Director, Operations (RCM)

Job Description

Job Purpose

Provide leadership to RCM / AR Follow Up Managers and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Meet or exceed national AR KPI benchmarks and client specific KPI’s. Maintain or exceed productivity and quality standards set for departments assigned. Understand and communicate the economic impact of upstream revenue cycle errors causing denials and provide data and recommended effective processes to correct actions. Rely on extensive experience and judgment to plan goals.

Duties and Responsibilities

Operational Management :

• Plan, organize and direct overall operations of the AR Follow Up areas as it relates to insurance billing, collections and follow up.
• Serve as the visionary for AR Management and work in conjunction with Med-Metrix leadership to set target performance levels.
• Ensure that Med-Metrix stays current with billing regulations and industry requirements and / or trends.
• Convey opportunities / risks to Country Head and other Med-Metrix leaders.
• Maintain an overall objective of maximization of cash collections, minimization of A / R inventories, and the minimization of write-offs / non-collectible adjustments.
• Analyze AR reports and utilize other work tools to review trends in charges and collection and proactively address potential issues.
• Provide concise reporting to Executive Leadership on performance benchmarks (i.e. collections, rejections, days, etc.) as they relate to national, and client based KPI’s.

Personnel Management and Professional Development :

Projects / Leadership :

Requirements

Working Conditions

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