What are the responsibilities and job description for the Interim Director of Revenue Cycle- KS position at American Consultants?

Job Description

Interim Director of Revenue Cycle- KS

American Consultants is looking for an interim Director of Revenue Cycle for a facility in Kansas.

Position Overview :

The Interim Director of Revenue Cycle will oversee and manage all aspects of the revenue cycle operations, ensuring the efficient and accurate collection of payments for services provided by the organization. This leadership role requires a strong understanding of healthcare revenue cycle management, billing, coding, collections, and payer relations. The Interim Director will collaborate with internal teams to drive improvements, streamline processes, and optimize the overall financial performance during the interim period.

Key Responsibilities :

Leadership & Strategy :

Lead the revenue cycle department and team, providing guidance, direction, and mentorship to ensure high levels of performance.

Develop and execute strategies to optimize revenue cycle processes, from patient intake through final payment, ensuring compliance with regulations and payer requirements.
Act as the primary point of contact for leadership regarding revenue cycle performance, financial metrics, and departmental needs.

Revenue Cycle Operations :

Oversee the functions of patient access, billing, coding, insurance verification, claims submission, collections, and accounts receivable (A / R).

Ensure timely and accurate claims submission, follow-up, and denial management.

Monitor and address aging accounts, working with the team to reduce outstanding receivables.

Work with clinical and administrative departments to ensure smooth billing and documentation practices that meet coding and billing standards.

Process Improvement :

Identify opportunities to streamline and enhance revenue cycle processes, improving cash flow, reducing days in accounts receivable (A / R), and enhancing payer relations.

Implement best practices in billing and coding, ensuring compliance with federal, state, and payer regulations.

Develop and oversee regular audits of processes and performance metrics to identify areas for improvement and corrective actions.

Compliance & Risk Management :

Ensure the revenue cycle is compliant with all healthcare regulations, including HIPAA, payer contracts, and state / federal laws.

Address billing and coding issues, denials, audits, and payer disputes, ensuring resolution in a timely and efficient manner.

Monitor industry trends and regulatory changes that impact the revenue cycle.

Collaboration & Communication :

Collaborate closely with finance, accounting, clinical, and operational leadership to support business objectives and ensure alignment across departments.

Communicate key performance indicators (KPIs) and revenue cycle performance metrics to senior leadership.

Provide training and support for staff, ensuring effective communication and understanding of policies and procedures.

Reporting & Analysis :

Oversee the preparation and presentation of revenue cycle reports, including aging reports, denial reports, and KPI dashboards.

Analyze and interpret data to inform decision-making and identify trends in revenue cycle performance.

Make recommendations for adjustments or improvements to ensure financial goals are met.

Qualifications :

Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field (Master's preferred).

Minimum of 5-7 years of experience in revenue cycle management in a healthcare setting, with at least 3 years in a leadership role.

In-depth knowledge of healthcare revenue cycle processes, including coding, billing, collections, payer relations, and claims management.

Strong familiarity with relevant regulations (e.g., HIPAA, CMS, payer guidelines) and industry standards.

Proven track record of process improvement, team leadership, and financial performance optimization.

Excellent communication, interpersonal, and problem-solving skills.

Ability to work independently and manage multiple priorities in a fast-paced environment.

Knowledge of revenue cycle management software and financial reporting systems (e.g., Epic, Cerner, Allscripts).

Preferred Qualifications :

Certification in Revenue Cycle Management (e.g., CPAR, CHFP, or similar).

Experience in a complex, multi-specialty healthcare environment.

Strong analytical and reporting skills with experience in data-driven decision making.

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Interim Director of Revenue Cycle- KS

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