Department Lead, Billing & Posting Resolution

Job Summary:

The Department Lead Billing and Posting Resolution is responsible for overseeing the operational performance of our revenue cycle services. This client-facing position is responsible for both strategic alignment and daily management of functional-based revenue cycle operations, including ongoing improvement to key revenue cycle indicators. These indicators include but are not limited to: A/R days, cash collection goals and posting, denials, underpayment and contract management activities related to patient account management. The Department Lead Billing and Posting Resolution should have comprehensive knowledge of revenue cycle operations and have experience building and leading a global workforce team. This position is responsible for providing thought leadership and RCM expertise while focusing on development, performance, and growth of your global teams.

These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required.  Goals and objectives are subject to change.

All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. 

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

Leadership Decision Making: 

• Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results. 

Coaching & Building Talent  

• Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers. 

Delegation  

• Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement. 

Leading Teams  

• Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work. 

• Intentional about creating a collaborative environment with all team members to increase engagement and drive connection with teams across the globe.  

Executive Communication  

• Clearly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear). 

Program/Project Management  

• Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results. 

Staff Management

Responsible for ensuring area of responsibility has the talent and resources to meet short- and long-term organizational goals as well as ensuring maximum productivity and performance.  Responsibilities include, but are not limited to:

• Proactively recruit, screen, and select candidates for current and future resource requirements.
• Effectively orient new hires to ensure a positive and productive employee engagement experience.
• Ensure structure and hiring plans (within budget) are appropriate for performance and productivity levels required.
• Utilize the company’s performance management program as designed to align individual performance to overall performance objectives.  Meet all completion requirements at a high quality level.  Provide ongoing performance feedback.  Identify and take appropriate action for non-performance.
• Ensure each employee has a yearly performance review that is reviewed with employee and the review to be sent to Human Resources each year.
• Ensure each employee has a clear and thorough understanding of their role and responsibilities.  Keep job descriptions current for each position.
• Actively support and participate in organizational development and training programs.  Meet all completion requirements at a high quality level.
• Mentor, guide, and coach direct reports in order to expand their capabilities and performance.
• Communicate all corporate matters in a positive and timely manner as directed by Corporate Communications or senior managements. 
• Administer all internal policies and procedures in accordance with corporate, human resources, budgetary, and finance guidelines.  Ensure accuracy of staff data records.
• Comply with all employment laws and regulations including, but not limited to, equal employment opportunities for all.

Minimum Requirements:

Education/Experience/Certification Requirements

• Strong leadership and interpersonal skills, with the ability to lead and motivate a global team effectively. 
• Experience building and leading global RCM teams.  
• Bachelor’s degree in Healthcare Administration, Business Administration, or related field required.  
• Minimum of 10 years of experience in revenue cycle management leading a global RCM team, with progressive responsibilities in leadership roles. 
• In-depth knowledge of revenue cycle operations, healthcare billing and coding practices, and regulatory requirements (e.g., HIPAA, Medicare/Medicaid). 
• Excellent analytical and problem-solving abilities, with a focus on continuous improvement and operational excellence. 
• Advanced proficiency in Microsoft Office Suite and healthcare information systems (e.g., EPIC, Cerner, Thrive,etc ). 
• Strategic thinker with a proactive approach to identifying and addressing challenges. 
• Excellent organizational and time management skills, with the ability to prioritize tasks and meet deadlines. 
• Strong commitment to ethical conduct, confidentiality, and compliance with industry standards. 
• Effective communicator with the ability to convey complex information clearly and concisely. 

Preferred Qualifications:

• Relevant certifications in revenue cycle management are desirable. 

Working Environment/Physical Demands

           

Working Environment:

• General office environment: Works generally at a desk in a well-lighted, air-conditioned cubicle/office, with moderate noise levels. 
• Periods of stress may occur.

Physical Demands:

• Activities require a significant amount of sitting at office and work desks and in front of a computer monitor.
• Some walking and standing relative to interaction with other personnel. 

Travel Requirements:

    None      X Occasional           Moderate           Frequent           Very Frequent

                        (25% or Less)            (25% - 40%)                 (40% - 80%)                    (80% or more)

Other possible Unofficial Titles:

Unofficial titles may be given by the manager and used for calling cards and email signatures.

• Revenue Cycle Director

Management