Executive Director of Revenue Management
Executive Director of Revenue Management
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
The Executive Director of Revenue Management oversees revenue operations across multiple nursing home facilities ensuring accurate billing optimal reimbursement and compliance with Medicare Medicaid and private insurance policies. This role involves collaboration with accounts receivable monitoring revenue trends reducing claim denials and working closely with clinical financial and compliance teams to optimize financial performance.
Some tasks include:
- Lead negotiations with insurance providers including Medicare Advantage Medicaid Managed Care and private insurers to secure favorable reimbursement rates.
- Maintain a comprehensive database of all active contracts tracking key terms expiration dates and renewal deadlines.
- Collaborate with revenue cycle teams to ensure that negotiated contract terms are accurately reflected in billing and collections processes.
- Work collectively with the Corporate Insurance Department on prior authorization and reauthorization processes for managed care insurance products.
- Collaborate with the Insurance and Billing departments to optimize endtoend revenue cycle processes including patient intake billing coding claims submission and payment posting.
- Analyze reimbursement rates and payer mix to identify revenue opportunities.
- Conduct financial forecasting and budgeting related to revenue cycle performance.
- Ensure adherence to federal state and payerspecific regulations.
- Collaborate with legal and compliance teams to address regulatory changes affecting reimbursement.
Qualifications :
Education & Experience:
- Bachelors degree in Nursing Finance Healthcare Administration Accounting or a related field.
- Minimum of 35 years of experience in healthcare revenue cycle management preferably in a longterm care or skilled nursing facility setting.
- Experience with Medicare/Medicaid reimbursement managed care contracts and private insurance billing.
Skills & Competencies:
- Strong knowledge of healthcare billing coding (ICD10 CPT) and revenue cycle regulations.
- Proficiency in electronic health records (EHR) and revenue cycle management software.
- Excellent analytical skills with the ability to interpret financial and operational data.
- Strong leadership communication and problemsolving abilities.
- Ability to work crossfunctionally and drive process improvements.
- Clinical experience preferred
Additional Information :
Some of the benefits we offer our employeeowners are:
- Professional growth opportunities and the possibility for tuition reimbursement
- Employee Stock Ownership Plan and 401(k) matching
- Individual Health Care Reimbursement Arrangement supplemental insurance options including dental vision and critical illness options
- Company paid Life Insurance with options to purchase additional insurance
- Convenient access health care via telehealth and EAP program for mental health
- Discounts on cell phone plans travel and more
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
