Volunteers of America Chesapeake & Carolinas

Director

• Manage the entire revenue cycle, including eligibility, authorizations, contracting and credentialing, claims billing, collections, rejections and denials management, fiscal reporting, and reconciliations
• Report to the VP Finance
• Supervise medical billers, authorization staff, and credentialing staff
• Ensure EHR configuration and operation comply with payer regulations
• Verify insurance and maintain accurate consumer information in the EHR
• Use 270/271 eligibility files at the beginning of the month
• Ensure authorizations are current and request supplemental units as needed
• Clear pre-billing reports before weekly billing and month/year-end close
• Supervise Medicaid billing extraction, posting, review, and transmission
• Reconcile billing reports with services performed and claims transmitted
• Resolve rejected 837p files and resubmit corrected files
• Post payments within the month received and work denials within the month received
• Approve write-offs and adjustments and perform hard closes in the EHR
• Provide financial reports for revenue recognition, accounts receivable reconciliations, adjustments, and payments by the 10th of each month
• Assist with yearly financial audits and payer claims audits
• Enforce internal and payer regulations with the Compliance team
• Ensure providers meet licensure and credentialing requirements for billing
• Monitor accounts receivable, appeals, and claim corrections within federal and MCO deadlines
• Communicate with staff to resolve billing issues and denied claims; initiate meetings as needed
• Maintain relationships with community resources and agencies
• Maintain knowledge of billing processes and state/local billing procedures
• Maintain knowledge of VOACC and program policies and procedures
• Keep required service-related records with Finance
• Attend staff and organizational meetings and perform other assigned duties
• Travel to assigned locations and operate office equipment as required

Director of Federal, MCO Revenue Cycle Management

Communications

• Implement communications strategies promoting VOACC's fundraising campaigns, events, and donor engagement
• Manage VOACC's monthly e-newsletter and social media presence for donors and stakeholders
• Collaborate with external vendors to create digital and printed marketing collateral
• Manage and publish accurate, up-to-date, engaging website content
• Analyze media markets to identify reporters and influencers for outreach
• Coordinate logistics planning for projects and events
• Liaise with program staff to gather and write consumer impact stories
• Measure and report communications effectiveness, engagement levels, and progress
• Occasionally capture video and photography of consumers and staff
• Craft press releases and other articles as needed
• Perform other duties as assigned

Director of Federal, MCO Revenue Cycle Management

Marketing and Communications Coordinator