Director of Revenue Cycle

TTS technologies
March 31, 2021
Houston, TX
Job Type


TITLE: Director of Revenue Cycle
Fulltime/Direct Hire
Dallas TX (Preferred) Other Location OK

The Director of Revenue Cycle will not only be responsible for overseeing appeals, denials, payments, cash applications, and following up on claims, but they are also responsible for correspondence within the Revenue Cycle Department.

· Managing accounts receivables including timely and accurate insurance claim processing, patient billing, and collections
· Managing follow-up with insurance companies, overseeing claims reconciliation and adjustments, and ensuring claims are paid according to contract and maximum reimbursement
· Monitoring denial and no activity trends by the payer and help root cause issues, whether it be internal or payer related
· Managing electronic and manual posting of commercial insurance including posting from EOBS and edits of electronic remits
· Managing payments and denials as they are received from lock box into the system and balancing daily cash receipts against lock box total
· Managing credits balance, adjustments, and payment reports
· Functioning as a work leader, providing operational support, training staff, conducting audits, and overseeing workflow for daily operations
· Tracking vital department statistics and completing appropriate analysis on monthly, quarterly, and annual basis to show trends and recognize successful performance by staff members and to predict problem areas
· Monitoring team member's daily performance, attendance, and productivity for training and performance evaluations
· Conducting audits on work and determining additional training, mentoring. and coaching that may be required: including, providing recommendations, guidance, and implementing solutions to improve results
· Serving as the first point of contact on technical, procedural, and policy questions
· Conducting research and implementing solutions to resolve customer issues and complex problems
· Performing other duties as required to support the Revenue Cycle Department

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