Director of Revenue Cycle Management

MEDIQ Urgent Care is hiring a Director of Revenue Cycle Management (RCM) to lead and enhance all aspects of our revenue cycle processes. Reporting directly to the CEO and COO, this position is critical to optimizing financial performance and operational efficiency while supporting the strategic growth of our organization. The role offers flexibility for remote or in-person work, with occasional visits to our clinic locations as needed. The ideal candidate is a seasoned RCM professional with a proven ability to lead teams, implement best practices and ensure compliance with all regulatory requirements.

KEY RESPONSIBILITIES

1. Strategic Oversight

• Develop, implement and monitor strategies to optimize revenue cycle performance, including billing, coding, collections and denial management.
• Identify opportunities to improve cash flow, reduce AR days and enhance overall revenue capture.
• Monitor industry trends, regulatory updates and payer changes to ensure alignment with best practices.

2. Operational Management:

• Oversee daily RCM functions, including charge capture, claim submissions, payment posting and collections.
• Analyze and track key performance indicators (KPIs) such as denial rates, clean claim percentages, days in AR and net collection rates.
• Develop workflows and processes to ensure timely, accurate and compliant billing practices.

3. Payer and Vendor Relations:

• Manage payer contracts, reimbursement schedules and fee structures to ensure favorable outcomes for the organization.
• Serve as the primary point of contact for payers, auditors and external vendors to resolve issues and build strong relationships.
• Negotiate contract terms with payers and evaluate third-party partnerships to enhance revenue cycle operations.

4. Team Leadership:

• Lead, mentor and develop a team of revenue cycle professionals to achieve performance goals and maintain high standards of accountability.
• Conduct regular team meetings to review performance metrics, address challenges and promote continuous improvement.
• Collaborate with clinic managers and other stakeholders to align revenue cycle activities with organizational goals.

5. Technology and Systems Optimization:

• Evaluate and enhance the use of EHR and billing systems to streamline workflows and improve reporting capabilities.
• Implement innovative technology solutions to automate processes, reduce manual work and improve accuracy.
• Ensure data integrity and maintain secure handling of patient and financial information.

6. Compliance and Risk Management:

• Ensure all RCM activities adhere to applicable federal, state and local regulations, including HIPAA, CMS guidelines and payer-specific requirements.
• Manage internal and external audits, providing necessary documentation and ensuring compliance with findings.
• Identify and mitigate risks associated with billing, coding and collections.

7. Collaboration and Communication:

• Regularly report on revenue cycle performance, trends and opportunities to the CEO, COO and other leadership.
• Work closely with clinical teams to improve documentation accuracy and charge capture.
• Serve as an advocate for operational excellence and a resource for RCM-related questions across the organization.

QUALIFICATIONS

Education:

• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or a related field required; Master’s degree preferred.

Experience:

• At least 7 years of progressive experience in revenue cycle management, with 3 years in a leadership role.
• Proven success in optimizing revenue cycle processes in urgent care, outpatient, or similar healthcare settings.

Knowledge:

• Comprehensive understanding of billing, coding (CPT, ICD-10), payer reimbursement models and healthcare regulations.
• Familiarity with EHR systems and revenue cycle management software.

Skills:

• Exceptional leadership, coaching and team-building abilities.
• Strong analytical skills with the ability to interpret financial data and drive decisions.
• Excellent written and verbal communication skills for internal and external audiences.
• Proficiency in using technology to improve efficiency and reporting.

Work Environment

• Flexibility to work remotely or in-person, with occasional travel to clinic locations for team collaboration and site visits.
• Availability to work extended hours during critical deadlines or high-priority projects.

Compensation and Benefits

• Competitive salary based on experience and qualifications.
• Comprehensive benefits package, including health insurance, paid time off and retirement plans.

About MEDIQ Urgent Care:
MEDIQ Urgent Care is a patient-focused healthcare organization dedicated to providing high-quality care to our communities. We are committed to innovation, operational excellence and creating a supportive environment for our employees and patients. Join our team to make a meaningful impact in healthcare!

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Hybrid remote in High Point, NC 27265