Description

Esperanza Health Centers offers benefits to all its full-time employees:

BCBS Medical PPO Plans | Ameritas Dental | Eye Med Vision | Tuition Reimbursement up to $5,000 per year |10 Paid Holidays and 26 Days of Paid Time Off

Compensations (Based on experience): 100,000 - 160,000

The Director of Revenue Cycle (Director) provides strategy, direction, and leadership over Esperanza’s Revenue Cycle initiatives. The Director provides leadership over Esperanza’s billing department and sets goals and objectives in accordance with Esperanza’s long-term strategic plans and annual goals. The Director reports to the Chief Financial Officer (CFO).

Primary Duties and Responsibilities:

General:

Provide leadership to Esperanza's billing department, composed of one Revenue Cycle Manager, one Lead Billing Coordinator, and external billing company.
Implement goals and objectives outlined in Esperanza's Strategic Plan
Attend and participate in staff meetings, as assigned.

Revenue Cycle:

Manage relationships with 3rd party payers.
Set goals and objectives for the Billing department in accordance with Esperanza's long-term strategic plans and annual goals.
Implement processes and reporting mechanisms to monitor department performance and progress towards goals.
Working with Revenue-Cycle Manager, identify and troubleshoot areas that are falling behind standards and goals, and identify solutions.
Communicate with clinical, operations, and HR staff regarding any coding, credentialing, or operational problems or opportunities affecting the revenue cycle.
Assist site leadership in completing annual audits, operational site visits, or other reviews of billing operations.
Responsible for payer contracting and negotiations, oversee credentialing vendor.
Monitor official notices from Medicaid, Medicare, commercial payers, and HRSA and advise CFO of any potential risks and opportunities.

Requirements

Three years of management-level experience in FQHC revenue cycle with expertise in billing and collections.
Preferred, but not required - bachelor’s degree in Healthcare Administration, Business, Accounting, Finance, or related field
Proficiency with AthenaHealth EMR system
Proficiency with MS Office applications
Proficiency in downloading and manipulating large data sets
Analytical and critical thinking skills
Knowledge of Medicaid, Medicare, commercial insurance rules
Knowledge of HRSA sliding scale policies
Knowledge of billing procedures and medical terminology
Ability to communicate clearly and effectively.
Ability to interact with staff, insurance companies, and vendors in a professional manner.