• Director of Revenue Cycle

    Job Locations US-MA-Waltham
    Posted Date 1 month ago(9/10/2018 3:15 PM)
  • Overview

    Company:

     

    42 North Dental, previously operating as Gentle Dental Partners, is a growing dental company with over 55 locations in Massachusetts, New Hampshire, Maine, and Connecticut.  For additional information please see http://www.42northdental.com

     

    Reporting To:

     

    This position reports to the Chief Financial Officer, having significant interactions with corporate and field operational leadership.

     

    Description:

     

    The Director of Revenue Cycle is responsible for the management and oversight of the revenue cycle process to include credentialing, coding, billing, eligibility, payment posting, and receivables management.  The individual will be a key leader in the organization to establish best practices and implement technology enhancements to support a distributed billing model.  This position will leverage indirect relationships with office managers at each dental clinic to standardize processes and improve results.

    Responsibilities

    • Develops strategies and leads the development of performance metrics and efficiencies that promote profitable growth and repeatable results
    • Develops written procedures for standardization of processes; continually monitors changes in the workflow as needed to improve productivity
    • Develops relationships with governmental bodies, managed care organizations, technology partners, and other business relationships
    • Provides or oversees education and training to staff on established procedures and key systems
    • Identify and implement key technical advancements within functional area, including the management of the practice management solution (NextGen/QSI Dental Web)
    • Evaluation and oversight of any potential outsourced functions
    • Assists in due diligence and integration of new practice partnerships
    • Oversee revenue integrity by monitoring and educating on coding best practices
    • Manage staffing levels, with a strong focus on recruiting, developing, and retaining strong talent
    • Manage all billing and collections related staff, with focus on efficiency and effectiveness
    • Assists in month-end close and reporting responsibilities, systems close and maintenance, report reconciliation, and review
    • Analyzes Accounts Receivable Aging; recommends changes in courses of action to increase yield and speed of collections
    • Prepares departmental reports and analysis on a weekly and monthly basis for the CEO, CFO, and Operations Team
    • Formulates and implements strategies and initiatives for payer contracting; develops contracts and rate methodologies consistent with company goals and values
    • Identifies tools, financial modeling systems, and resources necessary to develop financial goals for new contracts and remediation on all existing contracts
    • Ensures consistent and actionable communication with clinical providers and office leadership
    • Develop and maintain pricing strategy and fee schedules
    • Maintains confidentiality in compliance with HIPAA and other regulations
    • Performs other duties as assigned or as needed by the business

    Qualifications

    • 5+ years of management experience
    • Experience in growing healthcare environment, preferably multi-site, with preference given to dental experience
    • In depth knowledge of billing and insurance industries, including reimbursement, billing, coding, and contracting in managed care
    • Possess strong computer skills, specifically Microsoft excel and practice management software
    • Requires good judgment and prioritizing, with a focus on results
    • Effective communication and customer service skills
    • Ability to work unsupervised and self-directed with limited oversight

    Education:

     

    Bachelor’s degree in business, healthcare administration, or related concentration is preferred

     

    Compensation:

     

    Commensurate with experience.  Compensation package including base salary and benefits.

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