Jan 02, 2024

Revenue Cycle Director

  • Bryn Mawr Medical Specialists Association
  • 825 Old Lancaster Road, Bryn Mawr, PA, USA
Full Time (CPC) Certified Professional Coder

Job Description

Bryn Mawr, Pennsylvania

About Us

For more than 52 years, the medical experts of BMMSA have been providing personalized care to patients in the Philadelphia region. Our patients have seamless access to 92 highly-trained physicians in 11 specialties and primary care. This integration of primary and specialty care allows our providers to improve communication by using a shared medical chart at various stages of care. Our physicians, nurses and staff work as a team to provide comprehensive, patient-centered care with a “whole person” approach.

Allergy & Immunology
Cardiology - Bryn Mawr
Cardiology - Lankenau
Dermatology
Endocrinology - Bryn Mawr
Endocrinology - Aston
Endoscopy
Family Practice
Gastroenterology
Hematology / Oncology
Infectious Diseases
Internal Medicine
Internal Medicine: Long Term Care
Neurology
Nephrology
Pulmonary / Critical Care / Sleep Medicine
Rheumatology - Bryn Mawr
Rheumatology - Lankenau and Broomall

Director of Revenue Cycle Management

The Director of Revenue Cycle Management is responsible for leading and directing the operations of various functions which impact the timely collection of revenue within Bryn Mawr Medical Specialists Association ("BMMSA). This will include charge entry, preauthorization, credentialing, and accounts receivable team. The position will work within a matrix environment and lead revenue cycle management ("RCM") services for multiple specialties. Competitive compensation provided!

Duties/Responsibilities:

· Operational responsibility for the charge entry, preauthorization, credentialing and accounts receivable team and processes.

· Identify issues within the BMMSA revenue cycle and implement changes as needed to include work flow and personnel.

· Maintain compliance with all payor coding and clinical rules.

· Demonstrate exceptional leadership skills while promoting a culture of mutual respect, compliance and outstanding customer service.

· Act as the main point of contact with payor or other RCM coding and documentation audits.

· Monitor payor compliance with contracts to include adherence to fee schedules, proper use of edits and proper use of clinical guidelines.

· Participate in third party payor negotiations.

· Work with BMMSA information technology department to identify modifications needed in current technology platform and available technology for BMMSA to consider adopting to improve workflows.

· Ensure timely and accurate reporting of current KPI dashboard and modify or adopt new KPIs as necessary.

· Monitor fee schedule structure to ensure capture of full payor allowables and logical charge structure among codes and specialties.

· Implement systems to monitor individual staff productivity and accuracy of work.

· Coordinate internal audits through independent third parties.

· Create systems to ensure timely filing of charges, closing of patient visit notes and facility charge capture.

· Facilitate annual provider coding and documentation training.

· Facilitate periodic staff training of all positions within BMMSA which impact RCM. This will include initial orientation and ongoing refresher and other training.

· Participate in development of annual compliance plan.

· Develop and maintain relationship with all payor claims representatives.

· Act as BMMSA expert on payor and state-level appeals and complaint resolution processes and initiate actions as necessary.

· Pursue development of staff through on-going feedback, formal annual performance reviews and encouragement of further education.

· Maintain knowledge and awareness of state-of-the-art processes through industry memberships, seminars, journal reading, research and networking with peers and vendors.

· Work with other BMMSA managers, physicians and leadership in a matrix organizational structure.

· Other duties as assigned.

Requirements:

· Minimum 7 years coding and billing experience in a medical group or other healthcare provider

· 3-5 years management experience

· CPC certification and bachelors degree preferred

· Excellent leadership, communication, organization and problem-solving skills

Job Type: Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Relocation assistance
  • Retirement plan
  • Vision insurance

Schedule:

  • Monday to Friday
  • No nights
  • No weekends

Work Location: In person

Required Experience Level

Director Level

Minimum Experience Required

6-8 years

Required Travel

No required travel