Director Revenue Cycle

Seeking a Director of Revenue Cycle (RCM) at an established and reputable Home Care/Healthcare Organization that has been serving the community for 18 years. Their mission and values are centered around providing the best care possible to their patients, in team environment. Collaboration and a healthy employee culture are top priority to them. You must have MCO experience (MCOs managed care, Medicaid/Medicare) Examples: and Medicaid Managed Care Plans. This role focuses on operational execution, performance optimization and compliance across billing, coding, collections and payer processes to ensure and timely reimbursement, and managing a team of 10 Billers and Collectors.

Requirements

Steady job history (longevity in past employment)

Must have Home Care Industry experience in a leadership, and Private-Pay and Managed Care

Must have Managed Care Organization "MCO" experience

Experience with various Insurance Plans (HMO, PPO) that contract with providers to deliver medical services at reduced costs.

Must have expertise billing for non-skilled/non-clinical caregiving services often referred to as "Custodial Care"

Experience with Medicare/Medicaid Health plan billing.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance or related field preferred.
• Five to ten years of experience in healthcare revenue cycle management, preferably in home care healthcare of non-skilled services.
• Strong knowledge of Medicaid/Medicare and MCO home healthcare billing and pay rules.
• Proven experience managing multi-site teams and operational KPIs.
• Hands-on leadership style with strong problem-solving skills.

This is a Fulltime, Perm position offering a competitive salary, and benefits with a growing company that has recently expanded. You will be given every opportunity to succeed, grow to manage and oversee multiple company site locations and possibly be the VP some day. This company Owner has great plans for the RCM Director he hires!

Equal Opportunity Employer