Regional Assistant Director of Revenue Cycle - Sugar Land

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Job Description: ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Regional Assistant Director of Revenue Cycle for our Sugar Land Corporate office location. Manager Role Expectations: Adheres to standards of professionalism set by the Practice; demonstrates professionalism in behavior, dress, attendance, punctuality and courtesy towards patients and staff. Functions as a member of a team and promotes a positive work attitude fostering teamwork and acceptance of management decisions Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff members Handles difficult situations and people with tact and professionalism Maintains a positive attitude Demonstrates flexibility in scheduling and /or traveling to meet patient and office needs Reviews all processes for efficiency and implements improvements as necessary Determine department staffing, evaluate employee performance, and make recommendations to the CFO concerning wage and/or salary adjustments, hiring, terminations, transfers, etc. Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processes Guides the staff to areas of focus and then monitors until completed Complete understanding of NextGen Reporting Features; Creates needed EPM reports as new scenarios occur; instructs staff on the usage of the reporting tools Continues to develop Supervisors & Assistant Managers in their roles to enhance efficiency and growth Supports management's goal of utilizing the electronic features of our computer system, as opposed to paper Schedules monthly Team Meetings to ensure open communication with staff; shares new information, addresses issues/concerns of staff, brainstorms workflows issues and keeps a pulse on the morale of the Team Participates actively in department Team Lead/Management meetings; development, quality improvement process, productivity improvement process, and work flow improvement Manages Team's overtime hours; helps reduce the hours when appropriate and approves the overtime hours when necessary to achieve our department's internal goals Exercises discretion and judgment; makes independent decisions on matters that are important to the operations of the practice Creates work standards for the team; Coaches and helps develop team members Holds individuals accountable for completing tasks Motivates and inspires team members Exercises independent judgment in directing team Interviews candidates for available positions in the department Maintain CPC license Essential Roles and Responsibilities: Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processes. Interact with Physicians regarding questions on Monthly AR reports, collections, or billing questions Work in conjunction with Compliance team to assist with coding or modifier inquiries; provide information from industry standards in the healthcare ( e.g. Medicare, CPT, AMA) Direct and manage physician revenue cycle of $290M using key performance measures against industry benchmarks Coordinate and support the day-to-day operations of the Central Billing Office (CBO) addressing the increase of volume and to improve efficiency, reduce billing errors and maximize reimbursement Continuous process review related to CBO and all other Departments with implementation of necessary changes focusing on continuous improvement, and improving the patients' experience Direct reports in the CBO consist of 4 Managers and 2 Assistant Managers, 4 Supervisors and 3 Team Leads who oversee A/R Follow Up Staff, Payment Posting, Billing Team and a dedicated Billing/Customer service Phone Team Develop daily, monthly, quarterly and annual goals for all Teams within the CBO Track Daily totals for Payments, Charges, Posting and Self-pay collections against daily/monthly goals Weekly meetings ensure strong communication between Teams to ensure that necessary information flows back and forth in the spirit of teamwork and success Support the Insurance Billing team offering guidance with interaction with Clearinghouse to ensure that all claims are billed expeditiously Prepare a monthly comprehensive report for the Board of Trustees summarizing our previous month's financial date with a narrative regarding insurance issues, trends and ongoing projects Actively participates in rate negotiations with insurance carriers. Work with our Business Intelligence staff to model and develop rate proposals/counter proposals Work closely with Business Intelligence to submit yearly application for HFMA MAP award Maintain contact with outside Managed Care Consultants and follow up on contract negotiations or issues Directly works with Insurance Carrier's Provider Reps/staff to resolve payment issues, contract issues and to reduce outstanding Accounts Receivable Monitors the surgical & non-surgical Collector's mo

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