Full-Time Sr. Director, Revenue Cycle Management

Reporting to the VP, RCM, the Senior Director of Revenue Cycle Management (RCM) is responsible for the success of revenue cycle operations across all markets.

The Sr. Director reviews and enacts policies, procedures and processes related to revenue cycle functions and holds teams accountable to established key performance metrics.

This individual works closely with senior leaders in the market, as well as other operating divisions within Privia including Finance, Analytics, Implementation, Credentialing, Performance Management, Population Health and New Product Development.

The successful candidate will provide leadership to staff; communicate and model mission, vision, values and promises of Privia Health. He/she will adhere to the Privia Health Compliance Plan and privacy standards of the organization.

The Sr. Director is responsible for analyzing performance against established benchmarks and providing advice and support to senior management regarding matters related to all aspects of revenue management

Oversees and manages end-to-end Revenue Cycle Management for assigned markets and other national RCM projects.

Serves as the senior subject matter expert on all issues surrounding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management.

Serves as the liaison to market or national committees (e.g., Compliance, Payer & Audit).

Conducts weekly stand-up and monthly staff meetings. Prepares agendas and forwards meeting notes to VP.

Provides management, guidance and training to staff and will perform duties of subordinate staff when necessary to maintain practice operations.

Reviews daily, monthly, and weekly A/R dashboards. Identifies opportunities for improvement and develops plans to implement necessary changes to meet performance expectations.

Participates in annual budget development, and is accountable for departmental adherence to budget and/or other fiscal goals.

Manages teams responsible for the accuracy and financial viability of accounts receivable. Assigns/allocates resources to ensure company goals for aging and accounts receivable days are met.

Reviews accounts receivable on at least a monthly basis with each Market President and Regional Vice President.

Works with RVPs, Market Presidents and subordinate staff to create action plans to address variances in A/R to standards.

Responsible for departmental policies and procedures, providing recommendations when appropriate and ensuring compliance.

Responsible for staffing, including hiring, termination, coaching and training.

Provides ongoing feedback to staff throughout the year.

Counsels employees in disciplinary matters and obtains assistance from human resources appropriately for disciplinary actions and/or employee termination process.

Recruits, interviews and hires personnel as necessary.

Minimum Qualifications:

• Bachelor's degree in Business Administration preferred
• Experience in managing physician revenue cycle
• Thorough understanding of all payers
• Experience with AthenaHealth
• Strong and effective results-oriented team leader with a minimum of seven years of experience managing large, multi-specialty physician groups (50+)
• Excellent analytical skills, facile with Microsoft Excel
• Solid knowledge of industry trends, regulations, payment models
• Thorough understanding of medical information systems for billing and accounts receivable
• Successful history of adding value to organizations through proactive root cause analysis and resolution of bottlenecks
• Demonstrates a record of significantly improving patient accounts receivable
• Must comply with HIPAA rules and regulations

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