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    32 results for Revenue Cycle Director Healthcare

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    32 results for Revenue Cycle Director Healthcare

    Revenue Cycle Manager <p>We are offering an exciting opportunity for a Revenue Cycle Manager to join our healthcare companies team in Auburn Hills, Michigan. This hybrid role is within the non profit/healthcare industry, where you will be responsible for managing customer applications, maintaining meticulous customer records, and resolving customer inquiries. Additionally, you will monitor customer accounts and take necessary actions.</p><p><br></p><p>The Revenue Cycle Manager is an essential member of a high performing management team. The Revenue Cycle Manager oversees the daily operations of the billing department, and all patient accounting activities following this healthcare companies policies and procedures as well as Health Resources and Services Administration (HRSA) guidelines, ensuring the organization is compliant with location, state and federal standards, policies and guidelines. The Revenue Cycle Manager maintains strong internal and external relationships, serving as liaison on behalf of the departments team. Work collaboratively to create and maintain a culture of excellence and dedication to providing compassionate and high-quality healthcare to all.  </p> Revenue Cycle Manager <p>We are seeking an experienced RCM Manager to oversee and optimize billing, collections, and revenue cycle processes for our healthcare services in Plano, Texas. This role is essential to ensuring patients are billed accurately and accounts are maintained efficiently and will involve leadership, strategic planning and the management of the team to ensure the efficiency of our revenue cycle operations The RCM Manager will work closely with the accounting team, assist in resolving billing issues, and lead the development and training of the billing department staff. </p><p><br></p><p>Responsibilities: </p><ul><li>Lead and manage all aspects of the revenue cycle, including billing, coding, assistance with claims processing and collections. Manage the day-to-day operations of the billing department, ensuring compliance with company policies and procedures and revenue cycle best practices</li><li>Ensure compliance with federal, state, and local regulations, including HIPAA, Medicare/Medicaid, and private payer guidelines.</li><li>Analyze and Identify opportunities to optimize billing processes and lead implementation efforts.</li><li>Implement controls to mitigate risks related to coding errors, and billing discrepancies.</li><li>Develop and implement policies, procedures, and workflows to enhance revenue cycle performance. Develop and deliver monthly reports with key billing metrics and performance insights.</li><li>Ensure accurate and timely submission of claims to payers and manage the resolution of claim denials and underpayments.</li><li>Oversee hiring, training, and professional development of billing team members.</li><li>Collaborate with the Executive team to align billing operations with organizational goals.</li><li>Serve as a key liaison between the revenue cycle division and other divisions across the enterprise, such as finance, operations, credentialing and external vendors.</li><li>Ensure effective billing solutions are in place to support a multi-regional and growing client base.</li></ul><p><br></p> Director of Revenue <p>We are on the lookout for a Director of Revenue to join our team located in Burlington, Massachusetts. This role is based in the healthcare industry and offers a long term contract employment opportunity. You'll be a key player in assessing and improving the revenue operations, working closely with senior management. We are looking for someone with FQHC experience.</p><p><br></p><p>Responsibilities: </p><p>• Lead and improve the revenue, reimbursements, and collections processes</p><p>• Utilize your knowledge of Epic Software to enhance revenue cycle processes</p><p>• Work in collaboration with senior management to assess compliance and ensure efficiency</p><p>• Use your expertise in healthcare revenue cycle and hospital revenue cycle to boost revenue operations</p><p>• Involve in budget processes and ensure its alignment with revenue management strategies</p><p>• Oversee and manage revenue management within the organization.</p> Revenue Cycle Director <p>We are offering a contract employment opportunity for a Revenue Cycle Director with our client in Durham, North Carolina. This role involves strategic oversight and management of all revenue cycle operations, ensuring maximized financial performance and compliance with various regulations. The Director will be closely collaborating with clinical, financial, and administrative leaders to enhance efficiency, improve cash flow, and enrich the patient financial experience.</p><p><br></p><p>Responsibilities:</p><p>• Enhance revenue cycle efficiency and effectiveness by developing and implementing strategic initiatives</p><p>• Lead and provide oversight for the entire revenue cycle, including patient access, medical and dental coding, billing, collections, and payer contract management</p><p>• Foster a culture of accountability, detail-oriented development, and continuous improvement by supervising and mentoring revenue cycle staff</p><p>• Ensure compliance with federal, state, and payer-specific regulations, and implement policy changes and staff training as required</p><p>• Oversee denial management and appeals processes to maximize reimbursement and avoid revenue loss</p><p>• Monitor and implement improvement initiatives for key performance indicators (KPIs) for revenue cycle operations</p><p>• Build and maintain strong relationships with payers, third-party vendors, and internal stakeholders to optimize revenue cycle performance</p><p>• Collaborate with clinical leadership to ensure accurate documentation and coding for claims submission and reimbursement</p><p>• Implement technology and process improvements to enhance billing and collections accuracy and efficiency</p><p>• Support financial reporting, budget planning, and revenue forecasting by collaborating with finance leadership</p><p>• Lead training programs for revenue cycle staff and educate health center employees on evolving payer requirements and reimbursement models</p><p>• Oversee the effective use of practice management systems and troubleshoot issues that may impact revenue</p><p>• Contribute to executive leadership meetings, providing strategic insights on revenue cycle operations and financial performance</p><p>• Improve patient financial experience by enhancing transparency, billing accuracy, and customer service related to financial matters.