Sales Director
Director of sales job at Sonida Senior Living
Find your joy here, at The Woodlands of Columbus, a Sonida Senior Living community! We offer a comprehensive benefit package to include competitive wage/salary, health and dental insurance, 401k with company match & much more! The Woodlands of Columbus, a premier retirement community in Columbus, OH, provides quality care to residents in an Assisted Living and Memory Care community.
What we offer you:
* A robust Sales Incentive Program
* Flexible scheduling
* Cutting edge technology to enhance the lives of our residents and make your job easier and more effective.
* SafelyYou - AI video technology that detects and prevent falls
* Advanced EHR Technologies - automated care assessments eliminating busy work, helping you deliver better care
* Sage - Improve call light response time and improvement to service and care
* Microsoft Power BI - one stop for all data needs
* Company support for educational and learning opportunities
* Paid referral programs for Team Member and Resident referrals
* Medical, dental, vision, and life/disability insurances*
* 401k retirement savings offering a discretionary match determined each year based on company performance
* Employee Assistance Program
* Dependent Care and FSA saving accounts
* PTO available day one
* Paid Training
* Benefit eligibility dependent on employment status
Eligibility based on location
Sales Director Responsibilities include:
* Supports Executive Director to increase occupancy, meet budgeted occupancy and revenue, and maintain a waiting list for available apartments.
* Keeps updated about relevant operational, competitive analysis data, and company information, in order to respond effectively to lead inquires.
* Achieves Community sales objectives and move-in goals as identified by the Executive Director and the Regional Director of Sales. Achieves annual budgeted census and per diem targets.
* Develops and implements marketing plans for the Community. This detailed plan must be refined quarterly for review by the Regional Director of Sales/Marketing.
* Advises solutions that match prospective Residents' needs, overcoming objections by demonstrating benefits to prospective Residents, and negotiating a mutually beneficial outcome.
* Works with appropriate Community Managers to finalize residency contracts, so that sales efforts expended are in proportion to their urgency and appropriateness for the Community. Ensures a smooth transition for the Residents from the sales process through the move-in process.
Qualifications:
* A minimum of three to five years of sales experience with a record of consistently meeting or exceeding sales performance goals.
* High school diploma required. College credits or degree preferred or satisfy state experience requirements
Director of Market Operations
Altamonte Springs, FL jobs
Sage Dental is the leading Dental Support Organization (DSO) in the Southeast, and we are continuing to grow! At Sage, people are at the core of everything we do. We are looking for dynamic and talented professionals who fit our culture of innovative technology, constant learning, and patient-centric care to join our team. If you are ready to take the next step in your career and want a position with excellent earning potential with a stable, growing company, Sage Dental has what you are looking for.
Overview
Due to our ongoing success and as we position ourselves for further growth, Sage Dental is hiring an experienced Director of Market Operations in the Ocala area! The Director of Market Operations oversees daily operations for a group of multi-specialty dental practices and provides leadership, direction and support to the Office Managers to ensure financial and operational success. Deliverables will include gaining the trust and respect of Office Managers, maintaining compliance to procedure and protocols in the office, and providing strong financial results while keeping the focus on Patient Care and Patient Satisfaction.
Qualifications
Three to five years related multi-unit dental office supervisory experience
Working knowledge of financial statements
Ability to establish strong relationships with internal and external stakeholders
Independent self-starter with the ability to work well with other team members
Strong knowledge of dental practice management software, Dentrix preferred
Working knowledge of Microsoft Office products
Willingness to work outside of normal business hours
Willingness to regularly travel throughout the assigned area
Must reside in the local area or be willing to relocate
Sales Manager
Bemidji, MN jobs
Home Choice
Ready to do your best work?
Interested in a minimum starting hourly rate of $15.73 per hour - $18.50 per hour ?
Why should I apply in just a few clicks?
Paid Time Off and Sundays Off -- We are Closed!
Full-Time Employment and a Consistent Schedule
Weekly Pay (companywide)
Award Winning Culture with the Opportunity to Advance
Great Benefits Medical, Dental, Vision, life Insurance, Supplemental Life Insurance, Spouse/Dependent Life Insurance, Short Term Disability, Long Term Disability, Flexible Spending Accounts, 401(k) Savings Plan w/company match, Paid Time Off, Legal Insurance, Identity Theft Protection Plan, Health Savings Accounts, Hospital Indemnity, Critical Illness, Accident Insurance, Limited Purpose Plan
What will you do?
Provide underserved customers access to high-quality goods that enhance their quality of life. You will do meaningful work and make a difference in our customers' lives!
A day in the life of a Sales Manager:
Sales: Responsible for sales growth through completed installment sales agreements and prospecting new business and customers
Customer Service: Provide friendly, top-notch customer experiences through "white glove" service with a servant's heart in our stores and in customer's homes
Deliveries & Pickups: Opportunity to get out of the store and display a winning spirit through safe and compliant loading/unloading and installation of products, while following all handling and transportation procedures
Merchandising: Maintain an inviting store with organized product and cleanliness with both customers and fellow coworkers in mind
What are the minimum requirements?
1 -- 2 years of retail sales experience
High school diploma or equivalent
Must be at least 18 years of age
Valid state driver's license and good driving record -- You WILL you be driving the company vehicles
Ability to lift and move product such as furniture, electronics, and appliances
Great communication and customer service skills
What are some additional helpful traits?
Seeking more than just a job, but a CAREER
A desire to improve our customer's lives
A hunger to learn the business
Grit and determination
This is an excerpt from the full and is not intended to be all-inclusive. Other related duties may be required to meet the ongoing needs of the business. Rent-A-Center is committed to creating a diverse and inclusive work environment and is proud to be an equal opportunity employer.
Full job description provided in Onboarding
VP of Sales - Health Plans
Orlando, FL jobs
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?
Showing Up Somatus Strong
We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:
Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests.
Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners.
Showing Up for You
We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:
Subsidized, personal healthcare coverage (medical, dental vision)
Flexible PTO
Professional Development, CEU, and Tuition Reimbursement
Curated Wellness Benefits supporting teammates physical and mental well-being
Community engagement opportunities
And more!
As a Vice President of Business Development, you will drive new logo growth and sales pipeline development while playing a key role in the continued growth of the company. You will support strategic initiatives working with health plans, employer groups, ACOs, hospitals and health systems, provider groups, and other healthcare organizations.
