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Skills
- Billingunmatched
- Cost Controlunmatched
- Credit and Collectionsunmatched
- Financeunmatched
- Health Maintenance Organization (HMO)unmatched
- Health Planunmatched
- Healthcareunmatched
- Healthcare Administrationunmatched
- Home Careunmatched
- Hospitalunmatched
- Insuranceunmatched
- Leadershipunmatched
- Managed Careunmatched
- Medicaidunmatched
- Medical Billingunmatched
- Medicareunmatched
- Patient Careunmatched
- Performance Metricsunmatched
- Performance Tuning/Optimizationunmatched
- Preferred Provider Organization (PPO)unmatched
- Problem Solving Skillsunmatched
- Provider Contractingunmatched
- Reimbursementunmatched
- Revenue Managementunmatched
- Service Deliveryunmatched
- System Integration (SI)unmatched
- Team Playerunmatched
- Time Managementunmatched
Description
Seeking a Director of Revenue Cycle (RCM) at an established and reputable Home Health Organization that has been serving the community for 18 years. Their mission and values are centered around providing the best care possible to their patients, in team environment. Collaboration and a healthy employee culture are top priority to them. You must have MCO experience (MCOs manage patient care, utilize networks, and aim to control utilization to limit expenses) Examples: Integrated Delivery Systems, Physician-Hospital Organizations, and Medicaid Managed Care Plans. This role focuses on operational execution, performance optimization and compliance across billing, coding, collections and payer processes to ensure and timely reimbursement.
Requirements
Steady job history (longevity in past employment)
Must have Home Health experience in a leadership role
Must have Managed Care Organization "MCO" experience
Experience with various Insurance Plans (HMO, PPO) that contract with providers to deliver medical services at reduced costs.
Experience with Medicare Plans
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance or related field.
- Five to ten years of experience in healthcare revenue cycle management, preferably in home health.
- Strong knowledge of Medicaid and MCO home health billing and pay rules.
- Proven experience managing multi-site teams and operational KPIs.
- Hands-on leadership style with strong problem-solving skills.
This is a Fulltime, Perm position offering a competitive salary, and benefits.
Equal Opportunity Employer
Numbers & Facts
| Location | Des Plaines, Illinois |
| Industry | Staffing/Employment Agencies |
| Company Size | 1 to 9 employees |
| Year Founded | 1992 |
| Website | https://www.careerstrategiesgroup.com |
About Company
Career Strtegies Group is a national, full service recruiting, outplacement and career services organization. The firm specializes in the career needs of attorneys, financial professionals, and C-suite and other senior executives. It also has a smaller recruiting operation for healthcare professionals and administrators in the NY, CT and NJ area. The firm has particular experience with professionals aged 50+, and in the area of career change for attorneys and professionals. Firm founder Bruce Blackwell is an original member of the career transitions team established by the New York City Bar Association, and is a noted author and lecturer on career issues for lawyers and other professionals.