Director of Revenue Cycle and Billing

About Avenue360 Health and Wellness

Avenue 360 is a FQHC that strives to provide high quality and caring service to promote healthy people and communities. Our 360-degree approach addresses medical needs and social and environmental challenges, like housing. Our compassionate care extends to those with and without insurance. We believe income must not determine the level of access to quality health care.

Providing comprehensive, high quality, and caring service is the core of what we do, whether medical, hospice care, engaging adult activities, and supportive housing programs. We strive to address the many social determinants of healthy living in Greater Houston.

Our Values PACT

• We take PRIDE in our work.
• We have a positive ATTITUDE.
• We are CURIOUS.
• We are COMMITTED.
• We are CARING and CUSTOMER-SERVICE oriented.
• We are a TEAM.
• We LEARN, GROW, and INNOVATE

Overview:

Avenue 360 Health & Wellness is an FQHC/Community Health Center serving Houston and Harris County. We are seeking an experienced Director of Revenue Cycle and Billing to support the mission and vision of the community health center. This full-time position reports to the Executive Vice President of Finance.

The Director of Revenue Cycle and Billing will be an integral member of the leadership team and is responsible for overall performance of revenue cycle and billing operations. This position provides leadership, staff development, and budgeting in accordance with policies and procedures and related regulations. Experience and subject matter expertise in FQHC billing and HRSA and Ryan White policy and procedures are strongly preferred.

Duties and Responsibilities:

· Primary point of contact and leadership responsibilities for clinicians and leadership as it relates to centralized patient and billing operations.

· Maintains liaison with all levels of administration, providers, and outside organizations to coordinate practice business, accomplish directives and to facilitate the resolution of problems.

· Ensures proper staffing for billing, coding, and patient financial services staff in accordance with budgetary guidelines. Effectively recruit, hire, coach, train, and develop billing team.

· Establishes schedules, task assignments, and allocation of manpower, space and equipment to ensure effective revenue cycle.

· Conducts performance reviews and manages performance issues. Develops accurate job descriptions for use in training and evaluation.

· Deals with any staff and patient complaints/concerns in a timely manner.

· Assists in the development and implementation of written policies and procedures that govern the operations of the clinics.

· Evaluates, develop, and implement solutions for strategic growth.

· Develop and implement solutions to optimize revenue collections.

· Evaluate and develop data driven action plans for efficient, ethical, and productive business practices that lead to patient, employee and physician satisfaction.

· Leads grant based (330e, 340b, UDS, Ryan White, etc.) revenue cycle audits.

· Responsible for ensuring that patient billing and processing of payment receipts are consistently completed timely and in accordance with policy.

· Accountable for decreasing bad debt, improving cash flow and effectively managing accounts receivables.

· This position will coordinate effective management of revenue cycle activities across the organization to include, but not limited to front desk, billing, collections, financial counseling for patients and staff training.

· Ensure accuracy of deposits, demographic and other information entered into the patient billing system

· Participate in program/service evaluation activities; facilitate changes in provision of service based on Continuous Quality Improvement results.

· Compile and prepare various status reports for management in order to analyze trends and make recommendations.

· Participate in preparation of annual UDS and Medicare Cost reports.

· Coordinate with the Practice Managers to stay current on credentialing issues, especially in the case of new providers, with an emphasis on scheduling mainly self-pay patients for the new providers until they are credentialed with third party organizations.

· Monitor volume of charge and collection posting on a monthly basis to confirm that Billing Specialists are keeping up with patient encounter volume.

· Recommend and/or implement changes to work schedule, as needed, when workflow in the Billing Department is significantly behind.

· Investigates and analyzes issues, root causes, patterns, or trends; helps identify and implement revenue cycle process improvement where appropriate.

· Develop short- and long-term objectives and goals to ensure readiness for regulatory and industry changes.

· Develop and maintain written operational policies and procedures to ensure consistent processes for revenue operations

· Communicate with and manage internal and external business partner relations.

· Assist in identifying, recommending, and implementing operational changes that will improve service, productivity, quality, and/or financial performance of the organization.

· Other duties as assigned.

Education, Experience, Licensure/Certification and Skills/Abilities Related Requirements:

· Bachelor's Degree

· 5 years of experience in non-profit Billing and Revenue Cycle; preferably in an FQHC setting.

· 5 years of supervisory and/or leadership experience in healthcare.

· Demonstrates strong leadership skills with subordinates and co-workers.

· Appropriately prioritizes mission-critical activities.

· Embraces the team concept; encourages and models healthy, productive team behavior.

· High-energy, organized, persistent individual with strong communications, interpersonal, and systems thinking skills.

· Ability to always maintain confidentiality.

· Ability to function effectively, independently, and efficiently in a stressful and dynamic work environment. Must be able to take initiative, handle high volume and multiple tasks.

· Communications/Interpersonal Abilities: Communicates effectively with all levels of personnel and both internal and external customers, develops and maintains collaborative relationships. Ability to establish and maintain positive, effective, professional relationships with all internal and external contacts. Ability to read and interpret documents, write reports, correspondence, and policies, and present ideas effectively.

· Organization: Able to organize complex information, electronic and paper systems. Must be highly organized and detail oriented.

· Problem Solving: Recognizes and analyzes problems; trend analysis. Able to make difficult choices under uncertain conditions. Demonstrates good judgment.

· Computer Skills: Strong computer skills including typing, use of EMR and Microsoft Office programs, particularly Word, Excel, Outlook. Ability to quickly learn new software programs. Experience in database management and systems development a plus.

· Reliable attendance.

· The physical/mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disability to perform the essential functions.

· Physical demands: Ability to stoop, kneel, bend, use computer keyboard and perform light lifting. Ability to sit for long periods of time. Moderate physical activity such as walking and traveling. Regularly required to talk and hear, stand, walk, balance on two feet, stoop, reach with arms and hands, and use hands to finger, handle, or feel objects, tools, or controls. Occasionally required to climb, kneel and crouch. May occasionally lift and/or move 25+ pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Mental demands include: concentration and attention to detail, self-direction, the ability to learn and adapt to changes, exercise discretion and good judgment, exhibit courteous and professional behavior, deal with stressful situations, and to adhere to company policies and procedures.