Overview
Exciting Career Opportunity with Avance Care!
Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC.
Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients.
Our Director of Revenue Cycle Management will be responsible for overseeing and optimizing the full spectrum of revenue cycle within a large physician group organization. This role will work collaboratively with clinical staff and senior leaders to improve workflows, performance, and SOP creation contributing to the overall success of the Avance Care.
Key Responsibilities:
- Revenue Cycle Leadership:Oversee the day-to-day activities that complete the revenue cycle management process, ensuring all facets—coding, billing, AR management, cash posting, patient access, and customer service—are efficient, accurate, and compliant with regulatory standards. Ensure timely revenue generation and payment processing.
- Coding Expertise & Compliance:Oversee the coding operations by ensuring that coding teams adhere to national coding guidelines (ICD-10, CPT, HCPCS) and payer-specific requirements. Monitor and enforce correct coding practices for accurate reimbursement, minimizing claim denials due to coding errors.
- Accounts Receivable (AR) Management:Oversee the management of the AR process, ensuring timely and accurate processing of all claims. Monitor AR metrics such as days in AR, denial rates, and collection percentages, working with the AR team to identify areas for improvement.
- Patient Billing & Customer Service:Oversee the patient billing process to ensure bills are clear, accurate, and processed in a timely manner. Ensure all insurance and patient payments are posted and reconciled timely and accurately. Collaborating with the operations and clinical leads to resolve patient inquiries, billing disputes, and concerns, ensuring the highest levels of customer satisfaction.
- Team Leadership & Development:Manage and mentor revenue cycle teams, work with the VP of Finance in setting clear expectations for performance and quality standards. Provide ongoing education and training opportunities to staff on coding changes, payer updates, and best practices in AR management. Foster a high-performance culture with a focus on accountability, accuracy, and efficiency.
- Value-Based Care & ACOs:Lead efforts to align the revenue cycle processes with value-based care models, ensuring the organization meets all performance and reporting requirements for Accountable Care Organizations (ACOs), risk-based contracts, and other alternative payment models.
- Compliance & Regulation:Ensure that the revenue cycle operations comply with all applicable local, state, and federal regulations, as well as payer-specific rules and guidelines. Keep the team updated on regulatory changes and their impact on billing, coding, and AR management practices.
Qualifications:
- Bachelor’s degree in healthcare administration, Business, Finance, or a related field; master’s degree preferred.
- Minimum of 10 years of leadership experience in revenue cycle management, within a large physician group organization.
- Expertise in coding (ICD-10, CPT, HCPCS) and thorough knowledge of coding guidelines and payer requirements.
- At least 5 years of experience in managing AR processes and reducing AR aging, with a proven record in improving collections and resolving complex billing issues.
Skills & Competencies:
- Deep understanding of healthcare reimbursement methodologies, including fee-for-service, bundled payments, and value-based care.
- Extensive knowledge of coding guidelines (ICD-10, CPT, HCPCS), payer-specific rules, and regulatory requirements (e.g., HIPAA, Medicare, Medicaid).
- Exceptional analytical and critical thinking skills to identify trends, root causes, and implement solutions in coding and AR management.
- Ability to develop and implement strategies that enhance AR performance and reduce denials and rejections.
If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume.
All offers of employment are contingent upon the successful completion of a background check and drug screen.
Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
