Director of RCM

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Job description

Description:

Role and Responsibilities

Sunbelt Medical Management is a management service organization offering back-office support, contracting & credentialing, and financial analysis for our clients. Sunbelt is a multi-specialty medical management and billing group with clients across all 50 states focused on bringing greater efficiency to healthcare revenue cycle management. Our goal is simple: To change the face of healthcare by creating efficiencies between providers, and their patients and the payers directly.

The Director of RCM is responsible for outstanding accounts receivable activities for several client accounts managed by the organization. They are responsible for analyzing performance metrics and act as a liaison for 3rd party billing, and work with the leadership and billing teams.

Qualified candidates have 5 years of RCM leadership experience with extensive knowledge of the medical billing and collections process including patient registration, insurance verification, charge/payment posting, reconciliation, billing, A/R, and denials management. Candidates must also have experience with specialty groups like surgical centers and physical therapy. They must be able to work independently, but also function as a team member and leader, providing high quality services to our clients. Employees of Sunbelt must value close collaboration with internal staff, clients, payors, and other stakeholders.

The Director of RCM's responsibilities include:

• Participate in the entire revenue cycle system life cycle
• Achieve optimal performance of revenue cycle
• Supporting revenue cycle processes and staff functions
• Ensure continuous improvement in the revenue cycle
• Develop sound revenue cycle analysis and reporting
• Resolving revenue and cycle opportunities for improvement
• Identify issues related to revenue cycle performance
• Present data at weekly team meetings and participate in regular meetings with clients
• Develop the revenue cycle operational and budgetary decisions
• Identifying opportunities for improvement in the revenue cycle process
• Maintaining confidentiality of records aligning with HIPAA requirements
• Exceptional Customer service
• Engage with multiple payors and their interfaces
• Additional responsibilities as appropriate

Additional Notes:

Job descriptions are not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills and efforts. In addition, all offers are at-will employment and job descriptions are not intended to form contractual relationships between the employee and the agency. Rather, they are intended to be accurate reflections of the primary essential functions and demonstrate a business need for the position.

Requirements:

• Bachelor's degree (required)
• years of RCM leadership experience (required)
• Bilingual (preferred)
• Knowledge of Microsoft 365 and applications
• Experience with electronic health records (EHR)
• Strong organizational, communication, and customer service skills
• Knowledge of integrated healthcare delivery models (preferred)

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