Director of Revenue Cycle

Position Description 

Director of Revenue Cycle

Position

Director of Revenue Cycle is responsible for planning, policy, and implementation of functions relating to the financial goals of Trivium Life Services patient accounting and collections including billing, insurance follow-up, patient collection, customer service, underpayment and denial recoveries, correspondence, scanning of documents, management of credit balances, provider credentialing, accounts receivable management and cash posting and reconciliation. 

Reporting to the Chief Financial Officer, the Director of Revenue Cycle provides overall strategic direction and day-to-day management for business operations of Revenue Integrity, and overall Revenue Cycle within Trivium Life Services. The Director of Revenue Cycle will perform a wide variety of leadership, operational, and fiscal responsibilities to ensure that the program is built on evidence-based practices.

Essential Duties

This position includes, but is not limited to, the following essential functions:

  • Manage all aspects of revenue cycle management including but not limited to, billing, revenue recognition, credentialing, and funding contracts

  • Oversee development and implementation of policies and standards for all tasks within areas of responsibility

  • In conjunction with executive management and other department heads, continuously refine the revenue cycle to minimize denials and appeals while optimizing performance and net cash collections and reduce days in accounts receivable (A/R)

  • Days Sales Outstanding (DSO) Management. Successful track record of managing and continuously improving DSO in a growth environment

  • Continuously monitor established financial and operational benchmarks to identify and resolve variances and exceptions which may affect cash flow

  • Strategic planning, monitoring, and execution of metrics to ensure that revenue, profitability, cash flow, business goals and objectives throughout Revenue Cycle operations are achieved

  • Mentor and develop management personnel, including but not limited to clear communication of goals and expectations; timely review of productivity and tracking to goals; honest and timely feedback on performance; and access to training programs required for success

  • Deploy technology that enhances outcomes and ensure support for revenue cycle management

  • Assures compliance with all regulatory and accreditation standards and requirements

  • Additional Director duties as needed

    Knowledge, Skills, and Abilities

  • Excellent computer skills; experience in electronic healthcare records and accounting software and Microsoft Office Suite; Access, database, or other system knowledge

  • Excellent written and verbal communication skills

  • Analytical ability to develop and implement improvements or recommendations

  • An initiative-taking problem solver. Ability to understand and deal effectively with issues and opportunities 

  • A change agent and capable of guiding organizational leaders in initiating various change management initiatives with the view of leading and guiding the organization towards the future revenue cycle model

  • Attention to detail

  • Organization and project management skills 

  • Able to work well with senior executives and team, as well as mentor/lead other team members

  • The ability to communicate effectively with co-workers and management about the finances of the business and justify certain financial recommendations

  • Builds and develops internal and external relationships, creates partnerships, builds trust, share ideas, and accomplishes work

  • Develops others to become more effective through strengths, expectations, and coaching

  • Embraces change and sets goals that align with the company's vision

  • Encourages and inspires others through positivity, vision, confidence, challenges, and recognition

  • Able to gather and evaluate information that leads to smart decisions

  • Provides clear communication and shares information regularly and concisely

  • Holds themselves accountable for their performance

    Physical Demands

    These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the Senior Advisor for Strategic Partnerships.  While performing the responsibilities, the employee is required to talk and hear.  The employee is often required to sit and use their hands and fingers, to handle or feel and to manipulate keys on a keyboard.  The employee is often required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl.  Vision abilities required by this job include close and distant vision. The employee must be able to travel between locations, and occasionally attend seminars which may require an overnight stay.

    Working Conditions

    Working conditions are normal for an office environment.  The noise level in the work environment is usually quiet to moderate.  Work requires occasional weekend and/or evening work and the ability to remain on-call and available to provide management support in event of emergencies. The employee is expected to travel locally, regionally, and nationally to visit company offices, business clients, engage in business activity, and attend conferences.  Expected overnight travel= 15-25%.

    Requirements/Qualifications

     The Controller will have the following experience and attributes:

  • Bachelor's degree in Accounting, Finance, Business Administration, or Healthcare Administration or a related field preferred but not required 

  • Ideal candidate has 5 to 10 years of experience in Revenue Cycle

  • Ideal candidate has 3 years' experience of developing strong provider network to include contracting for managed care and/or integrated provider systems

  • Credentialing experience preferred 

  • Has held a leadership role

    Reasonable accommodations may be made to enable individuals to perform the essential functions of the position. 

    Confidentiality Statement

    I acknowledge and understand that I may have access to confidential information, including Protected Health Information (PHI), regarding employees, clients, or the public.  In addition, I acknowledge and understand that I may have access to proprietary or other confidential information or business information belonging to Trivium.  Therefore, except as required or permitted by law, I agree that I will not:

  • Access or attempt to access data that is unrelated to my job duties at Trivium.

  • Access or attempt to access Protected Health Information (PHI) beyond my stated authorized HIPAA access level.

  • Use or disclose to any other person, or allow any other person access to, any information related to facility that is proprietary or confidential and/or pertains to employees, students, clients, or the public.  Use or disclosure of information includes, but is not limited to, verbal discussions, FAX transmissions, electronic mail messages, voice mail communication, written documentation, ?loaning? computer access codes, and/or another transmission or sharing of data.

  • Use or disclose Protected Health Information (PHI) for use in violation of HIPAA regulations.

    I understand that Trivium Life Services and its employees, clients, or others may suffer irreparable harm by use or disclosure of proprietary or confidential information and that facility may seek legal remedies available to it should such use, or disclosure occur.  Further, I understand that violations of this agreement may result in disciplinary action, up to and including, termination of my employment.

    Statement of Understanding

    I have read and understand the above position description. I assert that I can perform all essential job functions, meet the physical requirements of this position, perform satisfactorily in the stated working conditions, and satisfy the expectation for regular attendance.