Director of Revenue Cycle Management

Medical Specialists of The Palm Beaches

The Director of Revenue Cycle Management provides strategic direction and leadership in the management, operations, staffing, and decision making of all Revenue Cycle activities pertaining to receivables management. This position will work with the practice business offices on revenue cycle performance to meet short-term and long-term strategic goals. The main objective of this position is to manage receivables and cash collections to an acceptable level. Provide analytical analysis, create written processes, and train others in implementing a cross functional revenue cycle team.

About Us:
Medical Specialists of the Palm Beaches, Inc. (MSPB) is a FAST GROWING p rimary care-focused, multi-specialty physician group practice serving Palm Beach and Broward counties. We pride ourselves in being a value-based, care focused, integrated healthcare delivery system committed to providing comprehensive, high-quality care with respect and integrity for its patients and the community. MSPB has 100 providers, more than 30 offices and offers primary care, cardiology, neurology, hematology/oncology, concierge medicine and laboratory services.

We offer a comprehensive benefits package to full-time employees.
Primary Responsibilities:
* Provides leadership and direction for the department in accordance with the overall strategic direction of MSPB.
* Provide daily management oversight to all business office functions to include: billing, collections, denial and appeals follow-up, cash posting, and refunds.
* Supervise RCM staff to ensure efficiency and effectiveness.

* Provide training to all RCM staff to ensure job performance is maximized.
* Enhance and standardize work-flow processes throughout the revenue cycle that assist in achieving consistency in maintaining the critical success factors.
* Prepare and review A/R and collections reports to identify payer and other collections issues
* Maintain reimbursement related key performance indicators for medical practices, setting and benchmarking revenue cycle goals (i. e.

reducing denials, increasing cash receipts, decreasing outstanding accounts receivable, decreasing DSO)
* Monitor all statistical reports to identify trends and deficiencies and develop action plans to resolve.
* Develop and implement practice-specific process improvement recommendations to secure positive results, monitor performance and improvements resolution plans for unfavorable trends
* Participate in the development of reimbursement policy and procedures.
* Maintain a cross functional training/operational manual for MSPB’s Athena System.
* Responsible for denial management to not only report denials, but to work with the appropriate practices and areas to develop the most appropriate solution to eliminate denials.

* Ensure staff understands the urgency of collections and working A/R and is held accountable for performance issues.
* Liaise with practice and business office staff to resolve issues and outstanding problems in the area of A/R management and revenue cycle process.
* Monitor changes in coding from all payers and communicate and train all necessary parties.
* Coordinate with the compliance department to ensure coding requirements are being met.

* Provide oversight and training to all practices throughout the implementation process for new providers.
* Other duties as assigned
* Excellent working knowledge of all Microsoft applications (Word, Excel, PowerPoint and Access)
* Working knowledge and understanding of CPT and ICD-10 codes
* Knowledge and experience with Athena healthcare operating system is a plus
* Ability to interact with patients and staff
* Excellent interpersonal skills and strong oral and written communication skills
* Ability to manage multiple projects
* Excellent problem-solving skills and strong attention to detail
* Ability to analyze financial and operating information to facilitate decision-making
* Ability to prioritize and handle multiple tasks in a dynamic work environment
* Ability to work independently and collaboratively
* Ability to present findings or train large groups of users
* Ability to work with a multi-disciplinary team
Personal Qualities:
* Ability to work with clinical staff and handle pressure from more than one provider.
* Handles interruptions or unpredictable situations in a positive fashion.
* Exhibits the ability to manage time well and work under stressful conditions with an even temperament.

* Must demonstrate good judgment in regard to confidentiality policy and work independently.
* Must have the ability to address sensitive issues in a confidential manner.
* Must adhere to confidentiality policy.
* Demonstrates strong oral and written communication skills and has the ability to understand and follow oral and written instructions.

* Effective verbal, written and interpersonal skills to communicate with colleagues, patients and/or visitors to establish strong working relationships.
* The ability to be flexible and deal effectively with staff, physicians, and patients
* Commitment to the team approach and displays the ability to establish and maintain harmonious working relationships with other employees and the public.
* Maintains a high degree of dependability.
The above statements are intended to describe the general nature and level of work to be performed.

They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required.
Education and/or Training:
* Bachelor’s Degree in Business, Accounting, Finance, or Healthcare Administration required
* Minimum 5 years of experience in physician billing/collections, including Medicare
* Minimum 3 years of supervisory/managerial experience
Physical Requirements:
* Must sit for long periods at a desk
* Upon occasions be able to lift up to 30 pounds
* May have to stoop, bend knees or reach
* Requires use of hands at the keyboard
* Will experience heavy phone work
Here are just a few things we offer:
* Access to health, dental and vision insurance
* Health savings account
* PTO and Holiday pay
* Company paid life insurance
* Access to voluntary short and long term disability insurance
* Access to additional life insurance
* Access to Accident and Critical Illness insurance
* 401k with automatic employer contribution
Medical Specialists of the Palm Beaches, Inc. (MSPB) is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: MSPB is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at MSPB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

MSPB will not tolerate discrimination or harassment based on any of these characteristics. MSPB encourages applicants of all ages.


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