</p> Revenue Cycle Manager <p>We are seeking a Revenue Cycle Manager to add to our team in Germantown, Tennessee, 38138, United States. Acting as a pivotal player in our operations, the Revenue Cycle Manager will be entrusted with the management of customer credit applications, maintenance of accurate records, resolution of customer inquiries, and oversight of customer accounts. </p><p><br></p><p>Responsibilities:</p><p>• Direct and enhance the revenue cycle process for outpatient services, incorporating patient registration, insurance verification, coding, billing, and collections.</p><p>• Formulate and implement strategies to augment revenue cycle performance.</p><p>• Spearhead a team of billing and coding professionals, offering direction, training, and performance assessments.</p><p>• Ensure adherence to healthcare regulations, payer guidelines, and industry standards.</p><p>• Cooperate with clinical and administrative teams to optimize processes, improve workflow efficiency, and guarantee accurate patient data.</p><p>• Detect and rectify billing discrepancies and denials, liaising closely with insurance carriers and patients to expedite payment.</p><p>• Evaluate key performance indicators (KPIs) and devise strategies to enhance revenue cycle metrics, including minimizing days in accounts receivable (AR) and reducing claim rejections.</p><p>• Keep abreast with healthcare industry trends, payer policies, and alterations to billing and coding standards.</p><p>• Cultivate and sustain relationships with insurance payers, negotiating payment terms, and resolving escalated billing issues as required.</p><p>• Regularly report to senior management on revenue cycle performance, trends, and avenues for improvement.</p> Revenue Cycle Business Process Consultant <p>Robert Half is in search of a Revenue Cycle Business Process Consultant who will join a team in the Healthcare industry based in the Philadelphia, Pennsylvania area. As a Revenue Cycle Business Process Consultant, your main role will be to support revenue cycle processes that span multiple departments, workflows, and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, process mapping, and analysis. If this sounds like you then click the apply the button today.</p><p><br></p><p>As a Revenue Cycle Business Process Consultant your responsibilities will include but aren't limited too: </p><p>• Assume the role of a high-level business process consultant between operations, performance improvement and IT for needs that span boundaries</p><p><br></p><p>• Support business process improvement efforts, including projects to enhance Epic, automation, quality, and efficiency through report writing, analysis, business case development, and data validation</p><p><br></p><p>• Develop and maintain written documentation for processes that exist between departments, systems, external vendors, and payers</p><p><br></p><p>• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process</p><p><br></p><p>• Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes</p><p><br></p><p>• Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency, and effectiveness</p><p><br></p><p>• Lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications</p><p><br></p><p>• Review business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency</p><p><br></p><p>• Create, optimize, and support the implementation of processes that link closely to system workflows. Determine how these workflows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes</p><p><br></p><p>• Participate in the review of system or process architecture in scope of assigned projects.</p> Medical Billing Manager <p>Jenny Bour with Robert Half is seeking an experienced <strong>Medical Billing Manager</strong> to lead and oversee the medical billing operations for a growing non-profit organization. This Medical Billing Manager role is responsible for managing the revenue cycle, ensuring timely and accurate billing, collections, and reimbursement processes. The ideal Medical Billing Manager candidate will have strong leadership skills and a background in medical or behavioral health billing. This position offers a <strong><u>hybrid schedule</u></strong> for employees that live in or near the Buffalo, NY area. If this sounds like you, we invite you to apply today!!</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Supervise the daily operations of the medical billing team, ensuring workflow efficiency.</li><li>Hire, train, and mentor billing staff to maintain a high-performing team.</li><li>Oversee all aspects of the billing process, including charge entry, payment posting, claims submission, follow-ups, patient statements, and collections.</li><li>Monitor and maintain Key Performance Indicators (KPIs) related to revenue cycle performance.</li><li>Conduct regular training sessions to enhance the billing team’s knowledge and efficiency.</li><li>Identify and implement process improvements to optimize revenue collection.</li><li>Ensure prompt resolution of billing corrections and audit delinquent accounts to maximize collections.</li><li>Review and manage accounts receivable aging reports, making recommendations for bad debt write-offs when necessary.</li><li>Reconcile medical billing transactions and prepare financial reports for month-end and annual audits.</li><li>Facilitate regular meetings to address billing and collection concerns.</li><li>Maintain compliance with HIPAA regulations and all relevant financial and security policies.</li><li>Collaborate with internal teams and external partners to ensure billing operations align with organizational goals.