Build, own, and maintain a robust pipeline of qualified opportunities by cultivating executive-level relationships with payors, ACOs, Health Systems, and other strategic partners
Work closely with company leadership to lead and coordinate complex deal execution and strategy in a fast-paced, competitive, and entrepreneurial environment
Deliver measurable revenue and membership growth by rapidly advancing opportunities through all stages of the sales pipeline to contract execution
Represent the company at industry events and client meetings to promote thought leadership, and drive new business opportunities
Develop effective outbound content and thought leadership in partnership with the marketing team
Stay up to date on knowledge of industry trends, market intelligence, and state/federal regulations and programs
Lead proposal writing efforts to demonstrate company capabilities and secure new business opportunities
Provide real-time pipeline and relationship updates, forecast accuracy, and growth reporting to executive leadership with a focus on transparency, urgency, and outcomes
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
7-10 years of relevant experience in business development, enterprise sales, consulting, or commercial role working with health plans, provider groups, or other healthcare organizations
Excellent verbal and written communications skills with demonstrated ability to communicate, present, and influence both credibly and effectively at all levels of an organization, including executive and C-level
Commercial acumen and a proven track record of driving new business development and creatively structuring agreements
Ability to connect with diverse constituents and stakeholders across cross-functional teams (leadership, marketing, account management, new product development, data and analytics, market operations, finance and clinical)
Demonstrated success driving new revenue growth and closing favorable deals with national and regional payors, ACOs, and other risk-bearing entities
Experience developing compelling presentations using Microsoft PowerPoint
Salesforce experience
Travel to HQ in McLean, Virginia and client locations
Director of Business Development
Madison, WI jobs
Your experience matters
UW Health Rehabilitation Hospital is operated jointly with Lifepoint Health and UW Health. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Director of Business Development (DBD) joining our team, you're embracing our promise to provide superior patient care that exceeds industry standards as well as patient expectations. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
A Director of Business Development who excels in this role:
Implements a comprehensive business plan to ensure Census and Mix Forecasts are met and/or exceeded. The business plan will include and identify internal and external targets (by specific referral groups and percentages); insurance rate targets (averages) and action plans to evaluate the effectiveness of the Clinical Liaison Team. The business plan will be accessed and updated no less than quarterly to ensure that all business indicators are met
Will be the managing director over the clinical liaison and admissions teams
Develops, organizes and maintains a data base system for decision support information including identification of community needs; demand forecasting; utilization of programs and services; competitive analysis; medical staff utilization trends. Utilizes software tools including the Lifepoint Hospital information systems together with internal data and external data base information for statistical analysis
Ensures appropriateness of patient selection; assists patients/families in making informed admission decisions
Create and implement comprehensive marketing plans and programs annually and on an as needed basis for the facility's long and short term goals
Interfaces directly with managed care providers, key physicians and other program delivery personnel providing expertise in the development and implementation of business plans, situation analysis documents and feasibility studies to evaluate opportunities for new joint or shared program and/or service offering, and new product-line development, product enhancement and product differentiation in the competitive market environment
Consistently interfaces with Referral Sources, Case Managers and Managed Care Providers to create to achieve maximum revenue generation for the hospital while maintaining environment of quality care for the patient
Other duties as assigned
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
Supportive Leadership & Culture
Recognition & Achievements
Ranked in the top 10% of rehabilitation hospitals for the last six years
Named “America's Best Physical Rehabilitation Centers” and #1 in the state of Wisconsin
What we're looking for
Requirements include:
Bachelor's Degree in Business, Marketing or Clinical discipline
Minimum of 5 years' experience in healthcare management preferred
Excellent skills needed in forecasting, market based planning, communications and public relations
Valid driver's license and clean driving record
Connect with a Recruiter
Not ready to complete an application, or have questions? Please contact Abby Scott by emailing **************************.
More about UW Health Rehabilitation Hospital
UW Health Rehabilitation Hospital is a 50 bed inpatient rehabilitation hospital that has been offering exceptional care to the Madison community. We are proud to be recognized by the Joint Commission, CARF, and 2024 Newsweek Recognition.
EEOC Statement
“UW Health Rehabilitation Hospital is an Equal Opportunity Employer. UW Health Rehabilitation Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”
Business Development Executive Healthcare
Rochester, NY jobs
Location: Rochester, NY (In-person preferred; Remote option available for the right candidate) Employment Type: Full-time | Seniority Level: Executive Industry: Healthcare Staffing | Functions: Sales, Business Development, Operations
About the Role:
We are seeking a highly motivated, strategic, and results-driven Business Development Executive to join our executive sales team. As a rapidly expanding healthcare management and staffing firm, we are looking for an experienced sales executive to drive aggressive business growth, strengthen client partnerships, and spearhead the strategic expansion of the DelphiHealthcare business line in a pure "hunter" role.
This executive role will focus on identifying new business opportunities, cultivating relationships with hospital and healthcare system leadership, and executing high-level growth and operational strategies. The ideal candidate brings proven experience in healthcare staffing, possesses existing relationships with key healthcare executives, demonstrates exceptional business development leadership, and exhibits a true business ownership mentality.
---
Key Responsibilities
Business Development Leadership
· Develop and implement a comprehensive business development strategy
· Lead new client acquisition and build long-term partnerships with target hospitals, health systems, clinics, and other healthcare organizations
· Represent all lines of Delphi management business, including hospitalist, emergency medicine, anesthesia, and urgent care staffing services
· Create and deliver compelling sales presentations, proposals, and marketing materials
Strategic Relationship Management
· Identify and drive opportunities for expansion within existing accounts
· Attend client meetings, conferences, and industry events to enhance company visibility
· Serve as a key liaison between executive leadership, business development, and recruiting teams
Operational Oversight
· Partner with internal teams to ensure operational excellence and fulfillment of client needs while identifying cross-selling opportunities
· Track performance, KPIs, and growth metrics across DelphiHealthcare business line
· Maintain and manage a structured sales pipeline using CRM systems for accurate forecasting of new accounts/contracts
· Document calls, emails and meetings using CRM system and maintain accurate account records/notes for active opportunities and target lists
Outreach & Market Growth
· Conduct targeted outreach including cold calling, digital prospecting, in-person visits, and strategic follow-up. Some travel required for in-person visits/cold calling
· Analyze industry trends to identify emerging markets, service lines, and competitive opportunities
---
Required Qualifications
· Minimum 5 years of successful business development or sales experience in the healthcare staffing industry preferred
· Demonstrated success in generating new business, scaling operations, and managing key accounts
· Bachelor's degree required; Master's degree preferred
· Exceptional communication, negotiation, and presentation skills
· Proficiency with CRM platforms and Microsoft Office Suite
· Ability to manage multiple priorities and work cross-functionally in a fast-paced environment
· Willingness to travel up to 50%
---
Work Location
· Rochester, NY office preferred
· Remote option available for highly qualified candidates with strong industry experience
Business Development Manager
Benbrook, TX jobs
Home Health Companions has received the Best of Home Care - Provider and Employer of Choice Award from Activated Insights. These awards are granted only to the top-ranking home care providers. Home Health Companions is now ranked among the Best Employers of in-home caregivers in the region.
At Home Health Companions, we strive to go above and beyond in providing a higher standard of compassionate care for the clients we serve. We are currently looking for a passionate professional and creative thinker that thrives in a fast-paced, energetic environment and enjoys building strategic partner relationships with healthcare professionals.
Responsibilities:
Call on physicians, hospitals, skilled nursing facilities' management, discharge planners, and case managers within an assigned territory to promote our homecare services.
Build and maintain client relationships.
Prepare business plans and maintain target lists. Prioritize accounts in accordance with the market sales plan.
Gather and organize account-related information and provide input on key customer opportunities, service line extensions.
The main objective of the candidate is bringing in new business to increase overall market share as a primary goal of the job. Target accounts include, but are not limited to hospitals, physicians, home health agencies, assisted living facilities, nursing homes, senior centers, and hospice organizations. Developing and maintaining knowledge of Home Health Companions brand and effectively presenting marketing materials are essential for this position.
The competent candidate needs to think strategically, analyzing the organization and market, as well as existing and potential customers. Excellent network skills and persuasive communication are required.
Qualifications
Bachelor's degree in Marketing, Business, or a health-related science (e.g., nursing, pharmacy, etc.) or the equivalent, plus a minimum of two years health care or related industry sales experience generally required
Demonstrate exceptional interpersonal skills, multi-tasking and problem solving.
Present well to clients and peers.
Comfortable with closing/asking for business.
Exhibit outstanding organizational skills and a service attitude towards the community.
Excellent written and oral skills.
Ability to handle confidential information and sign confidentiality agreement.
