Director of Revenue Cycle Specialty Services

IES is dedicated to cultivating best practices in emergency care providing comprehensive acute care services creating value and supporting patients employees clients providers and physicians in pursuit of the highest quality health care.

ESSENTIAL DUTIES AND RESPONSIBILITIESThe responsibilities listed here represent the majority of the role but are not all-inclusive; other duties may be assigned.

• Develop and implement the strategic vision and goals for the service lines with division leadership aligning with the overall organizational mission.
• Collaborate with executive leadership to define priorities and drive initiatives that enhance the quality of client management and practice support.
• Partner with service line leaders to scope and onboard new business within specialty services including assessing systems and applications tracking and communications and operational outcomes specific to specialty workflows and reimbursement models.
• Oversee and manage the performance and development of all RCM processes related to specialty service lines including but not limited to change capture coding billing collections denials and appeals.
• Serve as a liaison between specialty services and other departments fostering collaboration and communication across the organization to support specialty-specific revenue cycle needs.
• Plan develop organize implement direct and evaluate systems processes and payor specific reimbursement mechanisms and billing requirements contributing in the proactive identification of opportunities for revenue cycle improvement and enhancement.
• Engage with physicians and other stakeholders to gather feedback and address concerns related to specialty services revenue cycle performance documentation and reimbursement outcomes.
• Oversee coding auditing and education related to specialty-specific documentation coding accuracy and compliance requirements.
• Reviews analyzes and interprets financial data to monitor progress towards established goals identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results within specialty service lines.
• Provides direction and coordination for the development and implementation of performance and quality improvement processes for the specialty services physician revenue cycle.
• Oversees resolution of escalated issues with third party payors specific to specialty services including underpayments appeals and contractual discrepancies.
• Stays current on payor regulations includingmanaged care Medicare Medicaid and other payor regulations that impact billing activities for specialty and procedure-based services.
• Manage revenue cycle operational team members assigned to specialty service line portfolios ensuring expertise aligned to specialty complexity.

SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines policies and procedures and applicable laws. Supervisory responsibilities include interviewing hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

QUALIFICATIONS

Knowledge Skills Abilities: 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 skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• In-depth understanding of revenue cycle operations across specialty services including patient access billing collections and compliance
• Strong knowledge of healthcare regulations payer requirements reimbursement methodologies and industry best practices.
• Expertise in financial reporting budgeting and performance metrics related to revenue cycle management.
• Exceptional leadership and strategic planning skills to drive operational efficiency and revenue optimization.
• Advanced analytical and problem-solving skills with the ability to interpret complex data and develop actionable insights.
• Superior communication and presentation skills for engaging executive leadership physicians and cross-functional teams.
• Proficiency in revenue cycle technology platforms EHR systems and data analytics tools.
• Ability to develop and implement long-term strategies that align with organizational goals and regulatory requirements.
• Ability to lead large teams foster collaboration and manage change in a dynamic healthcare environment.
• Ability to influence stakeholders and negotiate effectively to achieve financial and operational objectives.
• Ability to prioritize initiatives allocate resources and manage multiple projects at an enterprise level.

Education / Experience:

Required:

• 1-2 years leadership experience and/or operations management experience
• Minimum five (5) years of Hospital or Physician Practice Revenue Cycle management required.
• Bachelors degree in Business Administration Accounting Healthcare Administration Finance or related field.
• Minimum of 10 years of experience in professional services and hospital coding billing and collecting.
• Strong knowledge of various EMR systems including but not limited to: EPIC eClinicalWorks (eCW) MedHost Cerner and Allscripts.
• Certification in one of the following: Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Clinical Documentation Specialist (CCDS) and/or Certified Professional Medical Auditor (CPMA).
• Advanced computer skills required
• Strong knowledge of health plan requirements
• Previous supervisory experience

Preferred:

• MBA Masters degree in Health Systems Management or related field
• Prior experience with revenue cycle vendor management
• Prior experience with Surgical & ICUservice line billing
• Proficient understanding of data mining statistical predictive modeling and financial modeling practices.

PHYSICAL DEMANDS:

• Specific vision requirements include the ability to see at close range distance vision peripheral vision depth perception and the ability to adjust focus
• While performing the duties of this job the employee is regularly required to talk and hear
• Frequently required to stand walk sit use hands to feel and reach with hands and arms.
• Possess the ability to fulfill any office activities normally expected in an office setting to include but not limited to: remaining seated for periods of time to perform computer based work participating in filing activity lifting and carrying office supplies (paper reams mail etc.)
• Occasionally lift and/or move up to 20-25 pounds
• Fine hand manipulation (keyboarding)

WORK ENVIRONMENT:

• Office environment Hybrid schedule after initial training period
  • 4835 Lyndon B Johnson Fwy Dallas TX 75244
  • Tuesday-Thursday in office 8am-5pm
  • Monday/Friday remote
• May visit hospital locations and vendors
• The noise level in the work environment is usually low

ADA & Reasonable Accommodation Statement:
IES is committed to providing equal employment opportunities to qualified individuals with accordance with the Americans with Disabilities Act (ADA) reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. If you require accommodation during the application or employment process please contact emailprotected.

The company is committed to creating a diverse inclusive and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age race religion nationality sexual orientation gender identity or expression disability or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds experiences and abilities and believe that the unique experiences of our team drive our success.