Director of Revenue Cycle

Key Responsibilities:

• Strategic Leadership: Develop and implement revenue cycle strategies to maximize efficiency, optimize reimbursements, and improve cash flow.
• Billing & Collections Oversight: Ensure accurate and timely submission of claims, manage denials and appeals, and oversee collections efforts to minimize outstanding balances.
• Cash Posting & Reconciliation: Supervise accurate posting of payments, adjustments, and refunds while ensuring proper reconciliation with accounting teams.
• Insurance & Compliance Management: Maintain compliance with federal, state, and payer regulations, including Medicare, Medicaid, and commercial insurance policies.
• Revenue Cycle Performance Monitoring: Utilize key performance indicators (KPIs) and analytics to track financial performance, identify trends, and implement process improvements.
• Technology & System Optimization: Work with IT and finance teams to enhance revenue cycle management systems, automate workflows, and integrate best practices.
• Team Leadership & Development: Manage, train, and mentor revenue cycle staff, ensuring high levels of performance, engagement, and accountability.
• Patient Financial Services: Oversee patient billing, financial assistance programs, and customer service to improve the patient experience and payment collections.

Qualifications & Skills:

• Bachelor’s degree in healthcare administration, business, finance, or a related field.
• Strong knowledge of healthcare billing, coding (ICD-10, CPT, HCPCS), insurance reimbursement, and payer regulations.
• Experience with revenue cycle management (RCM) systems and healthcare finance software.
• Excellent leadership, communication, and analytical skills.
• Ability to develop and execute strategies to improve financial performance and operational efficiency.