Requires valid driver's license, reliable transportation and insurance.
Compensation:
The compensation package is competitive and is based on a reward for performance structure. There are accelerators and incentives for high achievement. Base + commission.
Remote Sales Manager (FIBC Bags) - $65K to $125K, Dallas, TX
Dallas, TX jobs
Remote Sales Manager (FIBC Bags $65K to $125K Dallas, TX About the Role: Are you a results-driven Sales Manager with a passion for driving business growth? We're looking for a motivated, experienced individual to lead our sales efforts in the FIBC bags sector. If you have a strong
background in manufacturing or packaging sales and want to be part of a
company that values strategic thinking and customer relationships, this
role is for you.
*Key Responsibilities:
- Develop and implement targeted sales strategies to grow our footprint
in the U.S. market.
- Actively identify new business opportunities and cultivate
relationships with potential clients.
- Maintain and expand relationships with key customers, ensuring their
needs are met and business is retained.
- Work closely with the marketing team to create compelling sales
campaigns that resonate with our target audience.
- Stay ahead of market trends, adapting strategies to outpace competitors.
- Generate detailed sales reports and forecasts to keep senior
management informed of progress.
- Lead and support a team of sales professionals, fostering a
collaborative and high-performance culture.
- Negotiate contracts, secure deals, and meet sales quotas.
- Monitor and manage the sales budget to ensure profitability and
efficiency.
*What We're Looking For:
- Proven success in sales within the manufacturing or packaging
industries, with a preference for FIBC bag experience.
- Strong closing and negotiation skills.
- Excellent communication skills, both verbal and written, with the
ability to build strong client relationships.
- Expertise in developing and executing sales plans that deliver
measurable results.
- Experience with CRM systems and sales tracking software.
- Leadership experience with a track record of coaching teams to success.
- Deep understanding of the U.S. market, including regional nuances.
- Ability and willingness to travel up to 50%.
*Qualifications:
- Bachelor's degree in Business, Marketing, or a related field.
- 1+ years of experience in CRM software and account management.
- 1+ years of negotiation experience in a sales environment.
- Strong analytical mindset and business strategy development experience.
- Budget management skills and the ability to meet sales targets.
- Customer-centric approach with leadership capabilities.
*Job Type:
- Full-time
- Remote
*Benefits:*
- Competitive salary with performance bonuses
- 401(k) plan
- Comprehensive health, dental, and vision insurance
- Paid time off and flexible scheduling
- Cell phone reimbursement
- Work-from-home flexibility
*Schedule:
- Monday to Friday, 8-hour shifts
*Location:
- Fully remote role based in Dallas, TX, with travel required up to 50%.
If you're a strategic thinker with a proven track record in sales and
are excited about the opportunity to lead a dynamic sales team, we'd
love to hear from you! Apply today to be part of a growing company with
a strong vision for the future.
Sales Manager
Boca Raton, FL jobs
Important notice:
currently available to those in the 35-mile radius of our office in Boca Raton, FL.
Ready to lead a high-performing sales team and drive growth? Join All Star Healthcare Solutions as a Sales Manager and play a pivotal role in shaping success. You'll guide and inspire a team of talented professionals, foster strong client relationships, and deliver results that align with our core values of loyalty, trust, and long-term success. Work from All Star's brand-new headquarters at BRIC, a state-of-the-art campus featuring onsite daycare, a fitness center, and a free Tri-Rail shuttle. Plus, we've invested in Salesforce, the world's #1 CRM platform, giving you and your team powerful tools and training to maximize performance. If you're passionate about leadership and driving revenue, this is your opportunity to make an impact.
Essential Duties & Responsibilities
• Lead weekly meetings with Sales Consultants to review activity, progress, strategies,
and achievements.
• Provide coaching and mentorship to Team Captains to maximize production.
• Conduct regular one-on-one and side-by-side coaching sessions to drive
accountability and performance.
• Recruit, interview, and train Sales Consultants to build a high-performing team.
• Develop and maintain strong relationships with physicians and clients through
collaboration and frequent communication.
• Monitor and analyze sales processes to ensure compliance with company
standards.
• Source physicians nationwide using cold calling, database tools, and internet
research.
• Match physicians to client sites based on skill level, licensing, credentials, and
regulatory requirements.
• Participate in negotiations for physician placement opportunities.
• Support physicians throughout the recruitment process, including offers,
negotiations, relocation, and contract signing.
• Maintain and expand a client database to support ongoing business development.
• Achieve defined sales quotas by initiating and maintaining client relationships.
• Ensure compliance with company objectives and government regulations.
• Direct and support consistent implementation of company initiatives.
• Perform other duties as assigned by leadership.
Skills & Abilities
• Strong persuasive and influential communication skills (verbal and written).
• Proven ability to meet and exceed strict sales goals in a competitive environment.
• Skilled at building rapport with physicians and clients.
• Effective negotiation and conflict resolution skills.
• Excellent time management and organizational abilities.
Education & Experience
• Bachelor's degree in Business Administration, Marketing, Communication,
Management, or related field (or equivalent combination of education and
experience).
• Minimum of 4 years in a sales-driven environment required.
• Supervisory or team leadership experience preferred.
• Prior healthcare staffing experience strongly preferred.
• Working knowledge of medical terminology and physician specialties.
Awards
• SIA Largest Healthcare Staffing Firms in the US
• SIA Largest Staffing Firms in the US
• SIA Best Staffing Firms to Work For
• Modern Healthcare Best Places to Work in Healthcare
• Sun Sentinel Top Workplaces in South Florida
• South Florida Business Journal Business of the Year Finalist
• ClearlyRated Best of Staffing Client & Talent Satisfaction Awards
Ready to Lead and Make an Impact?
If you're a driven sales leader with a passion for healthcare staffing and the ability to inspire
high-performing teams, we want to hear from you! Join us in shaping the future of locum
tenens staffing while building lasting relationships with physicians and clients nationwide
Director of Revenue Cycle
Naples, FL jobs
Moorings Park is looking for a Director of Revenue Cycle. The Director of Revenue Cycle is responsible for the overall strategy, analysis and implementation of the entire revenue cycle for Moorings Park's multi-campus Continuing Care Retirement Community that includes Independent Living, Assisted Living, Skilled Nursing, Outpatient Therapy, a Home Health Agency, and a Concierge Physicians Practice. This role manages all aspects of billing, cash posting, accounts receivable, payer setup, and contract approval. It ensures accurate and compliant revenue recognition, timely collections, and accountability for all billing processes-including those managed by a third-party billing company
The Director of Revenue Cycle is hands-on, directly posting private pay cash receipts, cross-training staff, and serving as a subject matter expert on the EMR billing system. They are responsible for the financial qualification of prospective residents, approval of resident contracts, and customer-facing billing inquiries, making them a key partner in maintaining trust with residents, families, and partners. The role is fully remote and supervises a geographically dispersed team of remote partners.
CANDIDATE MUST LIVE IN THE STATE OF FLORIDA
- We will not consider any out of state applicants for this position -
Contributions:
Revenue Cycle Leadership & Vendor Oversight
Lead and manage the revenue cycle across all business lines, including billing, collections, cash posting, and accounts receivable oversight.
Serve as the primary liaison to the outsourced billing company, holding them accountable to contractual service levels and organizational goals.
Supervise internal billing team members, providing leadership, training, and performance management in a fully remote work environment.
Continuously evaluate revenue cycle performance, ensuring accuracy, compliance, and process efficiency.
