What are the responsibilities and job description for the Director of Revenue Cycle Management position at VHCS?
We are seeking a Director of Revenue Cycle who thrives on collaboration, problem-solving, and leading high-performing teams. This role will be instrumental in establishing and scaling the revenue cycle function, overseeing all aspects of claim submissions, payment posting, denials & appeals, and overall revenue cycle operations. The ideal candidate will bring a strategic mindset, deep expertise in reimbursement and billing, and a passion for improving processes to enhance efficiency and financial performance.
Candidates residing in anywhere in the Midwest are welcome to apply.
Key Responsibilities
- Develop and lead the revenue cycle team, overseeing insurance verification, claims processing, payment posting, and denial management.
- Manage both internal staff and outsourced RCM vendors, ensuring efficiency and compliance with regulations.
- Collaborate cross-functionally with internal teams to improve revenue cycle processes and payer reimbursement strategies.
- Partner with the SVP of Market Access on provider credentialing, payer contract administration, and payer analytics.
- Work closely with the Controller to analyze reimbursement trends, manage carrier exceptions, and drive process improvements.
- Ensure the timely and accurate submission of all claims to responsible payers, maintaining compliance with industry regulations.
Qualifications