Senior Director - Revenue Cycle
Bestcare, Omaha, NE, United States
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.**Job Summary:**Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE
Work Schedule: Monday through Friday, 8am - 5pm
Leads coding, authorization, referral management, registration, and centralized scheduling. Responsible for ensuring compliance, coding accuracy, efficient patient access while driving revenue integrity, denial reduction and provider productivity. Partners with internal stakeholders to standardize workflows, leverage technology, improve access, and enhance the patient and provider experience.**Responsibilities:**# **Essential Functions**Provides strategic and operational leadership for professional coding, prior authorization, referral management, registration, and centralized scheduling functions.Ensures regulatory compliance, coding accuracy, and adherence to payer and documentation requirements while mitigating audit and reimbursement risk.Drives revenue integrity through improved coding, authorization performance, clean claim rates, and denial prevention.Establishes standardized workflows, governance structures, and key performance indicators (KPIs) to improve efficiency, access, and financial outcomes.Oversees patient access operations, including scheduling, registration, and referrals, to enhance throughput, provider productivity, and patient experience.Partners with clinical, finance, IT, and revenue cycle leaders to identify revenue leakage, optimize performance, and align with organizational goals.Leverages technology and automation to streamline operations, improve accuracy, and support scalable growth.Monitors regulatory and payer changes; leads audits, education, and corrective actions to maintain compliance and operational alignment.Leads, develops, and mentors teams; establishes productivity and quality standards and supports workforce planning and engagement.Drives continuous improvement through data analysis, performance monitoring, and process optimization.This job description is not intended to be all-inclusive.
The employee may be required to perform other related duties assigned to meet the ongoing needs of the organization.**Schedule:**Work Schedule: Monday through Friday, 8am - 5pm**Job Description:**# **Job Requirements****Education:*** Bachelor’s degree in Health Information Management, Healthcare Administration, Nursing, Business Administration, related field, or equivalent combination of education and experience.* Master’s degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), or related discipline preferred.**Experience:*** Minimum of 10+ years of progressive leadership experience in physician-based coding, prior authorization, and revenue cycle operations.* Minimum of 5 years in a senior leadership role overseeing multi-specialty physician coding and authorization teams.* Experience with EHR and practice management**License/Certification:*** N/A**Skills/Knowledge and Abilities:*** Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems.* Strong understanding of payer prior authorization requirements across Medicare, Medicaid, and commercial plans.* Proficiency in analytics and reporting tools for denial management and performance monitoring.# **Physical Requirements****Weight Demands*** Light Work - Exerting up to 20 pounds of force.**Physical Activity*** Not necessary for the position (0%):
+ Climbing
+ Crawling
+ Kneeling* Occasionally Performed (1%-33%):
+ Balancing
+ Crouching
+ Distinguish colors
+ Lifting
+ Speaking/talking
+ Standing
+ Stooping/bending
+ Twisting
+ Walking* Frequently Performed (34%-66%):
+ Grasping
+ Keyboarding/typing
+ Pulling/Pushing
+ Reaching
+ Repetitive Motions
+ Sitting* Constantly Performed (67%-100%):
+ Hearing
+ Seeing/Visual**Job Hazards*** Not Related:
+ Chemical agents (Toxic, Corrosive, Flammable, Latex)
+ Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
+ Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
+ Equipment/Machinery/Tools
+ Explosives (pressurized gas)
+ Electrical Shock/Static
+ Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc.)
+ Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
+ Mechanical moving parts/vibrations**About Methodist:**Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law. #J-18808-Ljbffr
Address: 825 S 169th St. - Omaha, NE
Work Schedule: Monday through Friday, 8am - 5pm
Leads coding, authorization, referral management, registration, and centralized scheduling. Responsible for ensuring compliance, coding accuracy, efficient patient access while driving revenue integrity, denial reduction and provider productivity. Partners with internal stakeholders to standardize workflows, leverage technology, improve access, and enhance the patient and provider experience.**Responsibilities:**# **Essential Functions**Provides strategic and operational leadership for professional coding, prior authorization, referral management, registration, and centralized scheduling functions.Ensures regulatory compliance, coding accuracy, and adherence to payer and documentation requirements while mitigating audit and reimbursement risk.Drives revenue integrity through improved coding, authorization performance, clean claim rates, and denial prevention.Establishes standardized workflows, governance structures, and key performance indicators (KPIs) to improve efficiency, access, and financial outcomes.Oversees patient access operations, including scheduling, registration, and referrals, to enhance throughput, provider productivity, and patient experience.Partners with clinical, finance, IT, and revenue cycle leaders to identify revenue leakage, optimize performance, and align with organizational goals.Leverages technology and automation to streamline operations, improve accuracy, and support scalable growth.Monitors regulatory and payer changes; leads audits, education, and corrective actions to maintain compliance and operational alignment.Leads, develops, and mentors teams; establishes productivity and quality standards and supports workforce planning and engagement.Drives continuous improvement through data analysis, performance monitoring, and process optimization.This job description is not intended to be all-inclusive.
The employee may be required to perform other related duties assigned to meet the ongoing needs of the organization.**Schedule:**Work Schedule: Monday through Friday, 8am - 5pm**Job Description:**# **Job Requirements****Education:*** Bachelor’s degree in Health Information Management, Healthcare Administration, Nursing, Business Administration, related field, or equivalent combination of education and experience.* Master’s degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), or related discipline preferred.**Experience:*** Minimum of 10+ years of progressive leadership experience in physician-based coding, prior authorization, and revenue cycle operations.* Minimum of 5 years in a senior leadership role overseeing multi-specialty physician coding and authorization teams.* Experience with EHR and practice management**License/Certification:*** N/A**Skills/Knowledge and Abilities:*** Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems.* Strong understanding of payer prior authorization requirements across Medicare, Medicaid, and commercial plans.* Proficiency in analytics and reporting tools for denial management and performance monitoring.# **Physical Requirements****Weight Demands*** Light Work - Exerting up to 20 pounds of force.**Physical Activity*** Not necessary for the position (0%):
+ Climbing
+ Crawling
+ Kneeling* Occasionally Performed (1%-33%):
+ Balancing
+ Crouching
+ Distinguish colors
+ Lifting
+ Speaking/talking
+ Standing
+ Stooping/bending
+ Twisting
+ Walking* Frequently Performed (34%-66%):
+ Grasping
+ Keyboarding/typing
+ Pulling/Pushing
+ Reaching
+ Repetitive Motions
+ Sitting* Constantly Performed (67%-100%):
+ Hearing
+ Seeing/Visual**Job Hazards*** Not Related:
+ Chemical agents (Toxic, Corrosive, Flammable, Latex)
+ Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
+ Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
+ Equipment/Machinery/Tools
+ Explosives (pressurized gas)
+ Electrical Shock/Static
+ Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc.)
+ Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
+ Mechanical moving parts/vibrations**About Methodist:**Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law. #J-18808-Ljbffr