</li></ul><p><br></p> Director of Finance <p>Director of Finance for a Nonprofit organization</p><p> </p><p>Incredible benefits!</p><p><br></p><p>Send your resume to Duane.Sauer@Roberthalf.co... </p><p><br></p><p><br></p><p>REFERENCE DS0013191168  </p><p><br></p><p>Well-established and very reputable nonprofit organization needs a Director of Finance  Nonprofit experience is not required!  </p><p><br></p><p>Reporting to the CFO the Director of Finance will be responsible for the month end close including the preparation of GAAP financial statements, maintaining sound accounting policies and internal controls, budget preparation and analysis, oversight of the revenue cycle and working with the external CPA firm with the annual audit.  </p><p><br></p><p>Base salary range of $120,000- $135,000, bonus and incredible benefits!  </p><p><br></p><p>Minimum requirements include a BS Degree, 5+ yrs. of general accounting including general ledger maintenance and reconciliation, month end close and preparation of GAAP financial statements, supervisory experience and Healthcare provider experience including familiarity with the revenue cycle.  </p><p><br></p><p>If you meet the minimum requirements and want to learn more about this opportunity, email your resume as a word document to Duane E. Sauer, CPA at duane.sauer@roberthalf.c0m or reach out to him on LinkedIn and reference DS0013191168.   NOTE the “.c0m” in the email address should be changed to “.com” when you email me. </p><p><br></p><p>DO NOT  “Apply” to this posting.  PLEASE EMAIL DUANE DIRECTLY USING THE CORRECT EMAIL ADDRESS.  </p><p><br></p><p>Email Duane directly or reach out on LinkedIn and reference the job reference code. </p><p><br></p><p>For quick consideration please email Duane directly at Duane.Sauer@RobertHalf.c0m vs. “applying” or contact him via LinkedIn.  </p><p><br></p><p>Email duane.sauer@roberthalf.c0m BUT CHANGE THE .c0m to .com </p><p><br></p><p>Duane Sauer</p> Controller <p>Robert Half has partnered with a Private Equity owned healthcare organization in search of an experienced Controller. The controller will lead and manage all aspects of accounting and financial reporting for the healthcare services company. This fully remote position requires a detail-oriented financial leader with deep expertise in healthcare accounting, revenue cycle management, and financial operations. The ideal candidate will be a CPA or CPA candidate with strong experience in the healthcare industry, including a thorough understanding of health insurance, healthcare accounts receivable (AR), and billing processes.</p><p><br></p><p>The Controller will oversee a team of 3-5 direct reports and will be responsible for ensuring the accuracy and efficiency of financial reporting, compliance, and financial controls. Experience with QuickBooks Online is a huge plus. The company is growing, so any experience with a mid tier ERP (NetSuite, Sage, etc.) would be helpful for a future implementation.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Oversee and manage all accounting functions, including general ledger, accounts payable, accounts receivable, payroll, and financial reporting.</li><li>Ensure compliance with GAAP, healthcare industry regulations, and company policies.</li><li>Manage month-end, quarter-end, and year-end close processes, ensuring timely and accurate financial statements.</li><li>Monitor and analyze financial performance, providing strategic insights and recommendations to executive leadership.</li></ul><p>Oversee healthcare revenue cycle management, including billing, collections, and insurance reimbursement processes.</p><ul><li>Ensure effective internal controls and processes to safeguard company assets and maintain compliance with industry standards.</li><li>Manage and mentor an accounting team of 3-5 professionals, fostering a collaborative and high-performing work environment.</li><li>Work closely with external auditors, tax advisors, and regulatory agencies as needed.</li><li>Lead the implementation, maintenance, and optimization of the company's ERP system.</li></ul><p><br></p><p>Qualifications:</p><ul><li>CPA or CPA candidate required.</li><li>Bachelor’s degree in Accounting, Finance, or a related field (Master’s degree preferred).</li><li>Minimum of 5+ years of accounting experience with at least 3 years in a leadership role.</li><li>Strong healthcare industry experience, with expertise in health insurance, AR, and billing processes is REQUIRED.</li><li>Experience managing a team of 3-5 direct reports in a remote or hybrid environment.</li><li>Proficiency with ERP systems (experience with a small to mid-size ERP system is required).</li><li>Strong understanding of GAAP, financial reporting, and healthcare regulatory requirements.</li><li>Excellent analytical, problem-solving, and leadership skills.</li><li>Strong communication skills with the ability to collaborate across departments and with executive leadership.</li></ul><p><br></p><p>Benefits & Compensation:</p><ul><li>Performance-based bonus opportunities.</li><li>Comprehensive healthcare benefits (medical, dental, vision).</li><li>401(k) with company match.</li><li>Generous PTO and paid holidays.</li></ul><p>Fully remote work environment with flexible scheduling.</p><p><br></p><p><br></p> Pre-Access Coordinator <p><strong>Elevate Your Career as a Pre-Access Coordinator!</strong></p><p><br></p><p>Are you passionate about providing <strong>world-class patient experiences</strong> and being the friendly face that sets the tone for exceptional care? Our client is on the lookout for a <strong>Pre-Access Coordinator </strong>who thrives in fast-paced environments and takes pride in making every interaction count.</p><p><br></p><p><strong><u>Why You’ll Love This Role</u></strong></p><p>This isn’t just a job—it’s an opportunity to be the keystone of streamlined, stress-free patient access processes. You’ll play a critical role in creating seamless healthcare experiences while supporting the operational heartbeat of the organization.