Healthcare Revenue Management Director

3 days ago

Singapore fortahealth Full time
Job Description

We are seeking an accomplished Healthcare Revenue Management Director to spearhead our medical billing and collections efforts. As a key member of our team, you will be responsible for overseeing the entire revenue cycle, from billing and claims submission to collection and payment processing. Your expertise in managing teams and driving financial performance will be instrumental in ensuring the smooth operation of our healthcare services.

Key Responsibilities:

Billing and Collections:

The Healthcare Revenue Management Director will be accountable for managing the billing and collections process, ensuring timely claims submission and efficient revenue cycle operations.

Develop and implement effective collection strategies to minimize outstanding receivables and maximize cash flow. Actively monitor aging reports, take ownership of follow-ups on unpaid or denied claims, and work directly with payers or patients to resolve outstanding balances. Establish and implement best practices for collection procedures while maintaining professional relationships with patients, payers, and external collection agencies.

Team Management:
Manage, mentor, and actively support the billing and collections team, providing hands-on training and direct involvement in problem resolution. Conduct regular team meetings to review performance, address challenges, and implement workflow improvements. Work alongside team members in real-time to troubleshoot issues, coach staff on best practices, and reinforce accountability for results. Actively coach and provide constructive feedback to team members, fostering a collaborative and high-performing work environment.

Financial Reporting and Analysis:

Generate and analyze billing and collections reports, taking an active role in identifying trends and developing solutions to improve performance.

Work within billing software and Excel to create actionable insights, ensuring accuracy in financial reporting and AR tracking. Implement corrective actions based on data analysis to improve financial outcomes. Continuously monitor KPIs such as collection rates, denial trends, and AR days, implementing corrective actions to improve financial outcomes.

Regulatory Compliance:
Ensure all billing and collections activities adhere to HIPAA, Medicare, Medicaid, and payer-specific regulations. Stay up to date with coding changes and regulatory updates, implementing necessary adjustments to keep billing and collections processes compliant. Proactively monitor internal processes to ensure adherence to industry standards and prevent compliance risks.

Tech Integration:
Collaborate with IT and cross-functional teams to integrate technology and automate processes, enhancing billing software capabilities and improving efficiency gains. Actively test, troubleshoot, and implement new billing system features, ensuring seamless adoption by the team. Identify bottlenecks and recommend workflow improvements, balancing automation with hands-on intervention where necessary.

Leadership and Strategy:
Provide strategic leadership, partnering with senior leadership to establish financial goals, budgets, and revenue cycle forecasts. Drive results-oriented teams, utilizing experience and skills to achieve successful outcomes.

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