
Director, Revenue Cycle (Internal Only)
Livingston HealthCare, Livingston, MT, United States
Career Opportunities with Livingston HealthCare
A great place to work.
Current job opportunities are posted here as they become available.
The Director of Revenue Cycle is responsible for overseeing all revenue cycle activities across Livingston Healthcare, with a focus on optimizing collections, improving operational performance, and supporting the financial sustainability of the organization. This role partners closely with clinical, operational, and finance leadership to ensure revenue cycle processes are efficient, compliant, and aligned with practice growth.
The Director will have end-to-end oversight of practice revenue cycle operations, including front-end processes (registration, eligibility, authorizations), clinical documentation, coding, charge capture, billing, collections, and denial management. This role will routinely evaluate workflows, work queues, and performance metrics to identify risks, inefficiencies, and opportunities for improvement, while driving accountability across teams.
The Revenue Cycle Director has direct oversight of the following areas:
Patient registration, eligibility, and financial clearance
Provider documentation and charge capture workflows
Professional and facility coding (CPT, ICD-10, HCPCS)
Billing, denials management, appeals, and payer follow-up
Self-pay collections and bad debt management
Credentialing and enrollment impact on revenue
Revenue integrity, charge lag, and claim edit management
The Director will actively monitor and report on key performance indicators, including but not limited to charge lag, gross and net collection rates, denial rates, self-pay performance, payer edit trends, and enrollment-related revenue impacts.
ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES
Define and execute revenue cycle strategy aligned with Livingston Healthcare’s operational and financial goals.
Evaluate current systems, workflows, and staffing models; implement improvements that enhance efficiency, accuracy, and collections.
Ensure compliance with federal and state regulations impacting professional billing, collections, and payer requirements.
Partner with Compliance and Credentialing teams on regulatory, enrollment, and payer-specific matters affecting revenue.
Proactively identify revenue risks and advise leadership on corrective actions.
Serve as escalation point for complex payer, billing, and collection issues.
Develop strong working relationships with payers and health plans to improve resolution timelines and reimbursement outcomes.
Oversee revenue cycle reporting and analytics; translate data into actionable insights for leadership and operations.
Support external audits, payer reviews, and special reporting requirements as needed.
Prepare annual staffing plans and operating budgets for revenue cycle functions; manage departmental expenses within approved budgets.
Lead, mentor, and hold revenue cycle leadership and staff accountable for performance and outcomes.
ADDITIONAL RESPONSIBILITIES
Performs other duties as assigned to meet the evolving needs of the organization.
OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES Supports and models individual behavior consistent with the Standards of Excellence and the mission, vision and values of Livingston Healthcare.
Demonstrates commitment to customer service by:
Building effective working relationships and treating others with respect.
Interacting with customers (patients, co-workers and visitors) in a warm and friendly way.
Taking immediate action to meet customers’ needs or request.
Attentive to each customer concern.
Demonstrates and encourages an ethic of open and effective communication and teamwork throughout the organization.
Adheres to Livingston HealthCare’s Code of Conduct and Livingston HealthCare and departmental compliance policies.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.
QUALIFICATIONS (Required)
Minimum is 5 years in healthcare management.
Excellent communication and interpersonal skills to include the ability to negotiate and resolve conflicts and build teams.
Demonstrated creativity and flexibility.
Ability to operate in high‑pressure situations.
Excellent organizational skills.
Demonstrated innovative approach to problem resolution.
Ability to work collaboratively across organizations, entities and disciplines.
Effective organizational, planning and project management abilities.
Ability to function independently and deal with multiple, simultaneous projects.
Ability to recognize personal strengths and weaknesses and develop goals for professional growth and achievement.
Ability to demonstrate a commitment to quality and excellence.
Ability to implement change in a positive, sensitive and forward‑thinking manner.
Planning and problem solving.
Developing goals and objectives, and establishing priorities.
Inspires confidence, appropriate risk taking and achievement of high standards.
Self‑starter with a willingness to try new ideas.
Positive, can‑do attitude coupled with a sense of urgency.
Good judgment and ability to act decisively at the right time.
Ability to persuade others and develop consensus.
Effective communication skills both in written and verbal presentation with a communication style that is open and fosters trust, credibility and understanding.
Ability to effect collaborative and promote teamwork.
Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders.
Ability to create win/win solutions and relationships.
Knowledge of general accounting principles.
Knowledge of medical terminology.
Knowledge and understanding of state and federal rules and regulations including laws regarding confidentiality, compliance, release of information, probate and lien legislation, Fair Debt Collection practices, and insurance regulations.
ADDITIONAL DESIRABLE QUALIFICATIONS
Preferred 10 years of healthcare management experience.
