Director RCM Regional Billing Offices, Remote Position

Overview: Eyecare Services Partners is seeking an enthusiastic, knowledgeable and highly experienced Director of Regional Billing Offices.
This is a remote position.
However, minimal travel will be required for meetings and billing office visits.
We offer a robust benefits package and a team oriented working environment where you are seen, heard and respected as well as clear career ladder opportunities.
EyeCare Services Partners ("ESP") is the nation’s largest vertically integrated eyecare physician practice management company.
ESP is focused on consolidating locally dominant, clinically differentiated eyecare services practices and affiliated surgical centers.
Through acquisition, ESP provides its ophthalmologic, optometric, and ambulatory surgery center partners with liquidity, growth capital, and risk mitigation while navigating the complex and constantly changing healthcare landscape.
ESP provides a “Practice Centric” and comprehensive array of best-in-class management services and resources by leveraging its technology platform, managerial infrastructure, and processes, all with the goal of ensuring our affiliated provider groups can focus virtually all of their time on patient care.
The Director of Revenue Cycle Managements Regional Business Offices, will maintain and support the professional services and billing platform for EyeCare Services Partners Management, LLC (ESP).
The Director will have responsibility for working with the payment posting department, collecting all clinical activities/revenue as well as ensuring timely claims and follow up.
This Director will also support the Strategic Projects team to ensure all facilities are utilizing standard operating procedures that result in accurate billing and timely collection.
Responsibilities: Maintain standardized billing department policies and procedures and comply with SOP’s that ensure maximum collections and regulatory compliance, acting as a liaison among accounting, billing, operations, and clinical staff.
Perform analytical reviews and quality assurance on all data generated by Billing and Collection Department to ensure data integrity.
Work closely with Operations team to communicate information necessary to ensure efficient processes are understood and implemented in accordance with policies and procedures.
Examples would be Denial Management reports to reduce front office errors that slow receiving of payments.
Ensure proper billing and collections relating to commercial and government reimbursement.
Responsible for accurate and timely billing, data entry, charge corrections, payment entry, adjustments, invoice corrections, pre-registration, and collections.
Works closely with the Credentialing Team to ensure a smooth transition for start-up and newly acquired locations and to ensure uninterrupted cash flows and billing processes.
Support and work alongside the RCM Strategic Projects Director to ensure accurate and prompt follow up on all claims.
Third party claim resolution processes including denials and appeals management.
Considers company budget goals in assessing expenditures for reimbursement management; fiscally prudent.
Review adjustments to receivables.
Develop action plans to reduce avoidable adjustments.
Review reimbursement levels to determine when changes take place and keep abreast of changes in the industry that will impact charging patterns and reimbursement levels.
Follows Red Flag Policy and Procedures.
Qualifications: Must have a degree in Business Administration, Accounting, Finance, or commensurate experience in healthcare industry.
Master’s degree preferred.
Must have at least 15 years of progressive work experience in revenue cycle, Patient Accounts, Accounts Receivables, Payment Posting, Claims Processing and Denial Management.
Must have 7-10 years of management experience in Revenue Cycle.
Strategic thinking skills.
The appropriate candidate will be able to see the strategic organizational goals and provide input so that each market is developing and growing as ESP grows and changes.
Desire to work in a fast-paced environment.
Team development skills and associate engagement skills.
Prefer experience with Accounts Receivables of $25 million or greater.
Thorough knowledge of Microsoft Excel and other billing system platforms is necessary.
Understanding of medical coding systems.
These include ICD-10, CPT, HCPCS, APG, APC, and revenue code structures.
Knowledge of industry reimbursement methodologies.
Must be able to identify root causes and prioritize corrective actions.
Must understand Eye Care billing procedures and processes.
Knowledge, Skills and Abilities Required Ability to make administrative/procedural decisions and judgments.
Ability to investigate and analyze information and draw conclusions.
Ability to develop and deliver presentations.
Ability to process computer data and format and generate reports.
Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
Ability to communicate effectively, both orally and in writing.
Ability to foster a cooperative work environment.
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
Ability to develop policy and procedure documentation.
Employee development and performance management skills.
Knowledge of related accreditation and certification requirements.
Knowledge of medical credentialing and standards.
Knowledge of medical staff policies, regulations, and bylaws and the legal environment within which they operate.
In Return We Will Provide Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short and long term disability Company paid life insurance Paid holidays and generous paid time off Paid parking where applicable Team oriented working environment where you are heard and respected Clear career ladder opportunities #ESP2