Job Summary:

Under supervision of the Executive Vice President, the Director of Revenue Cycle is responsible

for coordination and supervision of the Accounts Receivable Department and the entire revenue

cycle of NORCAL Ambulance. The position will have direct oversight of the revenue Cycle of

NORCAL Ambulance and is responsible for creating and establishing policies and procedures to

meet revenue cycle objectives. Additionally, this position is responsible for ensuring the timely

and accurate billing of ambulance transports, analyzing trends to improve operational

effectiveness, and reducing accounts receivables across the department landscape. The

position will display professional conduct and appearance, act as a role model while

demonstrating leadership skills and a high level of competence in the assigned work area. The

position works closely with all departments to ensure effective revenue cycle management so

NORCAL Ambulance can improve customer advantage, loyalty and trust.

Essential Duties & Responsibilities:

• 
  Lead day-to-day operations and broad scoped work assignments focused on maximizing

quality and production processes; initiate development of new approaches to streamline

existing processes, reorganize work, implement new technologies, and improve cash

flow.

• Develop reporting tools to track key performance indicators (KPIs) and monitor and

manage overall collections performance.

• Develop in depth intimacy of AR functions and operations, including the flow of revenue.
• Respond to the Finance Team and Executive Team with appropriate analysis and

executive-level communications, highlighting: performance, costs, and effectiveness of

the billing and collections function.

• Continually monitor the regulatory environments to ensure that payors evolving

reimbursement structures, documentation requirements, and other requirements are

evaluated and necessary changes in policies and procedures (and systems) are made

within EMS.

• Ensure training and quality standards, as well as resources, are in place for designated

departments.

• Build departmental redundancy so that collections are never disrupted.
• Maintain strict confidentiality; adheres to all HIPAA guidelines/regulations.
• Follow all CMS guidelines and stay abreast off all updates.
• Ensure all staff are compliant with industry regulations.
• Develop streamlined workflows while maintaining a minimalistic approach so that

revenue is not disrupted.

• Ensure aging claims are worked in a timely manner
• Identifies issues and provides effective leadership for revenue cycle performance

improvement initiatives, working collaboratively with operational leadership and other

organizational business units.

• Drive independent revenue cycle operational decisions to resolve complex issues

impacting collections.

• Review and approve write-off requests per policy. Provide feedback to supervisor and

staff if write-of requests are not in compliance with policy requirements.

• Review avoidable write-off trends, identify and implement opportunities to reduce

avoidable write-offs.

• Pull reports to review aged outstanding accounts receivable and take necessary action

to address backlogs or to identify unworked accounts.

• Develop and maintain a robust backend collections team with a goal orientated and

transparent KPI’s for staff.

• Create successful appeal processes for different payers while maintaining revenue

integrity.

• Conduct employee evaluations, develop performance improvement plans, and follow the

companies progressive disciplinary plan when necessary.

• Encourage and foster a safe, inclusive environment where employees feel valued as

part of a focused, supportive, professional team.

• Other duties as assigned.

#HR1

The duties and responsibilities included in this job description are not intended to be all inclusive

and the Director of Revenue Cycle will be expected to perform other reasonable job-related duties

as assigned.