Kansas Works Jobs

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13160417

Reports to: Chief Financial Officer\ Department: Finance\ FLSA Class: Exempt

Summary: The Revenue Cycle Director (RCD) is responsible for leading revenue cycle operations for all services at Hunter Health Clinic (HHC). The RCM will oversee the billing & accounts receivable functions to ensure timely collection of all patient claims, insurance revenue and program revenue. The RCM functions in accordance with established federal, state, and clinic standards, while complying with all federal grants and HHC policies and procedures.

Essential Functions:

• Leads the revenue cycle staff, including hiring, providing guidance and direction, training, evaluating performance, and initiating corrective action or disciplinary action.
• Develops, implements, and oversees effective billing and collection procedures, including coding, billing, payment posting, collections and denial management.
• Establishes accountability systems and controls to ensure sound practices according to standards and benchmarks set by the organization, licensing boards and funding agencies.
• Demonstrates the ability to analyze data, establish baselines and targets, identify problem areas, and implement improvement initiatives.
• Manages the configuration of all electronic billing systems to ensure proper functioning for effective and efficient billing and collection processes.
• Ensures the timely submission of all claims to third party payers for payment.
• Maintains fee schedule for each service area.
• Provides technical expertise to ensure accurate billing including billing for new services and staying informed of regulatory, compliance and best practices for FQHC billing.
• Maintains responsibility for organization compliance with federal, state, and local legislation pertaining to areas under span of control.
• Ensures timely monthly close of the billing function and prepares end of month management reports.
• Reviews and recommends provider insurance plan network participation agreements.
• Coordinates and manages the practitioner insurance empanelment process.
• Maintains and manages all application registrations and periodic reporting for HRSA (UDS) and CMS (Medicare and Medicaid).
• Develops and maintains department budgets, ensuring appropriate allocation of resources available to meet the business and clinic needs.
• Travels when necessary to meet operational needs.
• Performs all other duties as assigned.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. This is not an exhaustive list of all duties and responsibilities associated with this job. Hunter Health Clinic Inc. reserves the right to amend and change responsibilities to meet business and organizational needs.

Hunter Health Clinic gives preference in employment opportunities to Native Americans who can perform required work regardless of age, sex, religion, or tribal affiliation.