Director Revenue Cycle

About Discovery At Home 

Discovery At Home is part of the Discovery Senior Living family of companies, a recognized industry leader for performance, innovation and lifestyle customization that today, ranks among the 2 largest U.S. senior living operators. Established in 2012 with the creation of a Medicare-certified agency in Southwest Florida, Discovery At Home has grown steadily over the years, expanding its operations by starting and acquiring agencies in Tampa, Florida; Plano, Texas; Houston, Texas; and West Palm Beach, Florida. While DAH primarily serves residents living in communities managed by the Discovery Senior Living family of companies, its services extend beyond these communities. Today, the organization offers a comprehensive range of care, including Part A services, Part B services, and Private Duty services.

POSITION SUMMARY

The Director of Revenue Cycle Management (RCM) is responsible for overseeing all Revenue Cycle Systems and associated processes. This role is crucial in ensuring that the organization’s financial operations related to billing and collections run smoothly and efficiently.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following duties are normal for this position. This list is not to be construed as exclusive or all  inclusive. Other duties may be required and assigned.

• Oversees the hiring process and direct the onboarding and ongoing training of new and current staff, providing daily guidance, coaching, and support.
• Develops and implements procedures to optimize efficiency and maximize collections of accounts receivable, ensuring that all staff follow established standard operating procedures.
• Establishes and communicates revenue cycle Key Performance Indictors (KPIs) at departmental and individual staff levels.
• Works collaboratively with Managed Care Plans during contracting negotiations to optimize payor terms, monitor compliance, and escalate reoccurring underpayment issues as needed.
• Supervises and manages all aspects of claim submission, payment posting/reconciliation, follow-up, denial management, and self-pay collections.
• Partners with branch administrators to implement process improvements aimed at reducing claim holds and enhancing accounts receivable performance.
• Sets standards and performance goals for billing, accounts receivable, collections and cash posting, regularly monitoring productivity and goal attainment.
• Directs and reviews all accounts receivable adjustments to ensure accuracy and compliance.
• Works collaboratively with Intake and operations to develop processes that promote accurate billing and operational efficiency, as well as address interdepartmental issues impacting reimbursement.
• When necessary, perform functions related to billing, cash posting, and accounts receivable resolution.
• Other duties as assigned.

ENVIRONMENTAL ADAPTABILITY

1. This role can be high-pressure due to stringent deadlines.
2. The position is primarily office-based, involving extended periods of sitting, and frequent telephone communication.
3. Travel may be required both locally and out-of-town or out-of-state, by car or airplane, for seminars, conferences, or meetings.
4. Occasional light lifting of office records and printouts is necessary.
5. The ability to read materials in 12-point font or larger is required.
6. Adequate hearing is essential for phone communication, with or without a standard amplifier, as well as strong verbal and written communication skills.

EQUIPMENT OPERATION

This position requires proficiency in operating a personal computer, calculator, telephone, and other standard office equipment.

PHYSICAL REQUIREMENTS

The physical demands described below are representative of those that must be met by an individual  to successfully perform the essential functions of this job. Reasonable accommodations may be made  to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the Team Member is regularly required to talk or listen. The Team Member is frequently required to sit; use hands to finger, handle, or feel and reach with hands and arms. The Team Member is occasionally required to stand and walk. The Team Member must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

COMPANY INFORMATION

This role is authorized to access patient demographic information, medical records, and company financial information related to accounts receivable. These details may be discussed as needed with management and billing personnel.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Educational Requirements and Experience:

1. Bachelor’s degree in accounting, business administration, healthcare administration, or equivalent work-related experience.
2. Minimum of five (5) years’ experience in home healthcare revenue cycle management, including direct team leadership responsibilities.
3. Extensive knowledge of all aspects of revenue cycle operations, such as payor contract strategies, denials management, third-party reimbursement, and regulatory compliance.
4. Strong analytical problem-solving skills, with the ability to utilize available resources to achieve and exceed departmental and organizational objectives.
5. Demonstrated strength in planning, organization, decision-making, and team building.
6. Ability to think creatively and collaborate effectively within a team environment.
7. Exceptional verbal and written communication skills.
8. Proven ability to communicate and negotiate with a broad range of internal and external stakeholders.
9. Proficiency in Microsoft Office applications, (Word, Excel, PowerPoint, Outlook) with familiarity in multiple system applications.

Benefits:

In addition to a rewarding career and competitive salary, Discovery offers a comprehensive benefit package.

Eligible team members are offered a comprehensive benefit package including medical, dental, vision, life and disability insurances, paid time off and paid holidays. Team members are eligible to participate in our outstanding 401(k) plan with company match our Employee Assistance Program and accident insurance policies.

EOE D/V