About Us
- Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Job Summary
- The Director, Account Receivables is responsible for implementing and supporting the strategic vision for assigned Accounts Receivable (A/R) functions within our Reimbursement Services domestically and in collaboration with our global service delivery centers.
Essential Functions and Tasks
- Oversees the day-to-day operations and effectiveness of revenue cycle operations, including but not limited to accounts receivable, Electronic Data Interchange (EDI), rejection and denial management.
- Implements and optimizes best practices, policies, and standardized workflows for accounts receivable operations through continuous improvement initiatives.
- Oversees the overall health of outstanding accounts receivable. Implements and manages action plans to target and resolve outstanding accounts receivable through effective inventory management and root cause analysis/denial mitigation strategies.
- Develops, monitors, and achieves key departmental metrics and enterprise benchmarks to measure performance.
- Encourages and maintains productive inter-departmental relationships through collaborative communication, leadership, and end to end problem solving.
- Uses analysis to proactively identify fluctuations in collection trends, payment processing effectiveness, and assists with the preparation of executive summaries for the leadership team.
- Oversees domestic and global service delivery center relationships, productivity goals and performance. Addresses deficits and necessary remediation.
- Works with Transformation, global service delivery center leaders and domestic reimbursement/collections staff to understand and maintain client expectations.
- Performs special projects and other duties as assigned.
Education and Experience Requirements
- Bachelor’s Degree in Healthcare Administration, or related field, preferred. Equivalent training and/or experience considered.
- At least seven (7) years of revenue cycle management experience in the healthcare and/or health insurance industry.
- At least four (4) years of supervisory/management/leadership experience, preferred.
- Global service delivery Billing experience required.
Knowledge, Skills, and Abilities
- Strong working knowledge of revenue cycle.
- Strong working knowledge of medical billing requirements.
- Strong supervisory/management skills.
- Strong management level oral, written, and interpersonal communication skills.
- Strong healthcare data analysis skills; trending denial data and implementation of best practices for remediation.
- Strong presentation development and delivery skills.
Compensation
- This position requires travel at least once a month to our CA offices - Santa Ana & San Diego
Base Compensation for this position: $115,000 - $125,000 annually
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons
This position is also eligible for discretionary performance bonuses in accordance with company policies
Other
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