenue cycle leader with a passion for optimizing financial performance and improving the patient experience, we invite you to apply for the Revenue Cycle Director position at Novant Health SC Physician Practices. Help us continue to deliver exceptional care to our patients while driving financial excellence in a dynamic and growing healthcare environment.
Novant Health is an equal opportunity employer and conducts all human resource practices in compliance with federal, state and local civil rights and employment legislation. Accordingly, Novant Health considers all applicants for employment equally, without regard to race, color, religion, sex, national origin, age, disability, veteran’s status, marital status, sexual orientation, gender identity or expression and provides them with an opportunity to progress in the organization consistent with their skills and interests.

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  • 65 Fairchild St, Charleston, SC 29492, USA