Cash Posting & Billing Oversight
Personally post private pay cash receipts; ensuring daily and monthly reconciliation of all accounts receivable related deposits.
Responsible for the oversight, reconciliation, and quarterly audits of the Patient Trust funds at the Skilled Nursing Facility and Assisted Living Facility, ensuring compliance with organizational standards and state regulations.
Responsible for the oversight and monthly reconciliation of the Advance Deposit account ensuring that funds are applied and transferred in a timely manner.
Train and cross-train team members on cash posting procedures to ensure adequate coverage.
Oversee accurate and timely billing processes for private pay accounts while coordinating with third-party billing partners for Medicare and insurance claims.
Monitor accounts receivable aging and work to resolve outstanding balances quickly.
Systems & Data Expertise
Serve as the subject matter expert and administrator for the EMR billing platform and clearinghouse, including payer setup, workflow configurations, and optimization.
Partner with IT to implement system updates and enhancements that improve efficiency and reduce errors.
Ensure data integrity across all billing and resident financial systems.
Resident Contract and Financial Qualification
Review and approve all resident contracts, ensuring compliance with organizational standards and state regulations.
Evaluate prospective residents' financial documentation, making recommendations on acceptance and financial qualification.
Enter resident contracts into the resident database, ensuring complete accuracy and appropriate recognition of amortization income and deferred revenue.
Regularly reconcile database entries to financial statements to ensure accuracy of reported revenue.
Customer Service & Stakeholder Communication
Respond promptly and professionally to inquiries from residents, families, and coworkers regarding billing or contracts.
Provide clear explanations of billing, contracts, and financial obligations to support resident trust and satisfaction.
Serves as the billing expert for the Organization, stays informed of all Medicare and Insurance regulations and changes that may impact the Organization; stays up to date on industry best practices
Works closely with community health care administrators and admissions teams; is the lead on trainings and status of receivables.
Compliance, Audits & Reporting
Ensure compliance with HIPAA and all relevant healthcare regulations.
Assist with all financial statement audits, cost reports, bond reporting, and other external reviews.
Implement and maintain strong internal controls to ensure compliance and safeguard financial integrity.
Responsible for the creation, implementation and monitoring of policies and procedures across the Organization to ensure accurate and timely billing and collections; serves as the lead on any task force or project groups related to billing.
Responsible for the development and monitoring of key performance indicators to ensure accountability and high performance.
Job Requirements:
Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field (Master's preferred).
Minimum of 5 years' progressive revenue cycle management experience in a multi-service healthcare organization; CCRC or post-acute experience strongly preferred.
Expertise with EMR billing systems, clearinghouses, payer setup, and data integrity management.
Deep understanding of Medicare billing practices, payer contracts, and healthcare revenue recognition.
Strong leadership experience, including managing vendor relationships and supervising a team.
Excellent financial analysis and communication skills, with the ability to explain complex billing matters to non-financial stakeholders.
Demonstrated knowledge of HIPAA regulations, internal controls, and audit processes.
Advanced Microsoft Excel skills; ability to create dashboards and financial reports.
Key Competencies:
Strategic and hands-on management style, balancing leadership with day-to-day operational expertise.
Ability to navigate a complex, multi-site organization with multiple lines of business.
Strong problem-solving skills, attention to detail, and a focus on accuracy.
High emotional intelligence and a resident-centered mindset.
Ability to lead remote teams effectively and foster accountability.
Commitment to continuous improvement, compliance, and organizational mission.
Moorings Park Communities, a renowned Life Plan organization includes three unique campuses located in Naples, Florida. We offer Simply the Best workplaces through a culture of compassionate care for both our residents and our partners.
Simply the Best Benefits for our partners include:
FREE health and dental insurance
FREE Telemedicine for medical and behavioral health
Vision insurance, company paid life insurance and short-term disability.
Generous PTO program
HSA with employer contribution
Retirement plan with employer match
Tuition reimbursement program
Wellness program with free access to on-site gym
Corporate discounts
Employee assistance program
Caring executive leadership
Auto-ApplyDirector of Revenue Cycle
Redlands, CA jobs
The Director of Revenue Cycle is responsible for overseeing all aspects of the revenue cycle process within the organization, including patient access, billing, collections, coding, reimbursement, and compliance. This position ensures that revenue cycle operations align with federal and state regulations, payer requirements, and organizational financial goals. The Director will lead teams across patient financial services, health information management, and billing functions to optimize efficiency, reduce denials, and maximize revenue capture.
DISTINGUISHING CHARACTERISTICS
This role requires a highly strategic leader with expertise in healthcare finance, regulatory compliance, payer relations, and revenue cycle technology. The Director must balance operational leadership with regulatory knowledge (e.g., CMS, HIPAA, Medi-Cal, Medicare, and commercial payers), while maintaining strong communication with clinical and administrative departments.
ESSENTIAL JOB DUTIES & RESPONSIBILITIES:
The following are exemplary essential job duties and responsibilities and are not intended to represent an all-inclusive listing of related essential functions of the position.
Leadership & Strategy
· Develop and implement revenue cycle strategies to ensure timely and accurate billing, collections, and reimbursement.
· Lead, mentor, and evaluate teams in patient access, billing, coding, and collections.
· Collaborate with clinical and administrative leaders to improve workflows affecting reimbursement.
Financial Performance
· Monitor key performance indicators (KPIs) such as days in accounts receivable (AR), denial rates, collection efficiency, and cash flow.
· Develop revenue cycle dashboards and reports for executive leadership.
· Identify areas for process improvement and implement corrective actions.
Compliance & Risk Management
· Ensure adherence to state and federal regulations (California Department of Health Care Services, Medi-Cal, Medicare, HIPAA).
· Maintain compliance with payer contracts, coding regulations, and billing requirements.
· Lead internal audits and respond to payer audits or inquiries.
Revenue Integrity & Technology
· Oversee charge capture, coding accuracy, and documentation improvement initiatives.
· Implement and optimize revenue cycle technologies, including EHR and billing systems.
· Partner with IT and compliance departments to strengthen revenue integrity.
Stakeholder Engagement
· Serve as primary liaison between the organization and third-party payers.
· Develop and maintain effective communication with patients regarding financial responsibilities.
· Educate clinical and administrative staff on revenue cycle best practices.
OTHER WORK AS REQUIRED/REQUESTED
May be assigned special project or other assignments and work tasks that are generally within the scope and level of the position, and relative to the need for flexible Company operations.
MINIMUM & PREFERRED QUALIFICATIONS:
Education/Training
Minimum: Bachelor's degree in Healthcare Administration, Finance, Business
Preferred: Master's degree preferred
Experience
Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts).
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
· Advanced knowledge of revenue cycle processes, payer regulations, and healthcare reimbursement.
· Strong financial and analytical skills, with ability to interpret complex data.
· Excellent leadership, communication, and conflict resolution skills.
· Ability to work collaboratively with physicians, administrators, and external stakeholders.
· Strong problem-solving skills with an emphasis on process improvement
Requirements
Education/Training
Minimum: Bachelor's degree in Healthcare Administration, Finance, Business
Preferred: Master's degree preferred
Experience
Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts).
Salary Description $120,000 - $140,000 / annual
Senior Revenue Cycle Director
Clarksville, AR jobs
Full-time Description
Job Title: Senior Revenue Cycle Director
Reports to: Chief Financial Officer
Direct Reports: Admissions and Patient Access, Business Office, Revenue Integrity Teams
The Revenue Cycle Director is Full-Time, Exempt position that oversees the full revenue cycle, including Patient Access, Business Office, and Revenue Integrity. This leader ensures accurate documentation, charge capture, coding alignment, and compliant billing to optimize reimbursement, reduce denials, and support excellent patient financial experience.