</p><p><br></p><p><strong><u>What You’ll Get to Do Every Day</u></strong></p><ul><li><strong>Be the First Point of Contact:</strong> Welcome patients with a smile during check-in/out, ensuring their demographic and insurance information is accurate and up to date.</li><li><strong>Smooth the Financial Process:</strong> Take the lead on insurance verification, patient registration, and financial counseling to help patients understand their care costs upfront.</li><li><strong>Manage with Precision: </strong>Process payments, update patient charts, handle referrals, and coordinate schedules while maintaining top-notch compliance with Pre-Access procedures.</li><li><strong>Boost Excellence:</strong> Identify and implement process improvements to enhance efficiency and uphold best practices.</li><li><strong>Keep It Running: </strong>Seamlessly manage office opening/closing processes alongside phone inquiries and referral management.</li></ul><p><br></p><p><strong>Team Up with Us!</strong></p><p>Ready to bring your organizational genius and people skills to a highly rewarding role? Reach out to Christin, Lydia, or Erin at 563-359-7535, or click Apply Now and take the next step in your career journey!</p><p>Don’t wait—this is your chance to make a meaningful impact in people’s lives while propelling your career forward!</p> Business Manager - Medical We are seeking a Business Manager in the Medical industry to join our team in Long Beach, California. In this role, you will play a vital part in overseeing the revenue cycle processes of our organization and will contribute significantly towards maintaining and enhancing our financial health. You will work closely with various stakeholders and departments, ensuring compliance with healthcare regulations and standards, and implementing process improvements to boost efficiency and minimize costs. <br><br>Responsibilities: <br><br>• Ensure that our billing practices are in line with healthcare regulations and standards, including monitoring coding, documentation, and charge capture accuracy.<br><br>• Collaborate with other relevant departments to develop and update fee schedules reflecting our pricing strategy and compliance with regulations.<br><br>• Maintain data integrity in revenue cycle reporting and analyze financial data to identify discrepancies, trends, and areas for improvement.<br><br>• Implement best practices and process improvements to enhance efficiency and effectiveness, thereby reducing denials and costs, and speeding up cash flow.<br><br>• Work closely with various stakeholders such as third-party billing business partners, Clinical Documentation Improvement, Compliance, and Clinical Operations to ensure a seamless revenue cycle process.<br><br>• Assist Clinical Operations in onboarding newly acquired provider groups to our outsourced revenue cycle vendor and proactively analyze individual providers to identify areas of improvement.<br><br>• Coordinate ongoing training efforts for providers and staff on revenue integrity topics, including coding, documentation, and charge capture integrity.<br><br>• Track key performance indicators related to the performance of the revenue cycle to ensure targets are met and identify areas needing attention. <br><br>This role offers a contract to permanent employment opportunity. Lead Medical Insurance Biller Collector A Hospital in Arcadia that is a leading healthcare system dedicated to providing exceptional patient care through cutting-edge technology, compassionate service is seeking to add highly skilled revenue cycle detail oriented. We are seeking a highly motivated and experienced Lead Medical Insurance Biller Collector to join our team and contribute to the efficient processing of medical claims for our large hospital system.<br>The Lead Medical Insurance Biller Collector will oversee and coordinate the medical billing process to ensure timely and accurate submission of claims, collections, and reimbursements. This role requires a deep understanding of insurance contracts, UB04 claim forms, and medical billing processes. With a hands-on approach, the Lead Medical Insurance Biller Collector will also serve as a subject-matter expert and guide a team of billing professionals to achieve revenue cycle goals.<br>Responsibilities:<br>• Supervise the daily operations of medical billing, including insurance verifications, claim submissions, and collections for hospital inpatient and outpatient services.<br>• Process and review UB04 claim forms for accuracy and compliance with payer requirements.<br>• Analyze insurance contracts to ensure proper application of reimbursement guidelines.<br>• Lead efforts in insurance collections, follow-ups, and resolving denied or underpaid claims.<br>• Serve as a mentor and resource for billing team members, providing training and guidance as needed.<br>• Monitor key performance indicators (KPIs) for billing efficiency and address process improvements.<br>• Collaborate with revenue cycle, coding, and finance departments to streamline workflows and escalate payment issues.<br>• Stay current on industry best practices, payer regulations, and coding updates to ensure compliance.<br>• Insurance experience in HMO, PPO and Government insurance Revenue Cycle Coordinator <p>We are offering a long term contract employment opportunity for a Revenue Cycle Coordinator in CLEVELAND, Ohio. This role is integral to our team, focusing on managing the revenue cycle for our clients. You will be tasked with a variety of responsibilities, including identifying new admissions, verifying insurance coverage, and coordinating the financial assessment process. </p><p><br></p><p>Responsibilities</p><p><br></p><p>·      Follow-up on patient accounts per established procedures.</p><p>·      Documents all follow-up on patient accounts in billing comments section in the electronic medical record.</p><p>·      Prepares Billing Adjustments and Payment Adjustments according to established procedures.</p><p>·      Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer.</p><p>·      Interacts with patients/families regarding medical insurance benefits and reimbursement of services.</p><p>·      Demonstrates effective Service Excellence skills according to agency standards.