Revenue Cycle Management Director

Delta Dental of California
$122,400 - $265,100
dental insurance, paid time off, paid holidays, tuition reimbursement, 401(k), employee discount
United States, California, Oakland
Nov 13, 2024
JOB DESCRIPTION At the Oral Health Innovation Center (OHIC), we are transforming the future of dental care through cutting-edge Digital Experiences and Dental Medical Integration (DMI). As the Revenue Cycle Management (RCM) Director, you will be responsible for developing and overseeing the strategic and operational aspects of the organization's revenue cycle. In this role, you will optimize financial processes, from patient registration through billing and collections, while integrating advanced technologies to enhance efficiency and streamline workflows. You will lead efforts to scale RCM services, ensuring they align with broader healthcare initiatives and support OHIC's commitment to innovation and patient-centered care. This position plays a critical role in driving operational excellence, leveraging data-driven insights, and collaborating with leadership to implement best practices that enhance revenue performance and improve patient experiences. RESPONSIBILITIES Build and manage a team of agents and supervisors, fostering a culture of innovation, collaboration, and continuous improvement. Conduct financial data analysis to inform decision-making and report on financial performance. Develop and implement strategies to achieve revenue cycle goals, including maximizing cash flow and minimizing outstanding insurance collections and aged claims. Design and optimize systems for patient registration, eligibility verification, billing, collections, and payment posting to ensure efficiency and accuracy. Oversee the integration and implementation of third-party software and evolving technologies to enhance workflows and create value-added services. Scale revenue cycle management services as part of the Epic Community Connect reseller program. Develop performance reporting systems and communication strategies for clinics participating in the Community Connect program. Ensure compliance with regulations, standards, and updates related to billing, coding, and insurance. Collaborate with leadership, clinical, and administrative staff to align revenue cycle strategies with organizational goals. QUALIFICATIONS Bachelor's degree in healthcare administration, information technology, or a related field (Master's preferred). 10+ years of experience in a revenue cycle role with leadership responsibilities, ideally within a dental or healthcare organization. In-depth knowledge of billing, coding, and reimbursement processes. Experience in multi-specialty environments and multi-payer systems, including PPO, HMO, Medicare, and Medicaid. Proficiency in healthcare IT systems, such as EMR and PMS platforms. Ability to quickly extract key insights from complex data and details. Strong analytical and quantitative skills with demonstrated experience using data-driven decision making and performing financial and operational analysis. Ability to bring new ideas and new ways of thinking and be able have them easily understood and adopted by individuals of all levels throughout the organization. Outstanding communication skills are essential. Highly collaborative team player who fosters open communication and facilitates mutual understanding and cooperation between all stakeholders. Excellent interpersonal, organizational and critical thinking skills. Proven ability to resolve conflict and facilitate decision-making. Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 24. $122,400 - $265,100 ADDITIONAL INFORMATION Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: Competitive base and incentive pay 401(k) with robust matching and non-matching contributions Rich medical & pharmacy benefits 100% employer-paid dental and vision benefits Holistic wellbeing program with deep financial incentives Generous paid time off plus 12 paid holidays and your birthday off Culture of growth and learning: career development; tuition reimbursement; recognition program Family support: adoption assistance, fertility treatment, child, elder & pet care assistance Social responsibility and volunteer opportunities Employee discount program Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. #LI-Hybrid ABOUT THE TEAM At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building equitable programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all. We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us! Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. Proof of eligibility to work in the United States must be provided if selected for hire. Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York If You Are A Current Employee Click Here* To Apply