Seeking a Director of Revenue Cycle (RCM) at an established and reputable Home Health Organization that has been serving the community for 18 years. Their mission and values are centered around providing the best care possible to their patients, in team environment. Collaboration and a healthy employee culture are top priority to them. You must have MCO experience (MCOs manage patient care, utilize networks, and aim to control utilization to limit expenses) Examples: Integrated Delivery Systems, Physician-Hospital Organizations, and Medicaid Managed Care Plans. This role focuses on operational execution, performance optimization and compliance across billing, coding, collections and payer processes to ensure and timely reimbursement.

Requirements

Steady job history (longevity in past employment)

Must have Home Health experience in a leadership role

Must have Managed Care Organization "MCO" experience

Experience with various Insurance Plans (HMO, PPO) that contract with providers to deliver medical services at reduced costs.

Experience with Medicare Plans

 

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance or related field.
• Five to ten years of experience in healthcare revenue cycle management, preferably in home health.
• Strong knowledge of Medicaid and MCO home health billing and pay rules.
• Proven experience managing multi-site teams and operational KPIs.
• Hands-on leadership style with strong problem-solving skills.

 

This is a Fulltime, Perm position offering a competitive salary, and benefits.

 

Equal Opportunity Employer