</p><p>·      Works collaboratively with Revenue Cycle team members and other appropriate staff to ensure reimbursement of all services.</p><p>·      Assists in the continued development of the verification, admission, and reimbursement processes. </p><p>·      Performs identified back-up functions for the Insurance Verification Coordinator and other Patient Accounts Coordinators as identified.  </p><p><br></p> Manager of Revenue <p>We are on the lookout for a proficient Manager of Revenue to become a part of our dynamic team. Located in Bethesda, Maryland, this role revolves around the management of revenue and financial transactions. As a Manager of Revenue, you will be tasked with handling customer credit applications, maintaining financial records, and addressing customer queries. This role also entails monitoring customer accounts and taking necessary actions.</p><p><br></p><p>Responsibilities:</p><p>Develops and maintains billing operation performance benchmarks and implements reporting mechanisms to monitor performance against such benchmarks.</p><p>Develops, maintains and enhances reports for all aspects of Revenue Cycle Management.</p><p>Assists in implementing and managing quality assurance routines and management reporting to ensure that vendors are performing job duties as expected.</p><p>Supervise a team of Medical Billers</p><p><br></p><p>All interested candidates in the Manager of Revenue role and other full-time opportunities across the D.C. area please send your resume to Justin Decker via LinkedIn.</p> Coding Manager <p>Chris Preble from Robert Half is working with a Utica client of his in the healthcare industry that is looking to hire a Coding Manager. This company has awesome benefits and offers an opportunity for career growth. It's a very stable organization with low turnover. As the Coding Manager, you're responsible for overseeing the medical coding team, ensuring accurate and compliant coding of diagnoses, procedures, and services across the organization. This role is essential in optimizing the revenue cycle and ensuring that coding processes adhere to regulatory guidelines. The Coding Manager is also responsible for staff management, productivity monitoring, auditing, and providing education to the coding team and clinical staff to improve documentation quality.</p><p><strong>Key Responsibilities:</strong></p><p><strong>Coding Supervision:</strong></p><ul><li>Oversee day-to-day operations of the medical coding team, ensuring accurate and timely coding of patient records and claims.</li><li>Ensure compliance with current coding regulations, payer-specific policies, and guidelines, including CPT, ICD-10, and HCPCS codes.</li><li>Perform periodic audits to ensure coding accuracy and identify areas for improvement.</li></ul><p><strong>Team Leadership & Development:</strong></p><ul><li>Manage, mentor, and develop a team of medical coders, ensuring that they stay up to date with changes in coding standards and best practices.</li><li>Conduct regular performance evaluations, set individual goals, and provide ongoing coaching and support to ensure the team meets performance metrics.</li><li>Organize and lead training programs to ensure continuous education in coding rules and updates.</li></ul><p><strong>Compliance & Quality Control:</strong></p><ul><li>Ensure compliance with national and local coding regulations, payer requirements, and healthcare laws (e.g., Medicare, Medicaid).</li><li>Monitor coding practices to maintain compliance with industry standards and regulatory agencies.</li><li>Lead coding audits, both internal and external, to ensure the accuracy and completeness of medical coding and documentation.</li></ul><p><br></p><p><strong>Productivity & Reporting:</strong></p><ul><li>Monitor and analyze coding team productivity and performance, ensuring timely and accurate coding for optimal revenue cycle performance.</li><li>Prepare and present reports on coding accuracy, productivity, and compliance to senior management.</li><li>Identify trends, areas for improvement, and implement process enhancements to improve coding operations.</li></ul><p><strong>System & Technology Management:</strong></p><ul><li>Ensure the effective use of coding software and technology, such as EMR/EHR systems, coding software (e.g., 3M Encoder, Epic), and other tools to streamline coding workflows.</li><li>Work with IT and revenue cycle management to optimize system functionality and address any technical issues.</li></ul><p><strong>Revenue Cycle Support:</strong></p><ul><li>Collaborate with the billing and revenue cycle teams to reduce denials, correct claim submissions, and ensure timely reimbursement.</li><li>Assist with coding-related inquiries from insurance companies or regulatory agencies.</li></ul> HIM Manager - Contract-to-Hire <p>We are offering a <strong>contract-to-hire</strong> employment opportunity for a <strong>HIM Manager in Odessa, Texas</strong>.</p><p><strong>Position Description </strong></p><p>The Department Manager, Health Information Management (HIM) is responsible for managing and directing the overall performance of either a specified unit/section within an HIM department, managing an HIM Department in its entirety, or managing multiple HIM sites depending upon size and scope of the sites. The HIM Manager manages and coordinates HIM Operations for at least three hospitals across a multi-facility integrated healthcare system ensuring that health information supports patient care, business operations and regulatory compliance. This position is responsible for the staffing, quality, productivity and overall performance of the area of responsibility including compliance to applicable regulatory standards and the targets established by Revenue Cycle Operations. The HIM Dept. Manager works closely with all department managers/supervisors, administrators and the medical staff to problem solve and establish workflows which serve the patient, the care givers, the hospital’s business operations and the HIM functions.   </p><p><strong>Essential Duties and Responsibilities           </strong></p><p>"1) Manages HIM staff including recruiting, hiring, training, scheduling, payroll, disciplinary action, performance evaluations, new hire orientation, training, assignment work, and counseling to effectively meet operational needs in accordance with hospital policies and procedures regarding human resource management. </p><p>2) Ensures department performance is consistent with productivity, quality and compliance expectations by maintaining knowledge of current health information regulations (local, system and legal compliance), monitoring department and individual performance, implementing quality and productivity standards and programs. Compiles reports and presents performance data. Coordinates and participates in external regulatory reviews.</p><p>3) Responsible for the daily operations of the HIM functions including staffing, system maintenance, maintaining up-to-date policy and procedures, assigning daily work, ensuring appropriate workflow, coordinating health information with the other key RCO functions of coding, clinical improvement documentation, RAC, PFS processes, ensuring that the necessary medical record information is available accurately and timely. </p><p>4) Serves as an expert user/administrator of Health Information technology systems in order ensure proper functionality and triages any issues to appropriate individual(s). Works with others on the health care team to problem-solve system issues and find solutions to meet needs. May lead or assist with system implementations and upgrades.</p><p>5) Serves as a resource and advisor to local hospital leaders and medical staff regarding health information issues by problem-solving and establishing workflows that ensure appropriate medical record completion and content. Participates on committees or teams. Serves as onsite HIM internship instructor, as appropriate and approved, for university students.</p><p>6) Communicates information by preparing, analyzing, and distributing reports and making presentations to share Health Information outcomes to organizational leaders. Responsible for managing a labor and expense budget and assisting with preparing capital requests.</p> CFO <p>Our client is hiring an experienced CFO to join their team in Columbia, South Carolina. As a CFO, you will be responsible for financial operations, including the development of financial reports, maintaining relationships with external auditors, tax advisors, and financial institutional partners, and ensuring compliance with internal policies and standards. This role is crucial in supporting the business' strategic initiatives and maintaining the financial health of the organization.</p><p><br></p><p><strong><u>Responsibilities:</u></strong></p><p>• Oversee the development of accurate and timely financial reports for internal and external constituents for informed decision-making.</p><p>• Utilize KPIs to identify and track financial trends.</p><p>• Collaborate with operating departments and financial operations managers to evaluate budget variances and report forecasts.</p><p>• Ensure compliance with all regulatory agency requirements affecting the operations of the facilities.</p><p>• Manage relationships with external auditors, tax advisors, and financial institutional partners.</p><p>• Provide financial and analytical support to strategic initiatives such as joint ventures, planning, construction projects, and acquisitions.</p><p>• Oversee compliance and monitoring of tax-exempt variable and fixed-rate debt, including debt covenants, interest rate swaps, stand by purchase agreements, and remarketing agreements.</p><p>• Coordinate with the Investment Office for the transfer of funds, reporting on investment activity, and financial reporting.</p><p>• Manage restricted funds to ensure assets are retained until the condition or time restriction is met and that funds are accurately reported.</p><p>• Support Owners and Board members through the issuance of awards, review of invoices, preparation of annual income tax returns, and reporting of available funds.</p> Controller <p>We are seeking a Controller to join our team in Springfield, Georgia, United States. As a Controller, your role will involve managing a team, creating and maintaining operating budgets, preparing financial statements, and driving operational efficiency. </p><p><br></p><p>Responsibilities:</p><p>• Oversee and manage the accounting team to ensure smooth operations</p><p>• Develop and maintain the operating budget, including forecasting future financial requirements</p><p>• Prepare and finalize financial statements, ensuring they align with the company's financial goals</p><p>• Drive operational efficiency through strategic planning and implementation of cost-saving strategies</p><p>• Leverage your understanding of the hospital revenue cycle for effective financial management</p><p>• Conduct year-end audits to ensure financial compliance and accuracy</p><p>• Utilize key operational metrics to guide decision-making and improvement initiatives</p><p>• Close financial periods on a monthly basis, ensuring all financial activities are accurately recorded</p><p>• Use tools like Microsoft Power BI, Pivot Table, and VLOOKUP to analyze financial data and inform strategic decisions</p><p>• Contribute to growth strategies to increase the company's financial health and sustainability.</p> Hospital Medical Collections Specialist We are offering a permanent employment opportunity for a Hospital Medical Collections Specialist in the healthcare industry, located in Van Nuys, California. The primary functions of this role will be to manage billing and collection processes within a hospital environment, including managing Medicare managed care and other health insurance types. <br><br>Responsibilities:<br>• Efficiently administer appeals and denial management processes.<br>• Oversee claim administration, billing functions, and collection processes.<br>• Handle various forms of managed care including Medicare, commercial, PPO/HMO, and Medical.<br>• Conduct comprehensive hospital billing and collection procedures with precision.<br>• Monitor patient accounts and initiate necessary actions to facilitate insurance payments.<br>• Ensure accurate management of insurance correspondence and record maintenance.<br>• Provide necessary training and support for Collector I positions.