Summary/Objective

The Senior Director of Practice Revenue Cycle Operations serves as the Managed Service Organization (MSO) leader for select specialty practices across a multi-state region and provides support, management, and direction to the staff on day-to-day operations and big picture operations involving the MSO and revenue cycle. This includes responsibility for all revenue cycle functions, overall performance, and regulatory compliance. This individual acts as the key representative for revenue cycle and is responsible for reporting results to MSO leaders and physician/division leaders. This position is responsible for recommending and implementing process improvement initiatives, consolidation efforts, implementation of new technologies, transition management, execution of goals, and meeting KPI standards.

Essential Duties

• Ensures that KPI metrics of Revenue Cycle Operations are achieved and quality standards are met.
• Works with analysts to develop reports requested from physicians and management.
• Ensures that administrative and accounting procedures are carried out timely and accurately including but not limited to month-end financials, payroll, and state reporting.
• Prepares for and presents (or ensures coverage for) RCO updates during monthly operational meetings to SCA, MSO leaders, practice/divisional leadership, and physician partners.
• Ability to make effective and persuasive presentations on complex topics to management, physicians, public groups and or boards of directors.
• Coaches and directs teammates to build skills and creates pathways for development.
• Acts as a strategic thinker to identify RCO performance improvement opportunities and implement changes to improve efficiency.
• Reviews, analyzes and interprets financial data to monitor progress toward established goals.
• Assists with the ongoing management and evaluation of vendor relationships (domestic and offshore).
• Reviews business terms associated with vendor contracts/agreements and coordinates finalization with legal resources.
• Works with team to document core workflows, develop standard operating procedures, and coordinate implementation plans for the roll-out of new processes.
• Assists with the integration of new technologies to ensure smooth transition.
• Develops a positive culture by promoting positivity and collaboration with internal and external team members.

Competencies

• Understanding of the various roles, responsibilities, and technical aspects of the entire revenue cycle, specifically in the healthcare, medical, or ambulatory surgery center industry
• Hands on knowledge of technical dependencies impacting RCO including interfaces, file transfers, electronic claim loops/segments, clearinghouses, etc.
• Proven track record of developing successful relationships and business partnerships with physicians
• Superior knowledge of medical terminology and health insurance billing
• Working knowledge of MS Office Suite including Word, Outlook, Excel, and PowerPoint
• Demonstrate strong communication skills, verbal and written
• Strong Communication skills required.

Travel

Willing to travel up to 25% within the market of the specialty practices.

Undergraduate or graduate degree in business, healthcare, or related field preferred

10+ years of relevant experience plus 5 years of management experience.

Experience working with large single or multi-specialty physician groups and multiple business lines such as radiology, pathology, anesthesiology, etc.