AOSMI is looking for a new Director of Revenue Cycle Management. This individual will be responsible for directing and coordinating the overall functions of the Business Office to ensure maximization of cash flow while improving patient, physician and other customer relations.

AOSMI was founded in 2007 with the merger of two of the areas longest tenured practices – Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates. For more than 25 years, each has been a leader in providing quality orthopedic, sports medicine, physical therapy and pain management care. Together as one, we are even stronger and making a real difference in people’s lives.

The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Our surgeons and staff are committed to restoring your health so that you can resume your normal routines as quickly as possible. We pride ourselves on exceptional service, medical expertise, and close doctor-patient relationships that all contribute to the healing process. You get the attention and treatment you need from Advanced Orthopedics – to feel better faster

Duties and Responsibilities:

• Plans and directs registration, patient insurance, billing, collections, data processing to ensure accurate patient billing, and efficient account collection.
• Manages the Business Office within the established budget including annual planning. Develops monthly status reports.
• Plans and prepares monthly revenue reports for review and utilization by senior leadership and Physician Partners.
• Provides ad-hoc reports on associated revenue metrics and Key Performance Indicators (KPI’s) such as but not limited to; wRVU production, Charge Entry Lags, Collection Rates, Denial Rate, Denial Overturn Rate, etc. as requested by senior Leadership and Physician Partners
• Establishes and maintains a working relationship with all third party vendors, both in and out of network, assigned to the billing office. Oversees all collection efforts, account management and related patient to vendor relationships.
• Manages Physician credentialing process with managed care and government payors as requested/needed by Physician Partners. Ensures credentialing is completed in a timely manner.
• Develops, supervises and maintains daily cash processing workflows and associate reconciliations. Ensure all monies received to general ledgers match the posted receipts in the practice management system.
• Reviews current status of patient accounts to identify and resolves billing and processing problems in a timely manner.
• Directly supervises front end and accounts receivable collection team. Monitors progress of team on a daily basis and re-directs follow up efforts as appropriate.
• Establishes and implements methodologies for the collection of delinquent accounts ensuring both patients and third-party payors are contacted.
• Establishes and recommends credit and collection policies, and makes recommendations for improvement.
• Solves difficult payment and associated business office problems. Audits problem accounts.
• Maintains contacts with all practice departments to obtain and analyze additional patient information to document and process billings.
• Develops and implements new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently.
• Develops and oversees business systems and works with information technology to ensure timely and accurate implementation.
• Supervises, trains, orients and evaluates performance of assigned personnel. Recommends merit increases, promotions, disciplinary actions.
• Monitors daily operating activity of respective department and makes necessary adjustments in work assignments.
• Initiates and answers pertinent correspondence. Maintains required records and files.
• Maintains knowledge of and complies with established policies and procedures including patients, government, insurance and third party payor regulations.
• Oversight of insurance eligibility reviews
• Attends administrative meetings and participates in committees as requested. Conducts special projects and studies as directed.
• Participates in professional development activities and maintains professional affiliations.
• Maintains confidentiality as regards patient account status.
• Other relevant duties as assigned.

Knowledge & Experience:

• 10 years directly related and progressive health care revenue cycle experience will be considered in lieu of a degree. With degree, minimum 5 years medical business office experience, with 3-5 years as a department manager in billing, accounting or information systems.
• Patient billing management software (eClinical Works/Athena-Knowledge Preferred)
• Exceptional attention to detail and accuracy
• Knowledge of current ICD and CPT guidelines
• Excellent written and oral communication skills
• Ability to shift priorities; superior problem-solving capabilities
• Persuasive, encouraging, and able to motivate others
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• Strong Computer Skills with proficiencies in Microsoft Word, Excel, Power Point and Microsoft Power BI.

Schedule: Full-Time, Monday-Friday

Education and Training: Bachelor’s degree in business administration or related field; Master’s degree preferred.

Job Type: Full-time

Pay: $150,000.00 - $175,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• Day shift
• Monday to Friday

Experience:

• Revenue cycle management: 5 years (Preferred)

Work Location: One location

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