<br>• Engage in both hospital outpatient and inpatient billing processes and revenue cycle management. DMH Medical Billing Manager <p>A DMH Medical Billing Manager is a needed for Healthcare Organization in Los Angeles. The DMH Medical Billing Manager will review and verify through the use of reports that client records are complete for a successful transmission of medical claims for reimbursement from Department of Mental Health and private third-party providers. The DMH Medical Billing Manager is responsible for ensuring that information is processed accurately and timely, and is Familiar with concepts, practices, and procedures for all billing claims to Department of Mental Health (DMH) using the Electronic Health Record (EHR) software EXYM.</p><p> </p><p>Essential Duties and Responsibilities</p><p>• Submit timely weekly billing to Los Angeles County Department of Mental Health and third party payers using EHR, EXYM and Office Ally.</p><p>• Collaborate with QA Department to oversee the electronic health record, EXYM; for billing, case closures, location, funding sources and productivity updates.</p><p>• Review, manage and develop billing procedures as needed to maintain compliance with local, state and federal regulations.</p><p>• Knowledge of use and application of Current Procedural Terminology (CPT) Codes.</p><p>• Identify and notify management of denial patterns and issues.</p><p>• Responsible for data tracking and reporting.</p><p>• Manage, track and resolve denied and voided claims, following through until claim is paid.</p><p>• Responsible for weekly download of SIFT Data. Review data for claim accuracy in DMH/IBHIS and EXYM systems.</p><p>• Collaborate and consult effectively with Clinical Quality Assurance, Mental Health and any other staff/programs to ensure adherence to policies and procedures.</p><p>• Generate and distribute statistical management reports to leadership, identifying unfiled, pending, denied, and submitted claims.</p><p>• Responsible for maintaining the highest level of billing standards following current guidelines from Medi-Cal, and other insurance entities.</p><p>• Understand how mental health staff in electronic databases (NAPPA, NPPES) affects billing accuracy and completion.</p><p>• Check Medi-Cal eligibility on a bi-monthly basis for all clients and compiling list of clients with terminated Medi-Cal as needed, and provide management reports.</p><p>• Attend internal and external meetings and trainings.</p><p>• Perform a variety of general clerical duties; prepares a variety of routine correspondence, forms, reports and similar items using word processing and Excel Spreadsheet.</p><p>• Develop and maintain claim resolution skills through continuous trainings, workshops and education.</p> Billing Specialist <p>Robert Half is partnering with a healthcare client in the recruiting for a <strong>Billing Specialist</strong> to oversee their billing operations, ensuring smooth, accurate, and efficient processes. The ideal candidate will have a strong understanding of billing systems, healthcare revenue cycles, and customer service. The Billing Specialist will work collaboratively with our accounting, administrative, and resident services teams to maintain compliance, resolve discrepancies, and support the financial health of the organization.</p><p><br></p><p>This is a permanent placement opportunity offering full benefits package including 403b retirement planning, FSA, tuition assistance, paid time off and paid holidays. </p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>Billing and Invoicing Operations:</strong></p><ul><li>Prepare and process monthly resident billing statements for services, housing, and additional care.</li><li>Ensure accurate calculation of fees, expenses, and adjustments based on contracts and service changes.</li><li>Manage third-party billing, including Medicare, Medicaid, private insurance, and long-term care providers.</li></ul><p><strong>Collections and Payments:</strong></p><ul><li>Monitor accounts receivable and follow up on outstanding balances to ensure timely payments.</li><li>Process incoming payments via check, electronic transfer, and credit card, applying them correctly to resident accounts.</li><li>Work with residents and families to address billing questions, payment plans, and financial discrepancies.</li></ul><p><strong>Compliance and Documentation:</strong></p><ul><li>Maintain billing records that comply with federal, state, and local regulations, including HIPAA requirements.</li><li>Stay updated on relevant Medicare and Medicaid billing guidelines to ensure compliance.</li><li>Prepare and submit reports for audits and regulatory purposes as needed.</li></ul><p><strong>Account Reconciliation:</strong></p><ul><li>Reconcile charges, payments, and account balances on a routine basis to ensure the accuracy of resident accounts.</li><li>Identify, investigate, and resolve discrepancies in billing and payment records efficiently.</li></ul><p><strong>Collaborative Duties:</strong></p><ul><li>Partner with admissions staff to ensure seamless onboarding of residents, including setup of billing details.</li><li>Communicate with accounting or finance teams regarding account status and revenue projections.</li><li>Serve as the primary point of contact for billing-related inquiries from residents, families, and staff.</li></ul> Medical Receptionist We are offering a contract to permanent employment opportunity in the Healthcare/NHS industry, specifically looking for an Assc Patient Care Coord/22/HCD120 to be based in Latrobe, Pennsylvania, 15650, United States. In this role, you will be entrusted with managing patient medical records, scheduling appointments, and addressing billing queries in a clinic setting.<br><br>Responsibilities: <br>• Coordinate and maintain a positive customer experience during pre-registration, registration, scheduling, and business office functions, ensuring excellent customer service.<br>• Interact in a detail-oriented manner with a broad range of patients, operations staff, physicians, and other departments within the healthcare system.