RCM COE Director

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EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

Position Overview:

This position is responsible for overseeing and coordinating all activities of the Revenue Cycle Management (RCM) functions to optimize the patient financial experience. The RCM COE Director is accountable for all RCM outcomes, KPI’s and metrics, for maximizing reimbursement that is compliant with federal, state and payer specific requirements, and for continued implementation and quality improvement of the center of excellence for legacy and acquired practice locations.  Responsibilities include ensuring adherence to all COE outputs, support and assist in successful acquisition migration of RCM teams, and consolidation and migration of systems.  

Essential Duties and Responsibilities: The following are general responsibilities associated with the job and are listed in order of greatest to least amount of time spent on the duties. 

  • Track and monitor all RCM outputs, holding leadership accountable for meeting and exceeding established goals
  • Collaborate with all multi-disciplinary stakeholders that interact with RCM
  • Implement and maintain adherence to all COE standards
  • Represent RCM on committees, teams and initiatives to support the needs and goals of the organization
  • Assist and support the migration of all practice locations to consistent and standard technology platforms
  • Access, analyze and support the successful transition of all acquisitions
  • Establish and maintain a strong change management structure and program
  • Monitor month-end metrics to understand baseline variances and present explanations to ECP Leadership comprised of enterprise stakeholders
  • Successfully integrate new acquisitions into existing COE structure, procedure and technology platform
  • Promote integration, consolidation, standardization and optimization
  • Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth
  • Assist with the development of budgets and monitoring of department operations to achieve goals within budget
  • Proven ability to manage multiple projects at a time while paying strict attention to detail
  • Ability to successfully meet demanding timelines
  • Displays eagerness to accept additional responsibilities at the discretion of management
  • Makes decisions in an ethical/effective/sound manner, adheres to corporate compliance/risk management/safety standards, displays an open-minded attitude, establishes priorities, conceptualizes, and organizes time and resources to accomplish the job.
  • Adheres to ECP confidentiality policy which includes verbal, written, computer generated, computer accessed, filmed and recorded information related to patients, their family and visitors, staff, physicians, and clients.  Responsible for the protection of confidentiality of data at all times.
  • Works in a safe manner and follows all ECP safety requirements.  Reports all incidents, near misses, and adverse events.

 

Preferred Qualifications: While not required, the following are preferred qualifications associated with the job and will be under consideration. 

  • Experience in Optometry/Ophthalmology physician practice environment preferred
  • NextGen and Waystar software experience preferred

 

Job may require other duties as assigned.

Education and Experience: The minimum level of education and experience required to perform the job at a satisfactory level.

  • Bachelor’s Degree, however, progressive career experience in a patient financial services role will be given strong consideration
  • Minimum 8 years of healthcare revenue cycle leadership experience; physician’s office or medical environment preferred

 

Knowledge, Skills, and Abilities: The minimum level of knowledge, skills, and abilities to perform the job at a satisfactory level.

  • Strong change management skills in a rapidly evolving environment
  • Strong communication skills in all forms, and ability to report and present to upper organizational leadership
  • Knowledge of regulatory requirements related to patient accounting, CPT/ICD10 coding, and including a solid understanding of Medicare, Medicaid and managed care processes
  • Demonstrates strong written and verbal communication skills (Word/Excel)
  • Demonstrates ability to interact successfully with persons at all levels of the organization.
  • Demonstrates ability to work independently in a productive, goal-oriented manner.
  • Excellent communication and interpersonal skills
  • Strong analytical skills required
  • Ability to read, analyze and interpret financial reports, contracts, and other legal documents
  • Proficiency in Microsoft Office, especially Excel required

 

Work Environment: Environmental or atmospheric conditions commonly associated with the performance of the functions of this job. 

  • General office conditions.

Physical Requirements: Activities that are commonly associated with the performance of the functions of this job. The physical demands described below 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 disabilities to perform essential functions. 

  • While performing the duties of this job, the employee is regularly required to stand and walk and sometimes sit; use hands to type, handle, or feel objects or controls; reach with hands and arms; and talk or hear.  
  • Occasional travel will be required.