About the Job
Description
The Director of Revenue Cycle will be responsible for optimizing revenue capture, ensuring timely and accurate billing and collections, and maximizing reimbursement while maintaining compliance with regulatory requirements. The ideal candidate will have a strong background in revenue cycle management, excellent leadership skills, and a commitment to achieving financial excellence in healthcare. Responsibilities
Revenue Cycle Oversight Provide strategic leadership and direction for the revenue cycle department, including billing, coding, collections, and accounts receivable management. Develop and implement policies, procedures, and best practices to optimize revenue cycle processes and improve financial performance. Monitor key performance indicators (KPIs), revenue metrics, and financial benchmarks to assess performance and identify opportunities for improvement. Billing and Claims Management
Oversee charge capture, claims submission, and revenue recognition to ensure accurate and timely billing. Monitor claim denials, rejections, and appeals; implement strategies to reduce errors and improve clean claim rates. Ensure compliance with billing regulations, coding guidelines, and payer requirements to maximize reimbursement and reduce revenue leakage. Accounts Receivable Management
Manage payment posting, denial management, and AR follow-up to reduce outstanding balances and improve cash flow. Analyze AR aging reports, identify trends, and implement strategies to reduce days in AR and optimize collections. Revenue Integrity and Compliance
Ensure compliance with healthcare regulations and payer policies, including HIPAA, CMS, and other applicable requirements. Conduct regular audits of revenue cycle processes, documentation, and coding practices to ensure accuracy and compliance. Financial Analysis and Reporting
Generate and analyze financial reports, revenue cycle metrics, and KPIs to support data-driven decision-making. Prepare and present performance reports, variance analyses, and recommendations to senior leadership. Staff Leadership and Development
Lead, mentor, and develop the revenue cycle team to ensure high performance and professionalism. Foster a culture of accountability, collaboration, and continuous improvement. Requirements Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field required; Master's degree preferred. 7-10 years of progressive experience in revenue cycle management, including 3-5 years in a leadership role. Required: Athena collector background and hands-on experience. Coding experience required. Strong knowledge of revenue cycle operations, billing regulations, coding standards, and payer reimbursement methodologies. Experience with revenue cycle systems such as Epic, Cerner, Meditech, and reporting tools. Strong analytical, problem-solving, and decision-making skills. Proven leadership experience managing both internal teams and third-party vendors. Demonstrated success with change management and the ability to operate both strategically and tactically. Excellent communication, interpersonal, and negotiation skills. Proven ability to drive process improvements and achieve financial performance goals. Athena reporting experience and experience in women's healthcare preferred but not required.
The Director of Revenue Cycle will be responsible for optimizing revenue capture, ensuring timely and accurate billing and collections, and maximizing reimbursement while maintaining compliance with regulatory requirements. The ideal candidate will have a strong background in revenue cycle management, excellent leadership skills, and a commitment to achieving financial excellence in healthcare. Responsibilities
Revenue Cycle Oversight Provide strategic leadership and direction for the revenue cycle department, including billing, coding, collections, and accounts receivable management. Develop and implement policies, procedures, and best practices to optimize revenue cycle processes and improve financial performance. Monitor key performance indicators (KPIs), revenue metrics, and financial benchmarks to assess performance and identify opportunities for improvement. Billing and Claims Management
Oversee charge capture, claims submission, and revenue recognition to ensure accurate and timely billing. Monitor claim denials, rejections, and appeals; implement strategies to reduce errors and improve clean claim rates. Ensure compliance with billing regulations, coding guidelines, and payer requirements to maximize reimbursement and reduce revenue leakage. Accounts Receivable Management
Manage payment posting, denial management, and AR follow-up to reduce outstanding balances and improve cash flow. Analyze AR aging reports, identify trends, and implement strategies to reduce days in AR and optimize collections. Revenue Integrity and Compliance
Ensure compliance with healthcare regulations and payer policies, including HIPAA, CMS, and other applicable requirements. Conduct regular audits of revenue cycle processes, documentation, and coding practices to ensure accuracy and compliance. Financial Analysis and Reporting
Generate and analyze financial reports, revenue cycle metrics, and KPIs to support data-driven decision-making. Prepare and present performance reports, variance analyses, and recommendations to senior leadership. Staff Leadership and Development
Lead, mentor, and develop the revenue cycle team to ensure high performance and professionalism. Foster a culture of accountability, collaboration, and continuous improvement. Requirements Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field required; Master's degree preferred. 7-10 years of progressive experience in revenue cycle management, including 3-5 years in a leadership role. Required: Athena collector background and hands-on experience. Coding experience required. Strong knowledge of revenue cycle operations, billing regulations, coding standards, and payer reimbursement methodologies. Experience with revenue cycle systems such as Epic, Cerner, Meditech, and reporting tools. Strong analytical, problem-solving, and decision-making skills. Proven leadership experience managing both internal teams and third-party vendors. Demonstrated success with change management and the ability to operate both strategically and tactically. Excellent communication, interpersonal, and negotiation skills. Proven ability to drive process improvements and achieve financial performance goals. Athena reporting experience and experience in women's healthcare preferred but not required.