Revenue Cycle Regional Account Director

The Revenue Cycle Regional Account Director will lead the Revenue Cycle Regional Account Managers and be responsible for revenue cycle performance across assigned regions and practices, including Net Collection Rate. The Regional Account Director is a working director and will also be responsible for an assigned region. The Regional Account Director will hold RCM teams accountable for results and verify that corrective actions improve collections and prevent repeat failures. The Regional Account Director will be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. 

Responsibilities include:

• Upholds, teaches, and enforces Panoramic Health Core Values
• Leads, coaches, and evaluates Revenue Cycle Regional Account Managers, including regional assignments, priorities, and performance expectations
• Works an assigned region as a working director, with the same practice responsibilities as a Regional Account Manager
• Owns regional performance across charges posted, charge lag, claim scrubs, rejections, denials, accounts receivable, cash collections, and Net Collection Rate. Investigates material variances by practice, payer, service, and workflow
• Requires RCM teams to provide corrective action plans with named owners, deadlines, and measurable outcomes, and verifies improvement
• Meets with each assigned practice weekly via Teams and in person at least once per month
• Meets monthly with physician leaders, the finance team, and RCM to report monthly revenue performance, explain variances and root cause, and present corrective actions
• Coordinates regional input to monthly operating review (MOR) presentations and validates regional reports against source data before presentation
• Identifies practice escalations that materially affect collections, including underpayments, payer issues, and recurring denials, and coordinates resolution with the Director of RCM, who owns the escalation process
• Partners with RCM functional leaders, including the RCM Patient Support Manager, to resolve regional dependencies and overdue tickets and patient cases. Escalates persistent failures to the VP of RCM
  Implements enterprise RCM workflows across the regions and verifies adoption with functional owners and the RCM Project Manager
• Evaluates regional workload, staffing coverage, and practice support needs, and recommends changes.
• Perform other duties and responsibilities as required, assigned, or requested.

Qualifications:

• Bachelor’s degree not required. Equivalent experience accepted
• Revenue cycle certification preferred.
• 10+ years of progressive revenue cycle experience, including physician practice or multi-practice operations.
• Minimum 3 years of leadership experience.
• Experience leading multi-site performance reviews, resolving payer and workflow barriers, and improving collections.
• EMR experience strongly preferred by assigned region:
  • California/Arizona: athenaOne
  • Florida: athenaOne
  • Texas: athenaOne and Veradigm
  • Midwest/East Coast: athenaOne, Epic, and AdvancedMD
• Excellent interpersonal and communication skills.
• Strong knowledge of physician revenue cycle workflows, payer reimbursement, denial root cause, and A/R recovery.
• Advanced athenaOne skills, including claims, work queues, holds, rejections, patient cases, and reporting.
• Ability to distinguish gross charges from expected reimbursement and reconcile findings with Finance.
• Ability to lead managers and hold cross-functional teams accountable without direct authority over their staff.
• Ability to explain variances, financial impact, and recovery plans to physician leaders and executives.
• Attention to detail and organizational skills are a must.
• Strong Microsoft Office skills, specifically Excel and PowerPoint.