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)
Founded in 1962 as the world’s first outpatient dialysis provider, Northwest Kidney Centers operates 20 dialysis clinics across the Puget Sound region in addition to hospital-based services and a large home-based dialysis program. We are a not-for-profit, community-based organization and consistently rank among the top dialysis providers in the United States in quality of care, patient outcomes and transplant rates.
At Northwest Kidney Centers, teamwork, integrity, respect, excellence and stewardship guide our approach to how we work. We differentiate ourselves by our patient centered approach and active commitment to advancing kidney research and dialysis innovation. Key to our success is the compassion and expertise of our dedicated team of staff that care for those we serve.
Northwest Kidney Centers at it's Burien unit seeks a full-time, day shift Revenue Cycle Director to join the Billing team.
Responsibilities:
The Revenue Cycle Director (RCD) reports to the Vice President of Finance/CFO and leads the patient accounting and patient finance teams. The RCD oversees the revenue cycle process and ensures accurate and timely billing of patient services (In-clinic dialysis, Home Program dialysis, and Acutes) within the time constraints of the monthly accounting closing schedule. Includes oversight of patient intake, authorization, billing, cash posting and collection functions, the design of a revenue control environment and develops new and improved revenue processes and policies. The RCD also ensure appropriate use and maintenance of the revenue cycle applications and interfaces with IT and application vendors for training and maintenance of these systems.
This position is responsible for ensuring that patient billing and processing of payment receipts are consistently completed in a timely fashion and in accordance with policy and regulations. The RCD will minimize bad debt, improve cash flow, and effectively manage accounts receivables, including timely appeals of denied or short paid accounts. The RCD will work closely with the Director of Payer Contracts to ensure contracts can be operationalized by the Billing staff and that contract performance is met. As needed, the RCD will communicate with Payers and/or Legal to ensure full expected reimbursement is received.
Additional responsibilities include coordinating day-to-day activities with other NKC personnel; liaison with patients and insurances, Medicare/Medicaid, and other organizations; and performance of all billing and collection duties and responsibilities.
Requirements:
Preferred qualifications:
Shift:
Full-Time, 40 hours, (0800-1630), Mon-Fri.
Northwest Kidney Centers is an equal opportunity employer. We don't discriminate on the basis of race, gender, sex, sexual orientation, age, religion, national origin, disability, genetics or veteran status.
Please note: Northwest Kidney Centers is obligated to adhere to Proclamation 24- 14.1 requiring healthcare workers in the State of Washington to be fully vaccinated against Covid-19 in order to work in a healthcare facility. Northwest Kidney Centers fully supports this requirement in order to prevent and reduce the spread of Covid-19 to patients and employees. All new staff will need to provide proof of Covid-19 vaccination to NKC Employee Health prior to their first day. Medical or Religious exemptions may be accommodated depending on the role. For exemption information, please contact Human Resources prior to your start date