Demonstrates Competency in the Following Areas:
Provide leadership across Patient Access, Business Office, and Revenue Integrity.
Develop goals, KPIs, and operational plans to support financial objectives.
Identify revenue leakage and compliance risks and implement corrective actions.
Lea Ensure accurate and complete charge capture and documentation.
Oversee chargemaster maintenance and auditing.
Monitor underbilling, overbilling, and missed charges.
Review new services and supplies for proper charge structure.
Collaborate with HIM/Coding and clinical teams to ensure compliance.
Implement standardized charge capture processes with reconciliation.
Ensure coding accuracy and compliance with CMS, Medicaid, Medicare, and payers.
Conduct audits and provide documentation education.
Maintain charging system integrity in partnership with IT/IS.
Oversee preregistration, registration, verification, authorization, and POS collections.
Monitor accuracy, wait times, and financial counseling processes.
Resolve issues impacting downstream billing.
Lead billing, claims submission, payment posting, AR follow-up, and collections.
Ensure timely and accurate claims to reduce denials.
Manage appeals and monitor payer trends.
Optimize AR days, reimbursement, and bad debt processes.
Analyze denial trends and reimbursement variances.
Manage RAC, MAC, and commercial audits.
Partner with PFS on appeals and corrective action plans.
Develop financial analysis dashboards and reporting tools for leadership.
Partner with HIM, Coding, Case Management, Clinical Leaders, Finance, and Compliance.
Educate clinical and operational teams on documentation and reimbursement.
Serve as a liaison with IT/IS, vendors, and auditors.
Recruit, train, and evaluate staff across revenue cycle teams.
Promote accountability, integrity, and continuous improvement.
Support cross-training and staff engagement.
Requirements
Regulatory Requirements:
· Bachelor's degree required; master's degree preferred.
· 5-7 years of progressive revenue cycle or revenue integrity leadership.
· Experience with Patient Access and Business Office preferred.
· Preferred certifications: RHIA, RHIT, CCS, CHRI, CHAM, CRCR.
· Strong analytical, leadership, and problem-solving skills.
Language Skills:
· Able to communicate effectively in English, both verbally and in writing.
· Additional languages preferred.
Physical Demands:
On-site presence required with limited remote flexibility.
Evening/weekend work may be required for projects.
Some travel for training or conferences, as needed.
Normal hospital environment. Close eye work. Hearing within normal range. Operates computer, typewriter, copier, calculator, telephone, fax machine, and general office equipment. Continuous sitting. Occasional standing, walking, and bending within the work areas. Minimal lifting up to 40 pounds.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
Director of Revenue Cycle
California jobs
Requirements
Education/Training
Minimum: Bachelor's degree in Healthcare Administration, Finance, Business
Preferred: Master's degree preferred
Experience
Minimum: 7-10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a senior leadership role. Strong knowledge of Medi-Cal, Medicare, commercial insurance, and California-specific payer regulations. Expertise in medical billing, coding, compliance, and reimbursement methodologies. Experience with EHR and revenue cycle management systems (e.g., Epic, Cerner, Allscripts).
Salary Description $120,000 - $140,000 / annual
Director, Revenue Cycle Innovation
San Leandro, CA jobs
+ San Leandro, CA + Fairmont Hospital + AMB Call and Referral Center + Full Time - Day + Management + $69.06 - 115.14/Hour + Req #:42568-31596 + FTE:1 **Alameda Health System offers outstanding benefits that include:** + 100% employer health plan for employees and their eligible dependents
+ Unique benefit offerings that are partially or 100% employer paid
+ Rich and varied retirement plans and the ability to participate in multiple plans.
+ Generous paid time off plans
**Role Overview:**
Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to optimize hospital and ambulatory revenue cycle operations. This role collaborates closely with internal teams and external teams to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging automation technologies, the Director will work to improve operational performance by reducing rework, improve cash flow, enhance the patient experience using self-service technology and overall revenue cycle performance. This role collaborates with external clients to align and support community standards.
**DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
+ Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems.
+ Work with operations and IT to develop automation strategies that align with business objectives.
+ Work directly with clients to assess workflow challenges and develop customized automation scenarios.
+ Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance.
+ Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement.
+ Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently.
+ Work with operations, clients, and payers to streamline data exchange and denial resolution through automated appeals, adjustments, and follow-ups.
+ Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI.
+ Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy.
+ Provides guidance and training to clients on automation tools, workflows, and best practices.
+ Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines).
+ Act as a liaison between departments, clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support.
+ Other duties as assigned.
+ Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
**MINIMUM QUALIFICATIONS:**
+ Education: Bachelor's degree (BA) from a four-year college/university; or equivalent combination of education and related experience preferred.
+ Minimum Experience: 5+ years of experience in hospital revenue cycle management, with a focus on report writing.
+ Preferred Experience: 3+ years of experience with behavioral health services.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.
Director of Revenue Cycle
Plymouth, MA jobs
Job DescriptionJoin a Leader in Eye Care: Director of Revenue Cycle & Billing at Ophthalmic Consultants of Boston Are you a strategic, hands-on leader ready to take charge of high-volume, multi-department healthcare operations? Ophthalmic Consultants of Boston (OCB), a nationally recognized ophthalmology practice, is looking for a dynamic and experienced Director of Revenue Cycle & Billing to lead our talented team and optimize financial performance across the organization.
This full-time, onsite leadership opportunity is perfect for a motivated professional passionate about revenue cycle innovation, team development, and operational excellence in a complex healthcare environment. The locations available for this position are Plymouth, Waltham, and Boston.
Why Join OCB?
OCB has a longstanding reputation for clinical excellence and compassionate care. We offer a collaborative environment where your expertise in healthcare revenue cycle management can make a meaningful impact on both patient experience and organizational success.
Your Role:
As Director of Revenue Cycle & Billing, you'll oversee a broad scope of operations, including:
Front Desk, Credentialing, Billing, and Claims Management
Ensuring accuracy and timeliness of medical claims, denials, and self-pay collections
Managing prior authorizations and insurance appeals with a solutions-focused mindset
Hiring, training, and leading cross-functional teams, fostering professional growth and collaboration
Utilizing Epic Resolute as the primary billing system and supporting physicians and staff in its use
Creating and managing KPIs, performance dashboards, and revenue forecasting
Driving strategic initiatives to boost revenue, reduce costs, and maintain compliance
What You Bring:
Bachelor's degree in Healthcare Administration, Business, Finance, or related field
7-10 years of progressive revenue cycle experience, including 3+ years in a director-level role
Expertise in billing operations, payer relations, call center leadership, and staff development
Deep understanding of coding standards (ICD-10, CPT, HCPCS) and insurance processes
Proficiency with EHR and PM systems like Epic, Athenahealth, eClinicalWorks, or NextGen
Strong communication and leadership skills to work across departments and with executive teams
Perks & Benefits:
Health & Dental Insurance - effective day one
Paid Time Off & Holidays
401(k) with Company Contribution
Flexible Spending & Dependent Care Accounts
Company-paid Life and LTD Insurance
Employee Discounts and Perks
Ready to lead, inspire, and innovate at one of the region's top ophthalmology practices?
👉 Apply today and help us shape the future of patient-focused financial operations at OCB.
To learn more, visit ******************
OCB is proud to be an Equal Opportunity Employer.
