Frontpoint Home Health
Director, Revenue Cycle – Frontpoint Home Health
Frontpoint Home Health
is a leading home‑healthcare provider with a dynamic, caring, professional, and entrepreneurial environment. We are looking for a Director, Revenue Cycle Management to join our leadership team and advance your career in one of the fastest‑growing areas of healthcare.
Position Summary The Director of Revenue Cycle Management oversees and optimizes the entire revenue cycle process. Responsibilities include patient registration, insurance verification, charge capture, coding, billing, collections and reimbursement to ensure maximum revenue capture, operational efficiency and compliance with federal, state and payer‑specific regulations. The Director also develops strategies to enhance cash flow, reduce accounts receivable days, minimize denials and improve patient financial experiences.
Key Responsibilities
Develop & enforce policies & procedures to streamline revenue cycle operations.
Monitor KPIs such as A/R aging, denial rates & collection rates to identify trends and areas for improvement.
Provide regular reports & strategic insights into senior leadership on revenue‑cycle performance.
Lead the Pre‑Claim Review, Orders, Billings & Authorizations teams, including domestic and international locations.
Conduct audits, analyze financial data & implement process improvements to reduce revenue leakage.
Analyze revenue‑cycle data, prepare forecasts & perform trend analysis of payer rejections/denials.
Ensure accurate billing practices & procedural compliance for revenue recognition, collection & reporting.
Collaborate with the Accounting Department on cash reconciliation, proactive audits & A/R collectability assessment.
Provide periodic analysis of collection rates & contracted rates versus reimbursements.
Build relationships with payers & manage contract negotiations to optimize reimbursement rates.
Facilitate implementation of EMR updates and ensure revenue‑cycle applications meet regulatory & security requirements.
Serve as a resource to resolve operational & technical issues within EMR, revenue‑cycle applications, clearinghouse, EDI & insurance verification.
Assist internal teams (intake, scheduling, coordination of care, prior authorization, clinical & billing) to maintain revenue integrity.
Required Qualifications
Knowledge of healthcare claims processing, HIPAA, CMS guidelines & regulatory changes.
Proficiency with Microsoft Office tools (PowerPoint, Excel, Access, Word).
Excellent analytical, problem‑solving & detail orientation skills.
Strong verbal & written communication & time‑management abilities.
Strong interpersonal, collaborative & organizational skills.
Ability to prioritize, delegate and determine appropriate action in complex situations.
Ability to manage multiple simultaneous responsibilities in a high‑pace environment.
Ability to work independently & collaboratively on complex cross‑team projects.
Diplomatic handling of demanding interactions with patients, physicians or others.
Confidentiality of medical, financial and legal information.
Education & Experience
Bachelor’s degree in healthcare administration, business, finance or related field (master’s preferred).
10‑12 years of progressive experience in healthcare revenue cycle management, including 3‑5 years in a leadership role.
Strong knowledge of billing, coding, reimbursement methodologies & regulatory compliance.
Proficiency with revenue‑cycle management software and EHR systems, particularly Wellsky.
Excellent leadership, analytical, communication & problem‑solving skills.
Proven track record of generating superior results.
Disclaimer & Equal Employment Opportunity The company is an at‑will and an equal employment opportunity employer. The above statements describe the general nature of the work and are not an exhaustive list of all responsibilities, duties or skills required. Other duties may be requested as needed.
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is a leading home‑healthcare provider with a dynamic, caring, professional, and entrepreneurial environment. We are looking for a Director, Revenue Cycle Management to join our leadership team and advance your career in one of the fastest‑growing areas of healthcare.
Position Summary The Director of Revenue Cycle Management oversees and optimizes the entire revenue cycle process. Responsibilities include patient registration, insurance verification, charge capture, coding, billing, collections and reimbursement to ensure maximum revenue capture, operational efficiency and compliance with federal, state and payer‑specific regulations. The Director also develops strategies to enhance cash flow, reduce accounts receivable days, minimize denials and improve patient financial experiences.
Key Responsibilities
Develop & enforce policies & procedures to streamline revenue cycle operations.
Monitor KPIs such as A/R aging, denial rates & collection rates to identify trends and areas for improvement.
Provide regular reports & strategic insights into senior leadership on revenue‑cycle performance.
Lead the Pre‑Claim Review, Orders, Billings & Authorizations teams, including domestic and international locations.
Conduct audits, analyze financial data & implement process improvements to reduce revenue leakage.
Analyze revenue‑cycle data, prepare forecasts & perform trend analysis of payer rejections/denials.
Ensure accurate billing practices & procedural compliance for revenue recognition, collection & reporting.
Collaborate with the Accounting Department on cash reconciliation, proactive audits & A/R collectability assessment.
Provide periodic analysis of collection rates & contracted rates versus reimbursements.
Build relationships with payers & manage contract negotiations to optimize reimbursement rates.
Facilitate implementation of EMR updates and ensure revenue‑cycle applications meet regulatory & security requirements.
Serve as a resource to resolve operational & technical issues within EMR, revenue‑cycle applications, clearinghouse, EDI & insurance verification.
Assist internal teams (intake, scheduling, coordination of care, prior authorization, clinical & billing) to maintain revenue integrity.
Required Qualifications
Knowledge of healthcare claims processing, HIPAA, CMS guidelines & regulatory changes.
Proficiency with Microsoft Office tools (PowerPoint, Excel, Access, Word).
Excellent analytical, problem‑solving & detail orientation skills.
Strong verbal & written communication & time‑management abilities.
Strong interpersonal, collaborative & organizational skills.
Ability to prioritize, delegate and determine appropriate action in complex situations.
Ability to manage multiple simultaneous responsibilities in a high‑pace environment.
Ability to work independently & collaboratively on complex cross‑team projects.
Diplomatic handling of demanding interactions with patients, physicians or others.
Confidentiality of medical, financial and legal information.
Education & Experience
Bachelor’s degree in healthcare administration, business, finance or related field (master’s preferred).
10‑12 years of progressive experience in healthcare revenue cycle management, including 3‑5 years in a leadership role.
Strong knowledge of billing, coding, reimbursement methodologies & regulatory compliance.
Proficiency with revenue‑cycle management software and EHR systems, particularly Wellsky.
Excellent leadership, analytical, communication & problem‑solving skills.
Proven track record of generating superior results.
Disclaimer & Equal Employment Opportunity The company is an at‑will and an equal employment opportunity employer. The above statements describe the general nature of the work and are not an exhaustive list of all responsibilities, duties or skills required. Other duties may be requested as needed.
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