Senior Director Of Revenue Cycle

PharMerica

The Senior Director Revenue will oversee the financial and analytical functions related to revenue cycle. This individual will need to manage and coordinate all workflow processes and policies related to monthly invoicing posting, pricing entry, monthly reporting, policies and procedures, guide staff and report results to Senior Management. This position also serves as an audit liaison for both internal and external audits

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide.

An ideal candidate would have strong leadership skills with experience in medical revenue cycle management across multiple sites and process improvement.

This position is a remote opportunity with 10% travel.

We offer:
Competitive pay
Health, dental, vision and life insurance benefits
Company paid STD and LTD
Employee Discount Program
401k
Paid-time off
Tuition reimbursement
Non-retail/Closed-door environment

Short Term Incentive Bonus

If your passion is service excellence and top-quality care come join our team and apply today!

*Position will be posted for a minimum of 7 business days

Billing:

Manages the processing of Month end close to include oversight for the processing invoicing
• Manages the process of credit disputed submitted by customers
• Coordinates with accounting on the processing of variances

Audit

• Liaison for all audit requests, Internal and External, for Revenue Cycle
• Responsible for submitting documentation outlining results of audits
• Coordinates process between third-party auditors and company
• Coordinates with accounting on reserves needed based on the audit results

Account Reconciliations:

• Oversight and management of applicable account reconciliations
• Responsible for escalating any issues to Senior Management

Plan Administration:

• Manages process of entering pricing into all pharmacy dispensing systems
• Manages the QA process on pricing
• Manages the ANF process of the revenue cycle
• Manages the relationship with third party pricing software

Policies and Procedures:

• Reviews and maintains updates for all relevant policies and procedures
• Analyzes and writes any new policies as needed
• Communicates all policy changes to effected parties
• Oversees calculation and distribution of month end Key Performance Indicators for Revenue Cycle
• Compiles and distributes Revenue Cycle reporting package to all management

Cash Batch Set-up and Control:

• Manages all cash application process for all payers
• Coordinates with accounting on cash reporting
• Coordinates with treasury on the balancing and audit needs based on cash and banking records

Internal Responsibilities:

• Adheres to all company policies and procedures including, but not limited to those identified within the Standards of Business Conduct and the Employee Handbook, as may be amended from time to time
• Adheres to all applicable laws and regulations and the company's governance/compliance program
• Responsible for reporting violations of the company's policies and procedures, Standards of Business Conduct, governance program, laws and regulations through the company's Help Line or other mechanism that may be available at the time of the violation
• Assists with internal control failure remediation efforts
• Becomes knowledgeable of internal control responsibilities through training and instruction
• Responsible and accountable for internal control performance within their area of responsibility
• Participates in the internal controls self-assessment process
• Ensures concerns with internal control design or performance and process changes that impact internal control execution are communicated to management

Other:

• Calculates and pays Quality Assurance fees in California quarterly
• Manages pay out Licensing Fees in California.
• Oversight for bank account reconciliations and refund requests
• Refund requests
• Other responsibilities as assigned

• Two-year degree in finance, accounting, business administration or equivalent work experience
• Experience supervising/leading a team
• Knowledge of accounting principles
• Knowledge of/experience working with provider billing
• Strong analytical acumen
• Strong leadership skills
• Excellent oral and written communication skills
• Minimal travel may be required