Director Of Revenue Cycle

Overview

• Lead revenue cycle operations for a multisite surgical practice, ensuring financial integrity and compliance.
• Collaborate with clinical and business teams to optimize workflows and enhance patient experience.
• Develop strategic plans to improve collections, reduce denials, and streamline processes.
• Provide leadership and mentorship to onsite and remote revenue cycle teams.
• Oversee credentialing and payer enrollment for all billable staff.
• Ensure compliance with federal, state, and payer-specific regulations.
• Implement technology solutions to enhance revenue cycle performance.
• Prepare and present performance reports and dashboards to senior leadership.

Key Responsibilities & Duties

• Manage billing, collections, authorizations, and credentialing across multiple locations.
• Monitor claim submission, payment posting, and denial management processes.
• Ensure timely insurance verification and prior authorization procedures.
• Collaborate with EMR and billing vendors to optimize tools and workflows.
• Develop training materials and job aids for revenue cycle staff.
• Support recruitment and onboarding of revenue cycle personnel.
• Prepare audit reports and presentations for internal projects.
• Coordinate payer communications and dispute resolution processes.

Job Requirements

• Bachelor’s Degree in Healthcare Administration, Business, or related field; Master’s preferred.
• Certified Professional Coder (CPC) certification required.
• 6-8 years of progressive healthcare revenue cycle management experience, including 4 years in leadership.
• Proficiency in end-to-end revenue cycle processes and compliance regulations.
• Experience with Medicare, Medicaid, commercial insurance, and Workers’ Compensation.
• Strong leadership, communication, and analytical skills.
• Knowledge of surgical or specialty care settings preferred.
• Ability to manage onsite and remote teams effectively.