Director of Revenue Cycle Management (On-site, NOT REMOTE) at Merraine Group, Inc. in Woodbridge, New Jersey

Posted in Other about 17 hours ago.

Type: work-from-home





Job Description:

A Pivotal Leadership Opportunity in a High-Growth Organization!

Join a rapidly expanding organization with a mission to empower every child to reach their fullest potential. As the Director of Revenue Cycle, you'll be at the heart of this growth, leading a team that fuels our operations and keeps them financially strong as they double their size over the next year. This is more than a role - it's a challenge where you'll need to grow and innovate to keep pace. If you're ready to make a real impact in an environment that never stops evolving, they want you to be a part of their journey!

Location - On-site daily in Montvale, New Jersey. (Relocation fee possible in certain cases).

Director of Revenue Cycle Management - Key Responsibilities:
  • Leads the revenue cycle team, establishing accountability and clear performance standards.
  • Oversees the Billing, QA, Authorizations, and Credentialing Operations teams.
  • Manages billing, collections, and payment processes, ensuring timely claims submission and effective accounts receivable management.
  • Identifies and implements process improvements to minimize revenue leakage and boost efficiency.
  • Acts as the OMIG Compliance Officer for Medicaid, overseeing regulatory compliance and audit management.
  • Directs audits for medical records and insurance, ensuring accurate documentation and billing.
  • Analyzes claim denials, developing strategies to reduce recurrence and optimize revenue.
  • Cultivates relationships with finance, clinical, and operations teams to streamline end-to-end processes.
  • Prepares comprehensive reports on revenue cycle performance, trends, and forecasts to support strategic planning.
  • Stays current on payer policies and spearheads compliance initiatives across the organization.
  • Mentors and develops the revenue cycle team, fostering a culture of accountability and continuous improvement.
  • Facilitates interdepartmental communication and leads weekly EOS meetings to ensure alignment with financial goals.

Qualifications:
  • Bachelor's degree in business, finance, healthcare administration, or a related field; Master's preferred.
  • Over 7 years of revenue cycle management experience, with a minimum of 3 years in a leadership role.
  • In-depth understanding of healthcare billing practices, payer regulations, coding (CPT, ICD-10), and financial processes.
  • Proficiency in revenue cycle software, EHR, and analytics tools such as Power BI.
  • Exceptional analytical, communication, and leadership skills focused on team development and motivation.

An exceptional growth journey awaits-join the team today!
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