Services

Position Purpose

The Revenue Cycle Management (RCM) Director for APS Innovations will lead the revenue cycle management of a multi-clinic psychiatric practice based in Illinois. They will have a direct impact on accounts receivable, cash acceleration, and net revenue. The ideal candidate will have multistate payor experience in the field of psychiatry.

Responsibilities Include:

• Engage in all aspects of Revenue Cycle Management. The RCM Director works
  strategically, proactively, and collaboratively, aligning our system resources to ensure effective outcomes.
• Manage payer relations to negotiate contracts, resolve unpaid claims
• Review underpayments and address them in a timely fashion
• Work with external agencies to address patient collections
• Monitor billing reports delivered by the contracted billing service and hold them accountable for items they should be completing and providing.
• Improvements for revenue cycle efficiencies. Measure account performance against revenue cycle KPIs (e.g., days in accounts receivable, first-pass payment resolution, net collection benchmarks, and best practices for timely filing.
• Establish and maintain system parameters and setup that support timely submission of claims resulting in payment maximization that is both efficient and effective.
• Utilize system tools to identify at-risk accounts and determine actions required.
• Manage accounts receivable, including analyzing by category and by the payer and offering strategic solutions to reduce time in aging.
• Direct follow-up work to determine unpaid claim status and take appropriate actions to ensure prompt payment.
• Create A/R Plans to drive improved results.
• Serve as the Subject Matter Expert (SME) in revenue cycle management, including reporting results to senior leadership, identifying performance issues, and recommending actions to drive success.
• Spravato & TMS pre-authorizations

Qualifications

• Strong analytical and problem-solving skills with the ability to analyze and interpret large amounts of data.
• Organized with the ability to identify and track progress against priorities.
• Committed to delivering tasks and projects on time.
• Highly skilled in setting expectations and delivering communication/coaching.
• Has exceptional written and verbal communication skills with the ability engage with front end staff to board members
• Ability to work in a highly fast-paced and independent environment.
• Flexible and adaptable.
• Constantly in search of new and better methods.
• Bachelor’s Degree in healthcare or a related field required; Master’s Degree preferred
• 10+ years of provider-based healthcare experience within Revenue Cycle required, and at least seven (7) years of experience managing others required
• Knowledge of broad Revenue Cycle Systems
• Clear and concise verbal and written communication skills and the ability to advise our clients professionally and positively
• Strong people leader, adapt at managing team’s work while developing colleagues’ capabilities
• College Degree / MBA
• Senior level of knowledge of medical billing, including commercial payers, Medicare, Tricare, and patient responsibility, is required
• Training on HIPAA privacy and security requirements

At APS Innovations we believe in and foster diversity, inclusion and equality for our employees, patients, and community. We are an equal opportunity employer. We offer competitive benefits inclusive of:

• Health, dental, vision, and life insurance
• 3% Employer Match retirement/401K plan
• Paid vacation, paid holidays, and other personal time off
• Advanced training/career advancement opportunities

Interested applicants must submit a cover letter with salary requirements along with their resume.