<br>• Demonstrate attention to detail and the ability to work well under pressure, effectively managing several tasks simultaneously in an environment with frequent interruptions.<br>• Schedule patient appointments for designated departments using scheduling software tools and provide testing instructions to assure smooth services.<br>• Secure authorizations and referrals when applicable and assess customers' needs, considering them in all decision-making processes to ensure a positive customer experience.<br>• Respond appropriately and courteously, whether face-to-face or on the phone, to customer issues, both intra-departmental and inter-departmental, and to the public in a timely manner and to the satisfaction of the customer.<br>• Identify and perform appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle.<br>• Interview patients and/or their representatives to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, detail-oriented manner.<br>• Update the system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations/certifications/medical necessity guidelines are met.<br>• Communicate all issues that impact the accurate, timely, and complete accomplishment of all assigned tasks to management, and make recommendations for process improvement.<br>• Demonstrate dignity and respect in all interactions, readily accepting and incorporating changes into daily activities.<br>• Conform consistently to all system changes, including insurance payer regulations, and possess functional knowledge of systems and the revenue cycle to adequately assist customers and reduce the unnecessary transfer of workflows.<br>• Follow all department processes and policies as required and updated. Patient Care Coordinator <p>We are offering a permanent employment opportunity for an Patient Care Coordinator in the healthcare industry, based in Minneapolis, Minnesota. The chosen candidate will play a crucial role in supporting patient care delivery through efficient scheduling, insurance verification and providing support services. This role involves ensuring patients are fully prepared for their visits and maintaining provider schedule accuracy.</p><p><br></p><p>Responsibilities: </p><p><br></p><p>• Ensure patient-provider interactions are successful by preparing patients for their visits.</p><p>• Manage provider schedules meticulously, matching patient needs to appointments across continuum.</p><p>• Strictly adhere to multidisciplinary standardized scheduling protocols for providers and supporting care teams.</p><p>• Maintain expertise in provider care team procedural and ancillary schedules, aligning patient needs with services offered.</p><p>• Interpret multidisciplinary protocols for complex scheduling in multiple modalities.</p><p>• Utilize virtual patient support services effectively for pre-visit requirements, prior authorizations, insurance/billing, etc.</p><p>• Conduct outbound communication for scheduling follow-up appointments or closing care gaps.</p><p>• Ensure revenue cycle integrity by updating/verifying all needs related to revisit questionnaires, labs, ancillary testing, contact info, demographic info, insurance information, and MyChart and video visit capabilities.</p><p>• Connect patients to other services as needed/anticipated (social, financial, billing, clinical, etc).</p><p>• Take concise phone messages and route to appropriate staff or provider when immediate resolution cannot be completed.</p><p>• Work effectively with scheduling reports, registries, and work queues in EMR and payer generated reports to meet system needs.</p><p>• Provide patients with accurate information about any questions or concerns they might have in regards to their healthcare experience.</p> Medical Billing Specialist <p>Robert Half is partnering with a Mendota Heights, Minnesota based client in search of a Medical Billing Specialist. In this role, you will play an integral part of the medical billing team, responsible for the entire medical billing process from insurance verification, claims submission, billing and denials. This role has the opportunity to grow into a permanent opportunity with the client as they grow their team over the next several months. If you have 2+ years of prior medical billing experience, this could be a fantastic opportunity for you! </p><p><br></p><p>Responsibilities:</p><p>• Accurately process patient charges based on treatment records and ensure compliance with relevant laws and medical coding procedures</p><p>• Efficiently handle insurance claims and patient payments</p><p>• Utilize all of the major clearinghouses for claims submission processing</p><p>• Establish patient payment plans and oversee collection accounts</p><p>• Diligently monitor and resolve any discrepancies in billing or payments</p><p>• Efficiently manage any denied claims, determining the cause and resubmitting in a timely manner</p><p>• Ensure all patient records are comprehensive and accurate</p><p>• Handle data entry tasks and promote the use of paperless billing methods whenever possible</p> Accounts Receivable Specialist We are seeking an Accounts Receivable Specialist to join our team in the healthcare sector, located in MARSHALL, Michigan. In this role, you will be primarily tasked with the follow-up and collection of self-pay accounts, arranging payment methods for services, and providing excellent customer service. This role offers a long-term contract employment opportunity.<br><br>Responsibilities:<br><br>• Efficiently process and manage customer credit applications<br>• Maintain an accurate record of customer credit<br>• Respond to customer inquiries and provide necessary information in a timely manner<br>• Review self-pay accounts to determine patient insurance status and input the information into the system<br>• Assist patients in qualifying for the hospital’s financial assistance program<br>• Handle a high volume of incoming calls and assist the patients as necessary<br>• Collaborate with patients to arrange a method of payment consistent with hospital procedures<br>• Understand and analyze large volumes of numerical and financial data<br>• Place collection calls on accounts as per the established procedure<br>• Perform additional duties as assigned by management.