Director of Revenue Cycle Management
Longview, TX /
Overview: Community Healthcore (CHC) in Longview, Texas is the dynamic $40M+ lead behavioral healthcare organization meeting the mental health, addictions and intellectual disability service and support needs of people living in greater East Texas. Within CHC’s financial services, the Director of Revenue Cycle Management directs and oversees the overall policies, objectives, and initiatives of the organization's revenue cycle activities to optimize the patient financial interaction and customer satisfaction along the care continuum. Operationally, the Director will lead the ongoing development and execution of administrative and clinical functions that drive revenue generation, claims processing and collections in a rapidly changing healthcare financing environment.
The Role: Reporting to the Chief Financial Officer, the Director of Revenue Cycle Management will lead the billing, collection, accounts receivable, and health plan contracting and credentialing management teams. You will also serve as a subject matter expert in CHC’s evolution from traditional fee-for service revenue generation to value-based reimbursements. You will analyze current revenue cycle performance and recommend specific departmental and organization-wide improvements, as well as future-oriented changes and developmental activities.
As Director, you will be responsible for establishing and implementing policies, processes and performance metrics for the continuum of RCM activities from Eligibility and Pre-certification of clients to the proper reporting and coding of claims and from the billing to collection of accounts receivable. In addition, you will assure the timely enrollment, credentialing and re-credentialing of individual providers. As a leader, you will achieve departmental metrics, production, and financial goals by guiding and coaching your direct reports who plan and supervise daily workflow activities of the billing and health plan credentialing staff. You and your team will assure staff compliance with applicable policies and procedures. On a monthly basis, you will analyze RCM performance and make reports to management.
As Director of RCM, you will serve as an integral member of the organization’s health plans contracting and negotiation team and will oversee all aspects of health plan related individual provider and facility contracting, enrollment, credentialing, and re-credentialing activities. And, as a member of Community Healthcore’s leadership team, you will play an active role in strategic planning and advisory capacities.
Home-based in Longview, Texas, Community Healthcore will entertain an onsite, hybrid or remote relationship depending on the technical expertise and the demonstrated leadership, supervisory and communications skills and experience of the successful candidate.
The Community: The hub of East Texas business and industry, Longview offers the cultural and corporate advantages of urban life; natural serenity and country landscapes; and, small town atmosphere in the surrounding communities. You'll find it all in Longview: Real East Texas.
More and more families, professionals and businesses are relocating to Longview in the heart of Texas Lake Country. With a cost-of-living below the national average, housing is very appealing. From traditional homes nestled in a country atmosphere to fine older homes that grace historical settings and contemporary living in plush surroundings - there are great options to meet every lifestyle.
Residents of Longview enjoy an attractive quality of life with a wide range of educational, cultural, and recreational opportunities. There are seven colleges within 40 miles of Longview. Longview enjoys regional venues for both the performing and fine arts, as well as a host of festivals - Outdoor Expo, the Great Texas Balloon Race and Alley Fest, to name a few. Of course, those who enjoy the outdoors will find hiking, biking, camping, fishing and hunting to meet your individual taste. For those who enjoy the amenities of bigger cities, Shreveport, LA is just over an hour away and Dallas, TX is about a two-hour drive. If you are already established in a community of your liking, you may choose to commute so long as doing so does not interfere with your work at CHC.
Revenue Cycle Management including Medical Billing and Management experience are required
Requires advanced organizational skills and ability to manage multiple tasks
Requires advanced oral and written communication skills with emphasis on extracting and providing concise and accurate information
Requires knowledge of third-party funding sources / programs and applicable billing requirements
Requires experience in Current Procedural Terminology (CPT) coding
Experience in behavioral healthcare RCM is a plus
College Degree Preferred – Completion of courses in business / business administration preferred
To apply for this position or to request additional information, please contact:
Ronald W. Morton, MPA, CBHE
Vice President, The Meyers Group
Executive Search Consultants
(301) 625-5600 X 2