Director of Revenue Cycle/Billing
Lakeland Healthcare Group - Chicago, IL

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Lakeland Healthcare Group is currently seeking a Director of Revenue Cycle/Management & Credentialing for our Chicago location.A leader in radiology management services, Lakeland Healthcare Group provides a comprehensive, turnkey solution to hospitals and referring physicians. Utilizing advanced technology and an integrated workflow platform, Lakeland Healthcare Group has developed a dedicated staffing model that drives a reduction in outsourcing expenses and optimizes revenue.The purpose of this position is to achieve a level of high performance in billing, collections, remittance posting and customer service through directing and managing the entire claims process. This position is responsible for providing leadership in achieving a high level of quality and efficiency in managing the organization's Accounts Receivable. The Director of Revenue Cycle/Management & Credentialing must provide strategic vision to the department; create a culture of compliance, ethics, integrity and accountability; and, maintain knowledge of and assure adherence to state and federal regulatory requirements and accreditation standards; while orchestrating the daily activities necessary to achieve the organization's critical performance indicators.

Additionally, this position must oversee development, modification, implementation and monitoring of policies and processes, and continually seek mechanisms to streamline and automate activities to maximize the effectiveness of the department. Job Responsibilities: Participate in the identification, design, and implementation of revenue improvement initiatives Partner with all areas of the revenue cycle to establish and execute a single, strategic, integrated operational business plan Ensure compliance with administrative/legal requirements of government regulations concerning Medicare, Medicaid, Workers Compensation, and organizational fee schedules Accountable for the development and adherence to operational controls, particularly in claims submission, payment posting and cash handling Accountable for establishing system-wide Patient Financial Services policies and procedures for both hospital and clinics to ensure compliance with laws, regulations, and other standards Ensures all critical business needs and requirements are identified and met with as much automation as possible, including (but not limited to) workflow enhancements and bolt-on ancillary technology, as necessary Serve as liaison to outsourced billing company as well as oversee existing internal billing system Outsourced portion of billing will be transitioned internally. This position will include leadership and oversight of this transition and the supervision, hiring, and training of billing staff, as well as the development of proprietary IT solution to internalize this process Perform physician credentialing actions, as well as actions related to the updating and renewal of physician licenses Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations Once billing is internalized: o Develops staff that can analyze departmental and individual performance, and recommend on-going improvements to processes, procedures, systems and reports based on identified performance gaps o Continually assesses and develops an organizational structure that supports high-performance results during significant system and operational changes o Supervises assigned staff including interviewing, selecting, training, motivating, evaluating, counseling, disciplining, and terminating in compliance with CEO and CFO goals and personnel policies of the organization Improves individual and departmental performance through effective use of resources, analysis of key financial, clinical, and productivity indicators, and application of proven, industry best-practice strategies Collaborates with the IT team partners to ensure that billing software is updated to generate correct billing according to payer requirements and optimized in all areas of the revenue cycle, and to ensure that system monitoring tools to streamline operations and improve receivables are in place Directly reports to the CFORequirements: Bachelors Degree in Business Administration, Health Care Administration or related field. Three to five years of experience in Radiology business office management and CPT coding/billing functions preferred.

Minimum 5 to 7 years supervisory experience. Knowledge of principals of management, health care delivery systems and economics, accounting, third party payers, planning for health services, personnel, public relations and medical group structure. Strong interpersonal skills displaying the ability to deal effectively with physicians, executives, senior management, and external entities. Excellent verbal and written communication skills.

Analytical ability to evaluate current methods of delivering service to customers and to assess the effectiveness of those methods. Personal computer-proficiency and working knowledge of management information systems. Practice Analytics experience a plus. Data Mining experience is an absolute must.

Experience with Automated Coding Software a must. Understanding of Insurance Contracting & Compliance. Understanding of current and prospective Healthcare Reform trends that impact reimbursement.

About this company
Lakeland Healthcare Group offers on-site diagnostic radiology coverage, supplemented with an exceptional off-site team to fully cover all...