Director Of Revenue Cycle

Overview

• Lead revenue cycle operations for a healthcare organization, ensuring financial accuracy and operational efficiency across all departments.
• Collaborate with clinical and administrative teams to streamline workflows and enhance patient satisfaction.
• Develop and implement strategic initiatives to optimize collections and minimize denials effectively.
• Provide mentorship and guidance to revenue cycle teams, fostering professional growth and collaboration.
• Oversee credentialing and payer enrollment processes for healthcare providers with precision.
• Ensure compliance with federal, state, and industry-specific regulations in all operations.
• Leverage technology to enhance revenue cycle performance and reporting capabilities.
• Prepare and present detailed performance analyses to senior leadership for informed decision-making.

Key Responsibilities & Duties

• Manage billing, collections, authorizations, and credentialing processes across multiple locations efficiently.
• Monitor claim submissions, payment postings, and denial management workflows consistently.
• Ensure timely insurance verification and prior authorization procedures are in place.
• Collaborate with technology vendors to optimize electronic medical records and billing systems.
• Develop training programs and resources for revenue cycle staff to enhance skills.
• Support recruitment, onboarding, and professional development of team members effectively.
• Prepare audit reports and compliance documentation for internal and external stakeholders.
• Coordinate payer communications and resolve disputes effectively and efficiently.

Job Requirements

• Bachelor’s Degree in Healthcare Administration, Business, or related field; Master’s preferred.
• Certified Professional Coder (CPC) certification or equivalent preferred.
• Minimum 2 years of healthcare revenue cycle management experience; 5 years preferred.
• Proficiency in revenue cycle processes, compliance regulations, and payer requirements.
• Experience with Medicare, Medicaid, and commercial insurance systems.
• Strong leadership, communication, and analytical skills.
• Knowledge of surgical or specialty care settings advantageous.
• Ability to manage onsite teams effectively in a fast-paced environment.