The Director of Revenue Cycle Management (RCM) will oversee patient accounts and the utilization review department, advancing patient care by ensuring superior customer experience. In this role, the Director of Revenue Cycle Management will lead and manage all billing, collections, accounts receivable, and revenue cycle operations. The focus will be on ensuring efficient, accurate, and customer-centric billing processes that align with the company's core values. Key responsibilities will include improving insurance billing and collections, streamlining workflows, and enhancing the customer experience by promptly addressing patient inquiries and concerns.

Duties/Responsibilities:

• Manage insurance verification, billing, coding, collections, customer service, and payment posting.
• Develop and implement policies and procedures.
• Monitor and analyze accounts receivable.
• Oversee courtesy billing for patients with out-of-network benefits.
• Supervise the collection process and identify strategies to enhance revenue while reducing denials.
• Prepare financial reports.
• Ensure compliance with all federal, state, and local regulations related to billing and collections, demonstrating a commitment to ethical and legal practices.
• Ensure proper integration of Meditech electronic health records (EHR) with clearinghouses.
• Develop and maintain positive relationships with patients and their representatives, ensuring their billing and payment experiences are smooth and transparent.
• Manage and address patient billing inquiries and disputes promptly.
• Conduct regular audits and assessments to identify compliance risks and areas for improvement.
• Collaborate closely with clinical and administrative departments to ensure alignment and cooperation in revenue cycle processes.
• Performs other duties as needed.

Required Skills/Abilities:

• Proficiency in Meditech EMR required.
• Strong skills in Microsoft Office Suite, including Excel, Word, Outlook, and PowerPoint.
• High integrity, including the maintenance of confidential information.
• Proven knowledge of all revenue cycle functions and federal and state laws.
• Ability to support customer satisfaction through a customer-centric approach to billing and payment resolution, recognizing the team's vital role in ensuring a positive patient experience.

Education and Experience:

• Bachelor’s degree in healthcare administration, Business Administration, Finance, or a related field; master’s degree is preferred.
• Certified Professional Coder (CPC) certification is required.
• Minimum of 10 years in healthcare revenue cycle management, with at least 7 years in leadership.
• Strong background in the managed care payer market is preferred.
• Experience in a Behavioral Health setting is required.

Physical Requirements:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Silver Hill Hospital (“SHH”) is fully committed to equal employment and advancement opportunities for all present employees as well as for applicants in all phases of the employment process (recruitment, hiring, assignment, conditions of employment, compensation, benefits, training, promotion, transfer, discipline, and termination). Therefore, except in any cases of bona fide occupational qualification or need, SHH will act without regard to race, color, religion, national origin, age, sex, marital status, status as a protected veteran, sexual orientation, gender identity or expression, pregnancy, past/present history of mental disorder, intellectual disability, physical or learning disability, genetic information or any other characteristics protected by applicable law, (unless it is shown by supervisory personnel that a disability prevents performance of the work involved or may result in undue hardship) in all aspects of the employment process and relationship. This policy is based on the understanding that an applicant can handle the job requirements. Employment decisions will be based on merit, qualifications, and abilities.