Great opportunity for a Senior Director of Revenue Management and Operations!
This position will support the effective and efficient operations of the Revenue Management Department (RMD) and ensure continuous quality improvement efforts. This person would aid COO in the implementation and direction of IT nationally and internationally and other companywide initiatives as needed.Responsibilities: 1.Works with Overseas operations providing training, policies and procedures and support to ensure optional efficiency and cost containment initiatives for the RMD.2.Provides Reports indicating the key financial and productivity metrics including but not limited to: Denial Reports, Actual Payments from 3rd Party Payors compared vs. Contracted Rates, Net Collections, Gross Collections, Aging Accounts Receivable 3.Work with Finance Department to ascertain budgeted revenue on a monthly basis based on contracted rates and expected collection percentage.4.Oversee Medical Records including but not limited to: Training and mentorship of Supervisor, Tracking and trending of productivity and quality, Scanning of all anesthesia records from client sites, headquarters and satellite operations, Timely entry of anesthesia records into scanning system from the date of service, Ensure all charts are reconciled with cases performed by end of month, Providing missing or illegible information to Overseas Operations for accurate charge entry 5.Oversee Charge Entry including but not limited to: Training and mentorship of Supervisor, Tracking and trending of productivity and quality, Timely entry of charges between date of service and date of entry, Apportioning work volume between national and overseas operations6.Oversee Accounts Receivable including but not limited to: Training and mentorship of Supervisor, Tracking and trending of productivity and quality, Tracking of AR and collections tracking aberrations 7.Oversee Overseas RMD Operations including but not limited to: Weekly meetings with management of Overseas operations, Annual visits to facility reviewing best practices for RMD, Optimization of utilization of overseas office, Ensuring responsiveness of US Operations to Overseas requests for information and direction8.Oversee IT requirements for RMD including: Optimization of the billing, scanning and other IT utilized within RMD, Ensure utilization of EDI (electronic transfer of claims) is optimized and all issues are logged, tracked and resolved, Ensure the electronic transfer of claims to all third party payers in all states are investigated and properly set up and operational, Ensure contracted rates of all third party payers and all products within third party payer contracts are entered into the system, Oversee the EFT with all third party payers in all states ensuring we are optimizing implementation of the electronic transfer of claims9.Work together with Managed Care Contracting to ensure revenue is collected from all third party payers in a timely manner in accordance with contracted rates and take action to resolve the issues. 10.Work together with Managed Care Contracting to distribute contracts negotiated and educate staff on applicable items of the contract affecting revenue management. 11.Work the Managed Care Contracting to communicate credentialing of anesthetists with various third party payers with various Professional Corporations (P.C.s)12.Aid COO in assessing current and future expansion of operations nationally and overseas and streamline operations. 13.Oversee and direct managers at all satellite offices including but not limited to: RMD activities, Logistics, Client relation interactions, Expansion of personnel, Operational issues 14.Work with Project Manager to direct and manage Revenue Management and IT issues prior to commencement of anesthesia services.Skills/ Qualifications:1.10 Years Experience managing Revenue Management Department processing claims from multiple states2.Masters Degree required (MBA preferred)3.Experience with GE Centricity (previously IDX) preferred4.Experience with Anesthesia preferred5.Experience creating, implementing and maintaining Policies and Procedures for an organization or department with a minimum of 20 people. 6.Experience managing multiple office locations7.Experience managing international operations8.Excellent Conflict Management Skills9.Advanced Computer Skills and Experience including high level excel reporting, importing data from billing software into reports, understanding of operating systems and programming language such as SQL