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A great place to work.
Current job opportunities are posted here as they become available.
The Director of Revenue Cycle is responsible for overseeing all revenue cycle activities across Livingston Healthcare, with a focus on optimizing collections, improving operational performance, and supporting the financial sustainability of the organization. This role partners closely with clinical, operational, and finance leadership to ensure revenue cycle processes are efficient, compliant, and aligned with practice growth.
The Director will have end-to-end oversight of practice revenue cycle operations, including front-end processes (registration, eligibility, authorizations), clinical documentation, coding, charge capture, billing, collections, and denial management. This role will routinely evaluate workflows, work queues, and performance metrics to identify risks, inefficiencies, and opportunities for improvement, while driving accountability across teams.
The Revenue Cycle Director has direct oversight of the following areas:
Patient registration, eligibility, and financial clearance
Provider documentation and charge capture workflows
Professional and facility coding (CPT, ICD-10, HCPCS)
Billing, denials management, appeals, and payer follow-up
Self-pay collections and bad debt management
Credentialing and enrollment impact on revenue
Revenue integrity, charge lag, and claim edit management
The Director will actively monitor and report on key performance indicators, including but not limited to charge lag, gross and net collection rates, denial rates, self-pay performance, payer edit trends, and enrollment-related revenue impacts.
ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES
Define and execute revenue cycle strategy aligned with Livingston Healthcare’s operational and financial goals.
Evaluate current systems, workflows, and staffing models; implement improvements that enhance efficiency, accuracy, and collections.
Ensure compliance with federal and state regulations impacting professional billing, collections, and payer requirements.
Partner with Compliance and Credentialing teams on regulatory, enrollment, and payer-specific matters affecting revenue.
Proactively identify revenue risks and advise leadership on corrective actions.
Serve as escalation point for complex payer, billing, and collection issues.
Develop strong working relationships with payers and health plans to improve resolution timelines and reimbursement outcomes.
Oversee revenue cycle reporting and analytics; translate data into actionable insights for leadership and operations.
Support external audits, payer reviews, and special reporting requirements as needed.
Prepare annual staffing plans and operating budgets for revenue cycle functions; manage departmental expenses within approved budgets.
Lead, mentor, and hold revenue cycle leadership and staff accountable for performance and outcomes.
ADDITIONAL RESPONSIBILITIES
Performs other duties as assigned to meet the evolving needs of the organization.
OTHER FUNCTIONS, DUTIES AND RESPONSIBILITIES OF ALL EMPLOYEES Supports and models individual behavior consistent with the Standards of Excellence and the mission, vision and values of Livingston Healthcare.
Demonstrates commitment to customer service by:
Building effective working relationships and treating others with respect.
Interacting with customers (patients, co-workers and visitors) in a warm and friendly way.
Taking immediate action to meet customers’ needs or request.
Attentive to each customer concern.
Demonstrates and encourages an ethic of open and effective communication and teamwork throughout the organization.
Adheres to Livingston HealthCare’s Code of Conduct and Livingston HealthCare and departmental compliance policies.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.
QUALIFICATIONS (Required)
Minimum is 5 years in healthcare management.
Excellent communication and interpersonal skills to include the ability to negotiate and resolve conflicts and build teams.
Demonstrated creativity and flexibility.
Ability to operate in high‑pressure situations.
Excellent organizational skills.
Demonstrated innovative approach to problem resolution.
Ability to work collaboratively across organizations, entities and disciplines.
Effective organizational, planning and project management abilities.
Ability to function independently and deal with multiple, simultaneous projects.
Ability to recognize personal strengths and weaknesses and develop goals for professional growth and achievement.
Ability to demonstrate a commitment to quality and excellence.
Ability to implement change in a positive, sensitive and forward‑thinking manner.
Planning and problem solving.
Developing goals and objectives, and establishing priorities.
Inspires confidence, appropriate risk taking and achievement of high standards.
Self‑starter with a willingness to try new ideas.
Positive, can‑do attitude coupled with a sense of urgency.
Good judgment and ability to act decisively at the right time.
Ability to persuade others and develop consensus.
Effective communication skills both in written and verbal presentation with a communication style that is open and fosters trust, credibility and understanding.
Ability to effect collaborative and promote teamwork.
Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders.
Ability to create win/win solutions and relationships.
Knowledge of general accounting principles.
Knowledge of medical terminology.
Knowledge and understanding of state and federal rules and regulations including laws regarding confidentiality, compliance, release of information, probate and lien legislation, Fair Debt Collection practices, and insurance regulations.
ADDITIONAL DESIRABLE QUALIFICATIONS
Preferred 10 years of healthcare management experience.
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