Powered by JazzHR
R78RcEneN8
Revenue Cycle Director
Phoenix, AZ jobs
Neighborhood Outreach Access to Health (NOAH) is a Federally Qualified Health Center (FQHC) that offers comprehensive, integrated, and affordable healthcare services to people in need. We serve over 40,000 neighbors with a variety of services, including medical, dental, behavioral health, nutrition, preventive health, eligibility assistance, and health education programs. At NOAH, we are dedicated to promoting the overall wellness of our employees by fostering a supportive and balanced work environment. We understand the importance of physical, mental, and emotional well-being, and we strive to create a workplace where our team members can thrive both personally and professionally. Join us in making a difference in our community while enjoying a fulfilling and rewarding career. Job Summary: The Director of Revenue Cycle Management (RCM) is a strategic and operational leader responsible for optimizing all aspects of the patient revenue cycle at NOAH. This includes oversight of coding, claims, reimbursement, collections, and denials management. The Director plays a vital role in supporting the financial health of the organization and must ensure revenue is captured efficiently, accurately, and compliantly. Supervisory Responsibilities: Leads and manages the RCM department, including billing, coding, payment posting, and insurance follow-up functions. Oversees department structure and staffing; recruits, hires, trains, coaches, and evaluates performance of RCM staff. Builds and reinforces a culture of accountability, ownership, and continuous improvement. Conducts regular staff meetings to communicate expectations, share updates, and address issues proactively. Administers disciplinary actions and performance improvement plans in accordance with organizational policy. Promotes team engagement, career development, and professional growth. Duties/Responsibilities: Owns full lifecycle of the revenue cycle process, ensuring timely and accurate charge capture, coding, billing, collections, denial management, and cash posting. Monitors KPIs weekly and monthly (e.g., AR days, denial rate, clean claim rate, net collection rate) and initiates corrective action in collaboration with department leads and CFO. Presents regular KPI dashboards, trends, and action plans to the CFO and executive team. Provides feedback and financial insight to the Accounting team for accurate month-end close, revenue recognition, and forecasting. Coordinates with billing contractors and monitors the quality, productivity, and compliance of their work. Ensures contracted resources are effectively utilized while actively developing internal team capacity to reduce long-term dependency. Leads development, implementation, and enforcement of comprehensive and compliant SOPs for all RCM functions. Works closely with stakeholders to mitigate gaps and designs and delivers billing-related training programs for RCM, Front Office, Community Resources, and PEC teams to ensure complete and accurate data collection at point of service. Leads initiatives to reduce revenue leakage, increase clean claims, and reduce avoidable denials and write-offs. Ensures compliance with payer contract terms, FQHC-specific billing regulations (e.g., PPS, wraparound), Medicaid guidelines, and other federal/state requirements. Oversees and ensures accuracy of AHCCCS PPS reconciliations and other state/federal submissions. Partners with IT and system vendors to ensure RCM systems (e.g., billing, claims, clearinghouse) are configured correctly and optimized for efficiency. Manages high-level and complex patient billing inquiries with professionalism and empathy. Participates in the annual budgeting process; assists CFO and Controller with revenue projections and modeling. Collaborates with peer organizations and industry groups to remain current on FQHC billing best practices. Attends and contributes to cross-functional meetings, trainings, and community initiatives as required. Performs other duties as assigned.
Required Skills/Knowledge/Abilities:
* Deep knowledge of full revenue cycle workflows; as well as billing/coding procedures for Medicaid, Medicare, and Commercial insurers.
* Proven ability to monitor and improve RCM performance through data-driven strategies.
* Strong understanding of healthcare payer contracting and reimbursement mechanisms.
* Exceptional leadership, team development, and communication skills.
* Ability to synthesize complex data into actionable insight and communicate clearly across audiences.
* Proficiency in electronic health record/practice management systems (preferably EPIC) and data reporting tools (Excel, Tableau, Power BI, etc.).
* Adept at navigating change, solving problems, and implementing process improvement initiatives.
* Strong project management and cross-functional collaboration skills.
Education and Experience:
Required:
* Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent professional experience may be considered in lieu of a degree.
* Minimum of 10 years of progressive experience in Revenue Cycle operations, including 5+ years in an RCM manager or director-level role.
Preferred:
* Experience in a Federally Qualified Health Center (FQHC)
* EPIC certification in Charge Review, Payment Posting, Self-Pay Follow Up, Insurance Follow Up, and/or Coding.
* Advanced training or certification in Revenue Cycle Management, Healthcare Compliance, or Project Management is a plus.
Other Requirements:
* New Hires are required to pass pre-employment background check and drug testing (effective 11/1/2022).
* Must reside within the state of Arizona
Revenue Cycle Director
Phoenix, AZ jobs
Job Details NOAH Administration - Phoenix, AZ Full Time $92414.84 - $113054.15 SalaryDescription
Neighborhood Outreach Access to Health (NOAH) is a Federally Qualified Health Center (FQHC) that offers comprehensive, integrated, and affordable healthcare services to people in need. We serve over 40,000 neighbors with a variety of services, including medical, dental, behavioral health, nutrition, preventive health, eligibility assistance, and health education programs.
At NOAH, we are dedicated to promoting the overall wellness of our employees by fostering a supportive and balanced work environment. We understand the importance of physical, mental, and emotional well-being, and we strive to create a workplace where our team members can thrive both personally and professionally. Join us in making a difference in our community while enjoying a fulfilling and rewarding career.
Job Summary:
The Director of Revenue Cycle Management (RCM) is a strategic and operational leader responsible for optimizing all aspects of the patient revenue cycle at NOAH. This includes oversight of coding, claims, reimbursement, collections, and denials management. The Director plays a vital role in supporting the financial health of the organization and must ensure revenue is captured efficiently, accurately, and compliantly.
Supervisory Responsibilities:
Leads and manages the RCM department, including billing, coding, payment posting, and insurance follow-up functions.
Oversees department structure and staffing; recruits, hires, trains, coaches, and evaluates performance of RCM staff.
Builds and reinforces a culture of accountability, ownership, and continuous improvement.
Conducts regular staff meetings to communicate expectations, share updates, and address issues proactively.
Administers disciplinary actions and performance improvement plans in accordance with organizational policy.
Promotes team engagement, career development, and professional growth.
Duties/Responsibilities:
Owns full lifecycle of the revenue cycle process, ensuring timely and accurate charge capture, coding, billing, collections, denial management, and cash posting.
Monitors KPIs weekly and monthly (e.g., AR days, denial rate, clean claim rate, net collection rate) and initiates corrective action in collaboration with department leads and CFO.
Presents regular KPI dashboards, trends, and action plans to the CFO and executive team.
Provides feedback and financial insight to the Accounting team for accurate month-end close, revenue recognition, and forecasting.
Coordinates with billing contractors and monitors the quality, productivity, and compliance of their work. Ensures contracted resources are effectively utilized while actively developing internal team capacity to reduce long-term dependency.
Leads development, implementation, and enforcement of comprehensive and compliant SOPs for all RCM functions.
Works closely with stakeholders to mitigate gaps and designs and delivers billing-related training programs for RCM, Front Office, Community Resources, and PEC teams to ensure complete and accurate data collection at point of service.
Leads initiatives to reduce revenue leakage, increase clean claims, and reduce avoidable denials and write-offs.
Ensures compliance with payer contract terms, FQHC-specific billing regulations (e.g., PPS, wraparound), Medicaid guidelines, and other federal/state requirements.
Oversees and ensures accuracy of AHCCCS PPS reconciliations and other state/federal submissions.
