Head of Revenue Cycle Management

Description

Plans, develops, and implements new systematic approaches to maximizing revenue and cash flow. Redesigns processes and systems used to set charges, negotiate with third-party payers, bill patients and insurers, file Medicare cost reports and claims, and pursue denied claims and delinquent accounts. This job is broader and more strategic than the traditional head of business office/patient financial services or head of reimbursement, and includes responsibility for managed care contracting and financial planning. The primary duty of employees in this classification is the management of a customarily recognized department or subdivision, including the supervision of three or more full-time equivalent employees every week. Direction is over a permanent status-continuing function, not a collection of employees assigned to complete a project. Management duties include interviewing, selecting and training of employees; setting and adjusting their rates of pay and hours of work; planning and directing their work; appraising their productivity and efficiency for the purpose of recommending promotions or other changes in their status; handling their complaints and grievances and disciplining them when necessary. Management responsibilities include the authority to hire, fire, or promote assigned employees or make recommendations that are given particular weight. Employees have impact on budgeting, controlling costs, planning, scheduling, and procedural change. Under FLSA, incumbents in this position meet the criteria for exempt status.