Sr. Director of RCM Operations

Summary/Objective
The Sr. Director RCM Operations directs and coordinates all operations and client service activities associated with assigned Omega client(s), ensuring external client satisfaction on service and performance. Full RCM includes RCM (front, middle and back end) operations and HIM operations. Monitors key performance indicators (KPIs) by client. Acts proactively to identify and resolve client issues. Develops methods to increase productivity and develop process improvement.

Coordinates, manages, and facilitates workloads, identifies priorities, and projects, and assures all revenue and cash production goals are met.

Essential Job Functions

• Direct the RCM and HIM operations functions to ensure all operations are consistent with Omega’s policies and procedures.
• Identifies goals and initiatives to ensure efficient and effective operations for assigned clients. Analyze and ensure compliance with operational KPI metrics.
• Develop the infrastructure, support framework to enable revenue growth, enhance profitability and/or productivity.
• Identify, develop and implement best practices and procedures for internal and external operational improvements. Collaborate with senior/executive leadership to evaluate and adjust processes to improve operational efficiency and provide operational excellence.
• Direct the overall audit and compliance requirements needed to comply with Federal, State and Local laws as well as client contract requirements
• Serve as Liaison with Corporate concerning administrative matters in regard to client, consultant, and/or core employee matters.
• Participate in formulating RCM and HIM market strategies and make recommendations on major business decisions.
• Coordinate and ensure escalated issues are resolved.
• Ensure employees are trained in new and existing systems and processes.
• Develop annual budget requirements for operations teams.
• Acts as Revenue Cycle subject matter expert for our clients and advises on best practices.
• Revenue Cycle reporting and analysis of KPIs
• Establishes adequate staffing levels based on revenue, account volume, account dollar value, ratio of accounts to employees, etc. to effectively manage production. As needed, adjusts staffing levels as necessary for expanded or changed services.
• Ensure staff is trained effectively and efficiently to meet current and anticipated production goals. Oversee and direct management activity related to productivity reporting, QA audits, hiring, training, coaching, monitoring, appraising, disciplining, and terminating.
• Leads monthly and quarterly meetings with client(s). Coordinates with internal client staff to create an agenda, assist in compiling and reviewing reports, ensure minutes are completed.
• Continually assesses staff, workflows, and systems. Implements, proposes, streamlines and/or changes existing processes to improve overall client performance while maintaining profitability or creating a more cost-effective use of resources.
• Ensure effective and timely communication occurs within and across the department through formal staff meetings, ad-hoc meetings, one-on-one feedback sessions, written materials or other informational medium.

Key Success Indicators/Attributes

• Ability to prioritize and multi-task in a fast paced, changing environment.
• Demonstrate strong organizational skills and be detail oriented.
• Ability to self-motivate and self-direct.
• Ability to achieve set goals and deadlines.
• Demonstrate excellent leadership, mentoring, and interpersonal skills.
• Demonstrate the ability to analyze and problem solve.
• Demonstrate strong commitment to team environment.
• Ability to collect, create, and research complex or diverse information and act/plan accordingly.
• Experience budgeting and monitoring financial indicators.
• Ability to maintain professionalism when interacting with internal and external customers.
• Ability to draft presentations using PowerPoint and present information to large groups.
• Proficient personal computer skills with MS Office (Word, Excel, Power Point, Outlook).

Supervisory Responsibility

Yes, has the following direct reports:
Sr. Manager RCM, Manager RCM, Supervisor RCM, QA Insurance Reps, Insurance Reps, Patient…