Enterprise Director, Revenue Cycle Management

Position Title: Enterprise Director, Revenue Cycle

FLSA Status: Exempt, Full-time Regular

Location: Remote

Travel Required: <20%

Who we are:

US Health Partners (USHP) seeks to redefine high-quality specialty care in the United States and establish a high-performing, technology-enabled care delivery platform. USHP is partnering with the countrys leading physicians to build a comprehensive, out-patient focused specialty care network targeting the nations cardiovascular concerns. Our physician-led organization is passionate about supporting exceptional care and enriching the lives of patients across the United States. We envision the opportunity to create a scaled, cutting-edge, technology-enabled healthcare services platform that leverages a value-based delivery model.

Position Summary:

The Enterprise Director of Revenue Cycle will oversee the end-to-end revenue cycle management process for the enterprise, ensuring the maximization of revenue, reduction of operational inefficiencies, and compliance with regulations. The Director will collaborate with practice leadership to coordinate all aspects of revenue cycle operations throughout the organization, including billing, coding, claims management, insurance follow-up, patient accounts, and customer service. This role will involve strategic planning, process optimization, and collaboration across departments to ensure seamless financial operations across our multiple practices.

Key Responsibilities:

• Leadership and Strategy:
  • Leads the enterprise RCM strategy and the integration of best practices throughout the local market.
  • Develop and implement revenue cycle strategies to improve financial performance, cash flow, and revenue capture.
  • Drive initiatives for operational efficiency, reduce claim denials, and optimize billing processes.
  • Collaborate with executive leadership to align revenue cycle objectives with the organizations financial goals and business strategies.

Integration:

o Drives all process and system RCM integration needs.

o Provides continuous oversight and management to the pre-planning and post-implementation RCM needs.

• Performance Optimization:

o Provides oversight to performance management to RCM activities throughout the enterprise to create optimization.

• • Develop and analyze key performance indicators (KPIs) to monitor and improve revenue cycle performance, identifying areas for improvement.
  • Develop and implement best practices, policies, and procedures to maintain a high level of operational effectiveness.
• Team Management:
  • Collaborate across the organization with practice level revenue cycle professionals to ensure process excellence and consistent outcomes; travels as needed to practice locations for onsite partnerships and optimization work.
  • Provide training and development opportunities to ensure the team is up-to-date with changes in coding regulations, payer requirements, and industry trends.
  • Foster a collaborative and efficient work environment focused on meeting goals and enhancing productivity.
• Collaboration and Communication:
  • Work closely with clinical, financial, and operational teams to address billing-related issues, denials, and payment delays.
  • Collaborate with IT and data management teams to ensure seamless integration of revenue cycle technologies and data reporting systems.
  • Serve as the primary point of contact for RCM vendor management.
• Continuous Improvement:
  • Identify and implement process improvements to enhance the patient experience and increase revenue capture.
  • Evaluate and deploy new technologies, tools, and systems to optimize revenue cycle operations.
  • Work closely with auditors to remediate and address findings to ensure billing and coding accuracy, regulatory compliance, and process efficiency.
• Financial Analysis and Reporting:
  • Provide regular updates and reports to senior leadership on revenue cycle performance, identifying trends, challenges, and opportunities.
  • Develop forecasts, budgets, and operational metrics to track the financial health of the organization.
  • Lead efforts to improve cash flow and reduce the aging of accounts receivable.

Minimum Qualifications:

Bachelors degree in Healthcare Administration, Business Administration, Finance, or a related field preferred.

6-8 years in Revenue Cycle leadership.

NextGen experience preferred.

Competencies:

• Proven experience in managing large, complex revenue cycle operations across multiple locations.
• Strong understanding of healthcare billing, coding, payer requirements, and insurance reimbursement processes.

Skills:

• Exceptional leadership, communication, and interpersonal skills.
• Expertise in revenue cycle management software, enterprise resource planning (ERP) systems, and electronic health records (EHR) platforms.
• Strong analytical skills and experience in financial reporting, forecasting, and budgeting.
• Deep knowledge of regulatory compliance, including HIPAA, ICD-10, CPT coding, and payer guidelines.

Physical Demands and Work Environment:

While performing the duties of this job, the employee is regularly required to sit, use hands and fingers to handle or feel, as well as talk and hear. The employee is regularly required to reach with hands and arms. The employee is required to stand and walk. The employee may lift and/or move up to 10 pounds.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EEO Statement:

US Health Partners is an equal opportunity employer. Employment and processes, including decisions to hire, promote, discipline, or discharge, are based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of the Employer.