Director, Revenue Cycle Management Operations
Job description
Job Description:
We are seeking a strong leader to fill the role of Director, Revenue Cycle Management Operations. As a key member of the RCM team supporting our Bracing & Supports business, this position is responsible for developing and implementing strategies, processes and technology to continuously improve and manage the revenue cycle in a fast-paced, high-volume, evolving DME healthcare market.

JOB RESPONSIBILITIES

Consults and works directly with leadership across managed care payers and with technology to advise and consult on key processes and resource needs to improve operations, productivity and collection rates.
Leads the development and implementation of revenue cycle strategies, processes and improvement initiatives to continuously improve the RCM process to maximize the Company’s billings and collections.
Analyzes, determines, and implements the structure of the Revenue Cycle Management (RCM) Team and locations to maximize RCM operational service levels and cost.
Ensures the identification, analysis, and implementation of solutions designed to improve collection rates, reduce bad debt, and reduce day sales outstanding.
Drives the design, execution, monitoring, and assessment of key RCM performance metrics to refine processes and improve efficiencies and productivity to reduce overall costs.
Leads and manages large revenue cycle projects such as audits, budgets, and technology enhancements.
Manages vendor relationships and works with our service provider(s) to deliver agreed-upon results, and drive cost, quality, and process improvement by establishing well-defined processes, sharing best practices, and ensuring effective working relationships.
Acts as a liaison amongst external vendor and internal stakeholders.
Communicates updates, processes, requirements and expectations to vendor as needed and tracks, measures, and reports on vendor performance.
Assist in the management of vendor-related projects and facilitates and coordinates change management efforts.
Delivers continuous improvements by creating RCM efficiencies through system selection/automation, process design, and avoiding waste/redundancy.
Ensures compliance in all aspects of RCM activities including coding and billing rules and regulations by payer and state.
Maintains knowledge of third-party payor regulations including Medicare, Medicare Advantage, Medicaid, Workers Compensation and non-governmental payers.
Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements.

Leadership

Provides mentorship, guidance, and leadership needed to instill a team-oriented and results-driven team.
Conducts routine conference calls, team meetings, and one-on-one meetings with team as necessary to drive business goals.
Performs functional supervision including staff scheduling, hiring, performance and evaluation and terminations.
Leads staff performance management activities to improve capabilities and skills using regular objective setting and review process, performing appraisals and coaching of individuals on development plans.
Responsible for managing the activities of direct reports and ensuring the organization’s abilities continue to improve through individual development and developing talent throughout the organization.

Management

Responsible for strategic, tactical and operational planning (24+ months) for the function or department.
Has direct budgetary responsibility for department, functions or major projects/programs.
Develops, interprets and executes policies for departments and/or projects.
Recommends and implements new policies or modifications to existing policies.
Other duties as assigned.

QUALIFICATIONS

Bachelor’s Degree in Healthcare Administration, Business, Finance, or related field required.
Minimum of 10 years of experience in DME Reimbursement (RCM) or a related field equivalent required.
In-depth knowledge of healthcare industry, payer relations, and functional compliance regulations and standards required.
Previous experience managing people required.
Demonstrated experience leading teams required.
Strong understanding of business strategies and drivers, particularly in a sales organization.
Experience using DataWorks or similar case management software strongly preferred.
Experience with OnBase strongly preferred.
MBA preferred.

TRAVEL

Must be able to travel up to 20% of the time; both domestic and international travel is required.
Typical work-related travel assignments range 1-7 days, and as such overnight, out-of-town stays are required.

WORK ENVIRONMENT & PHYSICAL DEMANDS

Typical office environment.
Physical Demands: May occasionally lift up to 10 pounds. Routinely uses standard office equipment such as computers, keyboard, phone, print. Required to talk and hear. Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel, and to manipulate keys on a keyboard and operate portable input devices (e.g., smart phone, mouse). May occasionally reach with hands and arms. Must have the ability to look at a computer screen for extended periods of time.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ABOUT DJO GLOBAL
DJO Global is a leading global developer, manufacturer and distributor of high-quality medical devices that provide solutions for musculoskeletal health, vascular health and pain management. Our products address the continuum of patient care from injury prevention to rehabilitation after surgery, injury or from degenerative disease, enabling people to regain or maintain their natural motion. Our products are used by orthopedic specialists, spine surgeons, primary care physicians, pain management specialists, physical therapists, podiatrists, chiropractors, athletic trainers and other healthcare professionals. In addition, many of our medical devices and related accessories are used by athletes and patients for injury prevention and at-home physical therapy treatment. Product lines include rigid and soft orthopedic bracing, hot and cold therapy, bone growth stimulators, vascular therapy systems and compression garments, therapeutic shoes and inserts, electrical stimulators used for pain management and physical therapy products. Our surgical division offers a comprehensive suite of reconstructive joint products for the hip, knee and shoulder. Our products are marketed under a portfolio of brands including Aircast®, Chattanooga, CMF™, Compex®, DonJoy®, ProCare®, Exos™, Dr. Comfort®, DonJoy Performance® and DJO® Surgical.

For additional information on the Company, please visit www.DJOglobal.com.

DJO is a growing subsidiary of diversified technology leader Colfax Corporation

EOE AA M/F/VET/Disability

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.
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Company details

Headquarters

Industry

Health Care

Company Description
Headquartered in San Diego, CA (Vista), DJO Incorporated is a leading global provider of high-quality, orthopedic devices, with a broad range of products used for rehabilitation, regeneration, pain management and physical therapy sold through our DonJoy, Empi, CMF, Aircast / Procare, and Chattanooga Group business units. We are the largest non-surgical orthopedic rehabilitation device company in the United States and among the largest globally. We also develop, manufacture and distribute a broad range of surgical reconstructive implant products through our DJO Surgical business unit. We believe that our strong brand names, comprehensive range of products, focus on quality, innovation, customer service, extensive distribution network, and our strong relationships with orthopedic and physical therapy professionals have contributed to our leading market positions. DJO is a portfolio company of the Blackstone Group. EEO/AA-M/F/VET/HANDICAP
Company ratings
  • Overall
    3.2
  • Company & Benefits
    3.2 / 5
  • Culture & Values
    3.1 / 5
  • Career Opportunities
    2.8 / 5
  • Work/Life Balance
    3.3 / 5
  • Senior Management
    2.8 / 5
Company reviews
"Poor Management "
Former EmployeeCustomer Service Representative
When I started I was excited about the opportunity to learn something new, however that quickly changed. Management was constantly changing, they were hardly available and when they were they were not supportive. The processes were outdated and inefficient. The job was super stressful.
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"horrible management"
Former EmployeePacker
i worked there from April to August of last yr, i was given a fulltime opportunity and within a week of accepting i was let go due to COVID which made no sense whatsoever would not recommend working here

"Good place to work most of the time "
Former EmployeeCleaner
Can be a good place to work, if it wasn't for to much favoritism. To many chiefs. Not enough Indians. Cleanroom has no lead supervision. Hardly no weekends off.
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"A few years ago this company started to spiral into a downward trend. "
Former EmployeeTerritory Manager
This company lost focus on the employees as people. New management came in from other companies and completely distroyed the culture of the company. Massive layoffs every other year and dismantled the bracing and supports sales team. Turned a cheek to national distribution but also failed at selling direct which left the customer hanging dry without reps to support them..the regional managers are a joke and have less experience than the reps but politics and friendships got them into there roles which they suck at.
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