Partners with IT and system vendors to ensure RCM systems (e.g., billing, claims, clearinghouse) are configured correctly and optimized for efficiency.
Manages high-level and complex patient billing inquiries with professionalism and empathy.
Participates in the annual budgeting process; assists CFO and Controller with revenue projections and modeling.
Collaborates with peer organizations and industry groups to remain current on FQHC billing best practices.
Attends and contributes to cross-functional meetings, trainings, and community initiatives as required.
Performs other duties as assigned.
Qualifications
Required Skills/Knowledge/Abilities:
Deep knowledge of full revenue cycle workflows; as well as billing/coding procedures for Medicaid, Medicare, and Commercial insurers.
Proven ability to monitor and improve RCM performance through data-driven strategies.
Strong understanding of healthcare payer contracting and reimbursement mechanisms.
Exceptional leadership, team development, and communication skills.
Ability to synthesize complex data into actionable insight and communicate clearly across audiences.
Proficiency in electronic health record/practice management systems (preferably EPIC) and data reporting tools (Excel, Tableau, Power BI, etc.).
Adept at navigating change, solving problems, and implementing process improvement initiatives.
Strong project management and cross-functional collaboration skills.
Education and Experience:
Required:
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent professional experience may be considered in lieu of a degree.
Minimum of 10 years of progressive experience in Revenue Cycle operations, including 5+ years in an RCM manager or director-level role.
Preferred:
Experience in a Federally Qualified Health Center (FQHC) or similar safety-net provider strongly preferred.
EPIC certification in Charge Review, Payment Posting, Self-Pay Follow Up, Insurance Follow Up, and/or Coding.
Advanced training or certification in Revenue Cycle Management, Healthcare Compliance, or Project Management is a plus.
Other Requirements:
New Hires are required to pass pre-employment background check and drug testing (effective 11/1/2022).
Must reside within the state of Arizona
Director of Revenue Cycle
Daly City, CA jobs
JOB SUMMARY: The Director of Revenue Cycle serves as the central coordinator of Operations for the hospital or cluster thereof. Functions as the Director of Revenue Cycle liaison between Admitting; Business Services; Utilization Management, Information Systems, other operation departments, and divisions. Revenue Cycle refers to the effective and efficient administration, implementation, monitoring, enforcement, and termination of contract provisions.
Responsibilities
KNOWLEDGE OF WORK
1. Demonstrates ability to review non-cap contract and assure all the necessary language is on the contract and delete languages that are not of best interest to the hospital.
2. Demonstrates knowledge in cap contract related to rates, stop loss, reinsurance, PMPM prior authorization, UR requirement, Knox-Keene requirement.
3. Able to analyze and interpret general business journals, professional journals, technical procedures, and government regulations, that may reference topics that impact Managed Care operations.
4. Always keeps in contact with affiliated medical groups and health plans and a thorough knowledge of affiliated medical group/IPA development.
5. Experience with hospital accounts receivable and finance - reporting, operations, and systems.
6. Able to write memo, correspondence, contract, letter of agreements, amendments in proper contract language.
7. Monitors utilization of health plans especially the new contracts.
8. Always demonstrates a thorough knowledge of financial reimbursement and monitors managed care contract performance.
DUTIES AND RESPONSIBILITIES
1. Prepares rate models/performances based on historical or expected utilization patterns to support negotiations and approval of rates for new or renewal contracts.
2. Develop analysis of service, product, or program costing of MC contracts.
3. Reviews contracts for unique provisions having a system, reporting, or operational impact and coordinates appropriate implementation and monitoring. Assists in developing and implementing procedures and systems to ensure internal and external compliance with contract provisions.
4. Maintains contract contact lists for use in problem resolution and MC contract terms database.
5. Coordinates contract effective dates with Division Managed Care and hospital departments.
6. Identifies, tracks, and coordinates invoicing for reimbursement under unique contract provisions (e.g. Pass-through items, non-cap capitation reinsurance recoveries, etc.)
7. Develops and performs MC A/R payment audits to ensure reimbursement per contract provisions. Initiates underpayment recoveries and system and operational changes to prevent recurrence.
8. Assists departments with contract interpretation and problem solution. Escalates problem resolution to Division, as appropriate.
9. Coordinates plan notifications and responses to plans for information requests.
10. Prepares routine and special MC performance reports to track and analyze revenues, costs, margins, and utilization.
11. Reviews monthly risk pool performance reports and monitors out of area/network utilization. Communicates with Managed Care staff to seek contractual relationships with highly-utilized third-party providers. Serves as a capitation resource in the hospital.
12. Coordinates monthly Internal JOC meetings and quarterly external JOC meetings with affiliated IPAs. Develop Agenda and previous meeting minutes for the meetings.
13. Initiates and facilitates new business development opportunities through proactive relationships with affiliated IPAs.
14. Establishes positive business relationships with key physicians and medical groups.
15. Prepares CATS/CDS packages for all potential referral sources (e.g. physician directorship/service agreements, hospital provider agreements, etc.) to be submitted to Region for review and approval.
16. Performs fiscal/operational analysis of hospital's services/programs and presents findings to the Hospital Administrative Team.
17. Assists finance, Admin and Director of Business Development in the development of Hospital's annul Business Plan/volume assumption schedules.
18. Compiles Medi-Cal managed care utilization data to the State to preserve and increase Disproportionate Share Hospital (DSH) funds.
19. Prepares other special reports as requested by Hospital Administrative Team.
20. Demonstrates ability in the interpretation of legal language and seek appropriate input and clarification of the contract.
21. Always utilizes Corporate resource guidelines in the review of contract and completes the work sheet.
22. Demonstrates the ability to assess a situation, consider alternatives and decide on an appropriate course of action.
23. Able to determine the approach to achieve the best outcome and effective response.
24. Seeks direction and guidance as necessary for performance of duties.
25. Always keeps Finance and Division Managed Care Coordinator informed.
26. Prioritize workload to assure timely completion of task according to urgency and timeline.
27. Able to determine the approach to achieve the best outcome and effective response.
28. Always works in a highly professional manner in utilizing resources around the facility.
29. Performs other duties as assigned.
INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITY
1. Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet them.
2. Recognizes and responds to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives.
3. Accepts constructive criticism in a positive manner.
4. Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness.
5. Uses time effectively and constructively. Does not abuse supplies, equipment, and service.
6. Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies).
SERVICE EXCELLENCE
1. Understands, respects and displays sensitivity to culture, age and persons with disabilities.
2. Participates actively and positively affects the outcomes of customer service activities.
3. Uses effective collaborative strategies as evidenced by:
a) Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goals.
b) Recognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems.
c) Timely notification to Department Manager/Director of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager/Director is made aware of the problem or concern.
d) Displaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goals.
e) Supports Patient Rights.
4. Displays honesty and respect for others, and respect for the organization as evidenced by:
a) Treating internal and external customers as the most important part of the job.
b) Being sensitive to customer's emotions, thoughts and feelings.
c) Refraining from negative comments of any kind where the public or other customers can hear.
d) Taking appropriate actions to resolve the concern.
5. Facilitates and enhances communication as evidenced by:
a) Effective and timely processing of customers requests according to hospital and departmental policies.
b) Utilizing verbal communication methods, which enable others to clearly understand what is being said.
c) Utilizing verbal and non-verbal behaviors without being defensive, manipulative, aggressive or controlling.
d) Using written communication that is legible, timely and at a level based on the position specific requirements.
e) Listening attentively to ensure effective two-way communication.
f) Expressing and accepting feedback in a professional manner.
g) Answering the telephone with stating department, name and greeting.
