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Director, Accounts Receivable - Revenue Cycle Management

Director, Accounts Receivable - Revenue Cycle Management

Nimble SolutionsChesterfield, MO, US
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Job Description

Job Description

Description : Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Who we are!

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join over 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

As the Director, Accounts Receivable, will oversee, develop, and be accountable for $10-$20 million client revenue and lead a team of 5-15 individuals. This individual should have a successful track record of driving results to meet performance SLA’s, expertise in RCM accounts receivable, and demonstrated ability to lead, develop, and grow a team. Focus will be on optimizing our operation, partnering with the Vice President, Accounts Receivable, to create and drive strategy. This role will work closely with the Accounts Receivable offshore department leaders / team as well as the Claims, Client Success and Charge Posting-Payment Posting, and Refunds teams.

What you’ll be doing!

People Leadership

  • Responsible for meeting
  • Budget / forecast
  • Aged AR is less than 20%
  • Productivity and 95% or greater QA expectations
  • Leads, develops, and assists Manager(s), Team Lead(s), and Accounts Receivable Representatives with daily responsibilities
  • Drives performance through established department KPIs (key performance indicators) and holds the team accountable to meet expectations
  • Develops, implements, and monitors resolution plans when KPIs are not being met
  • Ensures manager(s) provide leadership and drive the training plan for new Accounts Receivable team members (in partnership with training team)
  • Develops and coaches underperforming team members by providing direct feedback and coaching
  • Accountable for driving team members to meet and exceed goals and provide detailed feedback to the team and leadership if the goals are not met

Analytics

  • Partners with the analytics team to review and analyze reports and data to maximize efficiency and direct focus to appropriate areas of concern
  • Reviews data and creates and drives action plans to resolve accounts and issues
  • Identify denial trends, report on global payer issues, and implement recovery plans
  • Ensure the team is creating and executing reports weekly, monthly, quarterly, etc. AR reports for clients

    • Subject Matter Expert

  • Acts as a resource for all Accounts Receivable team members for questions regarding billing policies, state guidelines, reimbursement analysis, and assists with the resolution of challenging accounts and claims

    • Process

  • Creates and drives policies, procedures, and best practices, and revises as necessary
  • Ensures change management best practice is followed and monitored to ensure the adoption of processes
  • Enforces and holds the team accountable for adhering to and driving processes

    • Client Services

  • Partners closely with Client Management leadership to proactively identify items that may lead to client risk, maintain / exceed client satisfaction, and address any questions related to AR / AR performance
  • Maintains knowledge of client-specific SOWs
  • Presents account performance to clients and internal leadership
  • Subject matter expert on client accounts, responsible for oversight
  • Accountable for ensuring the client risk SLA is met

    • Qualifications

  • At least 5 years of experience in Accounts Receivable, with at least 3 years in a leadership position
  • 5+ years of Accounts Receivable and Claims experience in the healthcare industry
  • Strong analytic skills and proven success leading process improvement initiatives and project management
  • Knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker’s Compensation requirements and procedures, and diagnosis and medical terminology
  • Intermediate level of expertise with Microsoft Office Suite
  • Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies
  • Advanced knowledge of the revenue cycle is required; experience with ASC billing is preferred
  • Experience creating and delivering client-facing content and client presentations.

    • Key Competencies

    Drives Results. Consistently achieves results, even under difficult circumstances. Fosters a sense of urgency in the team for reaching goals and meeting deadlines. Readily acts on challenges, identifies, and seizes new opportunities; Leads others to persist despite setbacks or obstacles; Establishes clear responsibilities and processes for monitoring work and measuring results.

    Communicates Effectively . Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; Encourages the open expression of diverse ideas and opinions; Picks up on situational cues and adapts personal, interpersonal, and leadership behavior to fit.

    Quality Decision-making . Makes sound decisions, even in the absence of complete information; Considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up in driving appropriate decisions for the organization based on sound risk / reward analysis.

    Customer Focus. Gains insight into customer needs; Identifies opportunities that benefit the customer; Builds and delivers messaging and solutions that meet customer expectations.

    Logistics :

  • Remote or in-office position (dependent on candidate). The role requires periodic travel to company offices, key company events, and industry events

    • Requirements :

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    Director Revenue Cycle • Chesterfield, MO, US