Revenue Cycle Director jobs in Virginia

Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director requires a bachelor's degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Revenue Cycle Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Revenue Cycle Net Revenue Manager
  • Inova
  • Fairfax, VA FULL_TIME
  • The Manager of Patient Financial Services is responsible for the timely and accurate processing of claims by assigned supervisors and staff monitored through productivity measurement, quality review and feedback. Ensures that all claims meet clearinghouse and/or payer processing criteria, are followed up on in accordance with departmental/contractual requirements and that payments/adjustments are handled properly. Supervises the operational and financial functions of the Patient Accounting department. Provides the Director of Patient Financial Services with issues and potential resolutions regarding problems with the claims submission and payment process. Ensures regulatory compliance enforcement with policies and procedures.

    Job Responsibilities

     

    • Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority.
    • Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments.
    • Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs.
    • Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools.
    • Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream.
    • Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards.
    • Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems.
    • Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG.
    • Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks.
    • May perform additional duties as assigned.



    Additional Requirements

    Experience - Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles

    Education - Bachelors Degree or lesser educational degree with four additional years of experience

     

  • 1 Month Ago

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REVENUE CYCLE SPECIALIST
  • Centra Health Careers
  • , VA FULL_TIME
  • Overview The revenue cycle specialist is responsible for the company's third-party medical claims processing. This position works with the computerized practice management system for the validation, s...
  • Just Posted

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Revenue Cycle Financial Counselor
  • Commonwealth of VA Careers
  • NEWCOMB HALL, VA FULL_TIME
  • This role is responsible for providing financial support to include- financial assistance application assessment and approval, HPE Medicaid application, pre service estimates, pre service insurance el...
  • Just Posted

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Revenue Cycle Manager - AR
  • TEKsystems
  • Norfolk, VA FULL_TIME
  • Revenue Cycle Manager - AR Location: Onsite in Norfolk, VA Experience Level: Expert Employment Type: Full-Time Salary: $65,000-$80,000k Hours: M-F 8:30-5:00pm A Day in the Role: This position is an in...
  • 10 Days Ago

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Revenue Cycle Administrator
  • MyEyeDr.
  • Vienna, VA FULL_TIME
  • Description About the role The Revenue Cycle Administrator is responsible for facilitating the efficient and accurate submission of insurance claims to various vendors, to ensure that the organization...
  • 13 Days Ago

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Revenue Cycle Management Attorney
  • Parallon
  • Richmond, VA FULL_TIME
  • This position is incentive eligible. Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Revenue Cycle Management Attorney opening...
  • 14 Days Ago

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Revenue Cycle Director
  • Tandym Group
  • Hartford, CT
  • A health services organization in Connecticut is currently seeking an experienced professional to join their staff as th...
  • 4/24/2024 12:00:00 AM

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Director, Revenue Cycle
  • Neighborhood Healthcare
  • Escondido, CA
  • Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live...
  • 4/23/2024 12:00:00 AM

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Director, Revenue Growth Management
  • Beiersdorf Inc
  • Stamford, CT
  • Caring for skin means caring for people.It all started with a pharmacist and a dream almost 140 years ago. Today, Beiers...
  • 4/23/2024 12:00:00 AM

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Director Revenue Growth Management, Family Care
  • Wright-pierce
  • Neenah, WI
  • Director Revenue Growth Management, Family CareDirector Revenue Growth Management, Family Care Welcome to the Latest Job...
  • 4/23/2024 12:00:00 AM

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Revenue Cycle Director (Fee for Service)
  • Santa Fe Recovery Center, Inc.
  • Santa Fe, NM
  • Job Type Full-time Description Santa Fe Recovery Center is a leading provider of substance use disorder and mental healt...
  • 4/22/2024 12:00:00 AM

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PFS Billing & Denials Manager (FT Salaried)
  • Blanchard Valley Health System
  • Findlay, OH
  • PURPOSE OF THIS POSITION The purpose of this position is to develop, organize, implement, and direct the day-to-day acti...
  • 4/22/2024 12:00:00 AM

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Medical Coder
  • TSAOG Orthopaedics & Spine
  • Summary of position: We are looking for a sharp, ambitious, and enthusiastic Coding Specialist to join our team. The suc...
  • 4/22/2024 12:00:00 AM

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Revenue Cycle Director
  • Tandym Group
  • Hartford, CT
  • A health services organization in Connecticut is currently seeking an experienced professional to join their staff as th...
  • 4/20/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Director jobs
$140,924 to $190,289

Revenue Cycle Director in New Haven, CT
Location.  BS, Accounting, Finance, with 10+ years of strong Revenue Cycle Management leadership in general acute care setting.  Must have strong accomplishments and steady work history.  Director exp.
January 06, 2020
Revenue Cycle Director in Pittsburgh, PA
While not on campus, the Healthcare Revenue Cycle Director will be able to enjoy plenty of dinning and shopping options.
January 08, 2020
Revenue Cycle Director in Pierre, SD
Healthcare providers often purchase and deploy designated revenue cycle management systems to store and manage patients' billing records.
November 28, 2019
The revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, according to the Healthcare Financial Management Association (HFMA).
February 10, 2020