What are the responsibilities and job description for the Director Revenue Cycle position at Heritage Valley Health System?
Department: Finance
Hours: Primarily Monday through Friday daylight, extended hours as necessary to support operations.
Basic Function:
The Revenue Cycle Director is responsible for overseeing and optimizing the entire revenue cycle process within the organization. This role ensures efficient patient registration, coding, billing, collections, and reimbursement processes to maximize revenue and improve financial performance. Works closely with finance, patient accounting, operations, clinical teams, and external payers to resolve billing issues and streamline revenue cycle processes. Oversee claim denials, appeals, and reimbursement negotiations to minimize lost revenue. Collaborates with multiple departments to enhance workflows, ensure regulatory compliance, and drive revenue growth.
Qualifications:
Required: Bachelor's degree in business, healthcare administration, finance, or a related field. 7 years of progressive leadership experience in revenue cycle management, healthcare finance, or medical billing, with demonstrated hospital revenue cycle expertise. Experience working with Medicare/Medicaid, commercial payers, and value-based reimbursement models. Understanding of healthcare compliance regulations (HIPAA, CMS guidelines). Strong communications, analytical, and problem-solving skills.
Preferred: Master’s degree in health administration or business management