6. Interacts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient manner.
7. Establishes good rapport and working relationships with coworkers, other hospital staff, physicians and the public
8. Observes dress code policy and wears hospital identification as required by our policies and procedures.
CONTINUOUS QUALITY IMPROVEMENT
1. Understands and abides by all departmental policies and procedures as well as the Codes of Ethics, HIPAA requirements and patient rights.
2. Complies with federal, state, local laws that govern business practices. Complies with all Department of Health Services requirements for the State of California, and HCFA standards that apply to the position.
3. Is knowledgeable and adheres to JCAHO/DHS/CMS standards specific to the position.
4. Participates actively in ensuring that all state and federal rules and regulations are followed as they apply to this position.
5. Conducts business in an ethical and trustworthy manner at all times when dealing with patients, visitors, physicians, and fellow employees.
EDUCATION AND ENVIRONMENT OF CARE
1. Attends scheduled inservice and mandatory inservice. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes.
2. Follows standard precautions and transmission based precautions as shown by consistent use of appropriate personal protective equipment.
3. Adheres to procedures for the disposal of waste - household waste and biohazard waste as well as the proper disposal of sharps.
4. Uses proper body mechanics and safe patient handling devices at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patient.
5. Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment. Adheres to safe work practices in order to prevent injuries and illnesses.
6. Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Red, Code Blue, Code Pink, Code Orange, Code Yellow, Code Gray, Code Silver, Code Purple, etc.)
7. Maintains the department in a neat, clean, and orderly manner, especially in own work area.
8. Eliminates or assists in eliminating any seen or known hazards in the workplace. Reports any unsafe conditions to his or her immediate supervisor.
9. Demonstrates good safety habits and judgment by maintaining a safe environment at all times.
10. Complies with all hospital safety and injury prevention policies and regulations (seven Environment of Care plans and hospital safety policies and procedures).
PERFORMANCE IMPROVEMENT
1. Understands the Continuous Quality Improvement Process and applies it in performing everyday tasks/duties. Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities.
2. Understands performance improvement concepts and demonstrates understanding by:
a) Defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting.
b) Ability to describe a quality improvement problem solving process (e.g., PDCA) and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goals.
c) Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months.
3. Cooperates with others in the improvement of services offered at our institution. Continually makes recommendations that assist in the improvement of services.
4. Continually strives for self-improvement in areas of responsibility by attending continuing education classes.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
1. Bachelor's in finance or healthcare related major.
2. A minimum of 3 years hospital managed care experience required.
Auto-ApplyDirector of Revenue Cycle
Edgewood, KY jobs
Come and enjoy an exciting and growing team!
Summary/Objection: Directs the day to day operations for directing and coordinating the overall functions of the coding, medical billing, workers compensation, medical records and disability departments to ensure maximization of cash flow while improving patients, physician other customer relations. Contributes in the delivery of excellent orthopaedic care in a patient centered environment by all billing functions are completed for the premier orthopaedic care provided.
Essential Job Functions include but are not limited to the following:
Directs the operations of the coding, billing department, payment posting, accounts receivable follow-up, and reimbursement management.
Responsible for the management and direction of the coding, billing, workers' compensation, medical records and disability department personnel, which includes work allocation, training, and problem resolution; evaluates performance, and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
Works collaboratively with the COO, Billing Manager, Billing Coordinator and Coding Coordinator to provide direction and oversight to help improve operations, decrease turnaround times, streamline work processes, and work cooperatively to provide quality customer service.
Ensure KPIs are meeting industry standards for optimizing performance of the departments.
Manages customer accounts and inquiries.
Provides regular education to the coders, billers, business office staff and the providers.
Maximize revenue through the accurate and complete capture of all charges.
Identifies and resolves problems that are impacting revenue cycle.
Coordinates effective and timely denial management and appeals.
Maintains current knowledge regarding payer requirements, polices, ensures system updates are completed accordingly and keeps team informed and updated regarding changes and requirements.
Ensures accurate and timely month end close process.
Conducts internal reviews of claim workflow for process improvement and compliance monitoring.
Manages revenue cycle projects.
Makes decisions and recommendations on HR issues affecting assigned staff, including hiring, promotion, discipline, attendance, compensation, and termination. Conducts new hire training and continuing education. Provides a consistent training program.
Attends management meetings and assists with training, and implementation of improvements based on audit results.
Ensures that the activities of the departments are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
Coordinates any internal and external audit process of billing practices.
Ensures compliance with HIPAA, OSHA and safety compliance.
Other duties as assigned.
Requirements
Education: High School Diploma or equivalent. Associates degree, preferably in coding/billing, business administration, or related field is preferred. Certified Professional Coder through AAPC is preferred.
Experience: Management experience in medical billing (5) five years and minimum of seven (7) seven years of medical billing experience is required. EPIC experience is required. Previous orthopaedic and/or surgical practice experience is preferred.
Other Requirements: Schedules will change as department needs change including overtime, evenings and weekends. Travel as needed.
Performance Requirements:
Knowledge:
Knowledge of OrthoCincy's Mission, Vision and Values.
Knowledge of billing, coding and clinic rules, guidelines, compliance, and operating policies.
Knowledge of anatomy and medical terminology.
Knowledge of and stays currents on all billing and coding guidelines/updates.
Knowledge of billing practices and clinic policies and procedures.
6. Knowledge electronic health records and practice management systems.
Knowledge of HIPAA guidelines.
Skills:
Excellent organizational, multi-tasking and adaptability skills.
Detail oriented.
Basic math skills.
Abilities
Ability to understand and interpret policies and procedures.
Ability to communicate and educate staff and medical providers.
Ability to read and interpret medical charts.
Ability to examine documents for accuracy and completeness.
Ability to maintain productivity set forth by leadership, while ensuring accuracy.
Ability to communicate effectively with all ages and work well with others.
Ability to maintain a 93% accuracy rate.
Mental/Physical Requirements: Sitting about 90% in front of a computer screen. Fast paced high productivity environment. Must be able to remain focused and attentive without distractions (i.e. personal devices).
Director of Revenue Cycle
Florence, KY jobs
Job Details HealthPoint Family Care Florence - Florence, KY Full Time Day FinanceDescription
HealthPoint is hiring for a Revenue Cycle leader. The Director of Revenue Cycle will be responsible for the oversight of all technical aspects of revenue cycle including charge entry, payment posting and denial management. This is a hands-on leadership role. The Director will be working with a team of 14 staff for a successful revenue cycle outcome.
Project manage all Revenue Cycle Tasks
Use analytical skills and reasoning to improve billing based on denial trends
PM and EDI system management
Accountable for the performance of revenue, reimbursement and team production
Leads timely billing and successful reimbursement
The Director oversees the billing team's work and also completes some billing tasks alongside the team
Benefits of joining our team include:
Competitive salary
Bonus Potential
Nine paid federal holidays
Birthday off paid
Generous Paid Time Off
Wide array of benefit plans such as health, dental, vision, flexible spending accounts, Safe harbor 401k Plan, Long term disability and group voluntary life insurance plans.
HealthPoint is private medical practice dedicated to patient wellness. The organization provides adult and pediatric medical, dental, mental health, substance abuse treatment, obstetrics and gynecology, and vision services. We offer walk-ins, same day appointments, evening and weekend hours for the convenience of our patients.
Qualifications
5 years experience in full scope RCM.
BA or equivalent degree and experience preferred.