Regional Assistant Director of Revenue Cycle - Sugar Land

Regional Assistant Director Of Revenue CycleENT and Allergy Associates, LLP and Hmi is seeking a self-motivated, people-friendly full time Regional Assistant Director of Revenue Cycle for our Sugar Land Corporate office location.Manager Role Expectations:Adheres to standards of professionalism set by the Practice; demonstrates professionalism in behavior, dress, attendance, punctuality and courtesy towards patients and staff. Functions as a member of a team and promotes a positive work attitude fostering teamwork and acceptance of management decisionsRespects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff membersHandles difficult situations and people with tact and professionalismMaintains a positive attitudeDemonstrates flexibility in scheduling and /or traveling to meet patient and office needsReviews all processes for efficiency and implements improvements as necessaryDetermine department staffing, evaluate employee performance, and make recommendations to the CFO concerning wage and/or salary adjustments, hiring, terminations, transfers, etc.Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processesGuides the staff to areas of focus and then monitors until completedComplete understanding of NextGen Reporting Features; Creates needed EPM reports as new scenarios occur; instructs staff on the usage of the reporting toolsContinues to develop Supervisors & Assistant Managers in their roles to enhance efficiency and growthSupports management's goal of utilizing the electronic features of our computer system, as opposed to paperSchedules monthly Team Meetings to ensure open communication with staff; shares new information, addresses issues/concerns of staff, brainstorms workflows issues and keeps a pulse on the morale of the TeamParticipates actively in department Team Lead/Management meetings; development, quality improvement process, productivity improvement process, and work flow improvementManages Team's overtime hours; helps reduce the hours when appropriate and approves the overtime hours when necessary to achieve our department's internal goalsExercises discretion and judgment; makes independent decisions on matters that are important to the operations of the practiceCreates work standards for the team; Coaches and helps develop team membersHolds individuals accountable for completing tasksMotivates and inspires team membersExercises independent judgment in directing teamInterviews candidates for available positions in the departmentMaintain CPC licenseEssential Roles and Responsibilities:Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processes.Interact with Physicians regarding questions on Monthly AR reports, collections, or billing questionsWork in conjunction with Compliance team to assist with coding or modifier inquiries; provide information from industry standards in the healthcare ( e.g. Medicare, CPT, AMA)Direct and manage physician revenue cycle of $290M using key performance measures against industry benchmarksCoordinate and support the day-to-day operations of the Central Billing Office (CBO) addressing the increase of volume and to improve efficiency, reduce billing errors and maximize reimbursementContinuous process review related to CBO and all other Departments with implementation of necessary changes focusing on continuous improvement, and improving the patients' experienceDirect reports in the CBO consist of 4 Managers and 2 Assistant Managers, 4 Supervisors and 3 Team Leads who oversee A/R Follow Up Staff, Payment Posting, Billing Team and a dedicated Billing/Customer service Phone TeamDevelop daily, monthly, quarterly and annual goals for all Teams within the CBOTrack Daily totals for Payments, Charges, Posting and Self-pay collections against daily/monthly goalsWeekly meetings ensure strong communication between Teams to ensure that necessary information flows back and forth in the spirit of teamwork and successSupport the Insurance Billing team offering guidance with interaction with Clearinghouse to ensure that all claims are billed expeditiouslyPrepare a monthly comprehensive report for the Board of Trustees summarizing our previous month's financial date with a narrative regarding insurance issues, trends and ongoing projectsActively participates in rate negotiations with insurance carriers. Work with our Business Intelligence staff to model and develop rate proposals/counter proposalsWork closely with Business Intelligence to submit yearly application for HFMA MAP awardMaintain contact with outside Managed Care Consultants and follow up on contract negotiations or issuesDirectly works with Insurance Carrier's Provider Reps/staff to resolve payment issues, contract issues and to reduce outstanding Accounts ReceivableMonitors the surgical & non-surgical Collector's monthly statistics in regards to 'DSO' and 'Total Outstanding A/R. Identify changes/trends in CBO metrics and assess and report on root causesReview productivity and performance standards and recommend new approaches for enhancing performanceStrong support and resource for the Practice Site Administrators in all locations and for front office staffMonitor and approve Refunds to both insurance carriers and patientsParticipate in Risk Management/Patient Complaint meetings and processes. Respond to complaints received from the Better Business Bureau or in the department that are escalated from the clinical or emergent ones through the appropriate channelsHold monthly Skype meeting with outside collection agencies to review collection results vs goalsSubmit monthly invoices for Collection agency and Managed Care ConsultantParticipate in NextGen bi-weekly calls with regard to upgrades and any issuesOversee testing of NextGen upgrades for the billing and collection teamsAttend monthly Senior Management MeetingsProvide support and reporting information to outside auditors in the yearly Accounting processesEpic experience a plusWe offer a competitive salary with a comprehensive benefits package including:Medical/Dental/Vision insurance, Company paid long term disability, Flexible spending account, Company paid life insurance, Voluntary life insurance, 401k, Pet insurance.The ENT & Allergy Associates Network:ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted 'Top Doctor' by Castle Connolly, a true testament to the exceptional care and service they provide to their patients.HMI:Backed by over 25 years of experience, Hmi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hmi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hmi ensures measurable success for its clients. At its core, Hmi represents the human side of healthcare, where operational excellence meets a people-first philosophy.ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.