Director, Revenue Cycle

LiveWell Partners -

Director, Revenue Cycle

Compensation : Salary, processed bi-weekly.

Shift Type : Full-time, On-site at LiveWell Headquarters - Clayton, MO.

Benefits :

• 100% Paid Monthly Premiums for Medical, Dental, Vision, & Short Term Disability
• Cell Phone Reimbursement
• 3.5% Matched 401(K)
• Paid Holidays
• Paid Bereavement
• Supportive & Positive Culture
• Growth Opportunities

Overview :

We are seeking a detail-oriented Manager of Revenue Cycle to join our team. The ideal candidate will be responsible for managing the financial health of our network agencies by overseeing revenue cycle operations, ensuring accurate billing, and optimizing revenue collection processes.

Responsibilities :

• Accountable and responsible for the timely and accurate preparation and submission of all claims to appropriate pay sources on a regular basis.
• Ensures compliance with company, departmental, and regulatory policies and procedures. Supervise multi-unit billing teams.
• Accountable and responsible for the timely and successful follow-up of all outstanding account balances on regular basis.
• Develops and manages an established closing schedule and other guidelines / policies and procedures to facilitate billing timeliness on regular basis.
• Manages the utilization of accounts receivable reports to monitor account balances and establish priorities for collection activities on a regular basis.
• Maintains appropriate billing records to meet legal and regulatory requirements.
• Supervises assigned billing and collections personnel; ensures appropriate staffing levels; completes scheduled performance evaluations.
• Assists in the development and / or revision of departmental job descriptions, duties, and operating procedures.
• Oversees the day-to-day workflow of the Department and sets priorities for staff.
• Assists in the development and implementation of procedures to facilitate efficient workflow / paper flow in the Department.
• Acts as a resource to assigned staff for problem-solving difficult accounts, information system issues, and specific training needs.

Facilitates training programs.

• Ensures timely tracking of payer changes and keeps appropriate staff notified of changes and / or updates regularly.
• Manages the posting and reconciliation of third-party payments received.
• Ensures daily and monthly reconciliation of cash posted to cash deposited; resolves any outstanding reconciling items.
• Prepares any statistical reports as requested by supervisors or upper management on an as needed basis; submits timely.
• Maintains a working knowledge of all billing policies, rules and regulations, updates appropriate staff of changes in the insurance industry.
• Acts as a liaison with assigned / select pay sources.
• Maintains a working knowledge of all EMR systems; acts as a liaison with the software vendor(s) and communicates updates / revisions to appropriate staff.
• Trains appropriate staff on new software / hardware features; reviews staff understanding / working knowledge of changes.
• Represents Revenue Cycle Management and actively participates on various external and internal forums, teams, and audits as needed.
• Ensures that problem-solving occurs at the lowest level possible with positive outcomes.

Requirements :

• Experience : 5 years of medical revenue cycle management experience.
• Bachelor's degree in business preferred.
• Two years of supervisory experience; managing an off-site team is a plus
• Experience with the management of computerized billing systems.
• Working with PC-based software programs.
• Excellent organizational and analytical skills.
• Excellent interpersonal skills.
• Positive customer relations skills.
• Ability to work effectively as a member of interactive teams.
• Excellent oral and written communication skills.
• Knowledge of rules and regulations governing third-party payors.
• Knowledge of Generally Accepted Accounting Principles (GAAP).

Equal Opportunity Employer :

LiveWell provides equal employment opportunities to all qualified individuals regardless of their age, race, marital status, religion, sex, color, gender, national origin, physical or mental disability, genetic information, sexual orientation, gender identity or expression, military eligibility or veteran status, or any other legally protected status under federal, state, or local law applicable to locations or local law ( Protected Classes ).