Director of Revenue Cycle

At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity.

Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago;

creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients.

Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!

The following information provides an overview of the skills, qualities, and qualifications needed for this role.

General Summary :

This position is responsible for managing all activities within the revenue cycle management function for a practice or group of practice locations.

RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry / coding, submission of clean claims, collection of patient and insurance receivables, and patient and operational communications.

These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center.

Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests.

• Implement and maintain an efficient workflow within the practices
• Ensure that all employees within the department have received the proper level of training to complete their daily tasks
• Cross training in other departments to ensure the highest level of accuracy and efficiency.
• Identify opportunities with RCM systems
• Work with RCM leadership in the development of streamlining processes and maintain accurate and timely business office processes
• Create and implement metrics for productivity and quality
• Ensure adherence to and compliance of payor, government and internal system regulatory policies
• Monitor key revenue cycle management performance levels for each team member as well as each RCM team
• Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met
• Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization.
• Carry out supervisory responsibilities in accordance with company policies
• This position is responsible for managing all activities within the revenue cycle management function for a practice or group of practice locations
• RCM processes include but are not limited to insurance verification, authorizations, patient statements, charge entry / coding, submission of clean claims, collection of patient and insurance receivables, and patient and operational communications
• Implement and maintain an efficient workflow within the practices
• Ensure that all employees within the department have received the proper level of training to complete their daily tasks
• Cross training in other departments to ensure the highest level of accuracy and efficiency
• Identify opportunities with RCM systems
• Work with RCM leadership in the development of streamlining processes and maintain accurate and timely business office processes
• Create and implement metrics for productivity and quality
• Ensure adherence to and compliance of payor, government and internal system regulatory policies
• Monitor key revenue cycle management performance levels for each team member as well as each RCM team
• Conduct routine monitoring and auditing activities to ensure staff production goals and quality of work is met
• Conduct streamlined communication processes with practice RCM teams, Practice Administrators, RCM leadership, and various departments across the organization

Qualifications

• Experience with accounts receivable / understanding of the revenue cycle
• Strong managerial and business acumen in a corporate setting
• Occasional travel may be required
• Experience with accounts receivable / understanding of the revenue cycle
• Strong managerial and business acumen in a corporate setting
• Occasional travel may be required
• Minimum Required : B.A. or B.S
• Minimum Required : 5+ years of RCM experience with 2 years in a management role

Education And / Or Experience

Minimum Required : 5+ years of RCM experience with 2 years in a management role

Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.

Insight is an equal opportunity employer and values workplace diversity!

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