Sr. Director, Ambulatory Services Revenue Cycle
Direct Jobs, Valhalla, NY, United States
Job Summary
The Sr. Director, Ambulatory Services, Revenue Cycle is responsible for day-to-day operations for the professional revenue cycle across the WMCHealth Network’s employed and faculty practice groups, representing approximately 800–1,000 providers. This specifically covers providers in all of WMC Health’s Advanced Physician Services, including the West Division. The Sr. Director is responsible for maximizing revenue capture, improving cash flow, standardizing processes, and ensuring an excellent patient financial experience across the ambulatory enterprise. This role reports to the Vice President, Revenue Cycle. Responsibilities
Strategic Leadership & Governance
Maintain enterprise KPIs and payer performance dashboards for ambulatory/professional revenue cycle (e.g., cash-to-target, yield per wRVU, avoidable denials %, initial denial rate, POS collections, days in A/R, >90-day A/R %, cost-to-collect). Report performance metrics monthly to the SVP of Revenue Cycle Service EVP and Chief Ambulatory Officer
Operational & Financial Accountability
Lead a team of directors, managers, and staff responsible for front-end, mid-cycle, and back-end revenue cycle operations, with accountability for hundreds of FTEs across scheduling, registration, insurance verification, coding, billing, collections, denials management, and customer service. Drive sustainable improvement in cash collections, A/R aging, denials prevention, and payer yield.
Provider & Practice Integration
Partner with ambulatory leadership to integrate revenue cycle best practices into scheduling, provider template design, referral integrity, and patient access workflows. Ensure coordination with hospital revenue cycle management to deliver a unified patient financial experience across hospital and professional billing.
Technology, Vendor, & Process Optimization
Lead optimization of EMR and practice management systems (Cerner, other ambulatory EMRs) in partnership with IT and practice leadership. Manage key vendor relationships (including Change Healthcare) to maximize value, compliance, and performance.
Compliance & Regulatory Leadership
Ensure compliance with CMS/Medicare regulations, payer rules, government reimbursement programs, and audit requirements. Standardize coding, charge capture, and documentation practices in partnership with compliance and clinical leaders.
Qualifications/Requirements
Education: Bachelor’s degree required in accounting, finance, business administration, or healthcare administration; MBA or related Master’s strongly preferred. Experience: Minimum 5 years of progressive leadership in professional/physician revenue cycle within a large, complex health system or academic medical center; demonstrated track record managing organizations of 800+ providers. Knowledge & Skills:
Deep expertise in professional billing, collections, denials management, and payer relations. Familiarity with Cerner, and Epic Professional Billing preferred. Demonstrated ability to lead large teams, manage budgets, and deliver measurable financial performance. Strategic thinker with proven ability to partner with clinical and operational leaders in a matrix environment. High integrity, accountability, and commitment to excellence and innovation.
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The Sr. Director, Ambulatory Services, Revenue Cycle is responsible for day-to-day operations for the professional revenue cycle across the WMCHealth Network’s employed and faculty practice groups, representing approximately 800–1,000 providers. This specifically covers providers in all of WMC Health’s Advanced Physician Services, including the West Division. The Sr. Director is responsible for maximizing revenue capture, improving cash flow, standardizing processes, and ensuring an excellent patient financial experience across the ambulatory enterprise. This role reports to the Vice President, Revenue Cycle. Responsibilities
Strategic Leadership & Governance
Maintain enterprise KPIs and payer performance dashboards for ambulatory/professional revenue cycle (e.g., cash-to-target, yield per wRVU, avoidable denials %, initial denial rate, POS collections, days in A/R, >90-day A/R %, cost-to-collect). Report performance metrics monthly to the SVP of Revenue Cycle Service EVP and Chief Ambulatory Officer
Operational & Financial Accountability
Lead a team of directors, managers, and staff responsible for front-end, mid-cycle, and back-end revenue cycle operations, with accountability for hundreds of FTEs across scheduling, registration, insurance verification, coding, billing, collections, denials management, and customer service. Drive sustainable improvement in cash collections, A/R aging, denials prevention, and payer yield.
Provider & Practice Integration
Partner with ambulatory leadership to integrate revenue cycle best practices into scheduling, provider template design, referral integrity, and patient access workflows. Ensure coordination with hospital revenue cycle management to deliver a unified patient financial experience across hospital and professional billing.
Technology, Vendor, & Process Optimization
Lead optimization of EMR and practice management systems (Cerner, other ambulatory EMRs) in partnership with IT and practice leadership. Manage key vendor relationships (including Change Healthcare) to maximize value, compliance, and performance.
Compliance & Regulatory Leadership
Ensure compliance with CMS/Medicare regulations, payer rules, government reimbursement programs, and audit requirements. Standardize coding, charge capture, and documentation practices in partnership with compliance and clinical leaders.
Qualifications/Requirements
Education: Bachelor’s degree required in accounting, finance, business administration, or healthcare administration; MBA or related Master’s strongly preferred. Experience: Minimum 5 years of progressive leadership in professional/physician revenue cycle within a large, complex health system or academic medical center; demonstrated track record managing organizations of 800+ providers. Knowledge & Skills:
Deep expertise in professional billing, collections, denials management, and payer relations. Familiarity with Cerner, and Epic Professional Billing preferred. Demonstrated ability to lead large teams, manage budgets, and deliver measurable financial performance. Strategic thinker with proven ability to partner with clinical and operational leaders in a matrix environment. High integrity, accountability, and commitment to excellence and innovation.
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