Director of Revenue Cycle Management overseeing billing operations across multiple states in healthcare. Leading improvements in revenue cycle processes and enhancing visibility across the organization.
Responsibilities
Lead end-to-end and revenue cycle operations including billing, claims submissions, denial management, accounts receivable and collections
Evaluate existing processes and implement improvements to increase accuracy, efficiency and scalability
Lead the development of modern, scalable revenue cycle infrastructure capable of supporting continued organizational growth and multi-state expansion
Oversee billing operations across multiple payer types (Medicaid, managed care, etc.)
Monitor and improve key revenue cycle metrics including days in accounts receivable, denial rates, clean claim rates and collections performance
Implement strategies reduce aging AR and improve overall cash flow
Create workflows, policies and procedures across revenue cycle operations
Partner with Finance, IT and Operations to evaluate and optimize revenue cycle technology, including billing platforms, reporting tools and automations opportunities to improve efficiency, accuracy and scalability
Implement reporting and dashboards to improve data visibility and operational decision making
Partner with the VP of Finance, Accounting and FP&A to support revenue forecasting, financial planning and cash flow projections
Collaborate with Operations, Compliance and IT to ensure alignment between service delivery, payroll and billing
Provide senior leadership with insights into revenue performance, reimbursement trends and operational risks
Lead and develop revenue cycle team members responsible for billing, accounts receivable and collections
Establish performance metrics and accountability structures
Build a foundation of operational excellence, accountability, and continuous improvement
Requirements
Bachelor’s degree in Finance, Healthcare Administration, Business Administration or related field; Master’s degree preferred
8+ years of progressive experience in healthcare revenue cycle leadership
Experience managing billing and accounts receivable operations in a healthcare environment
Strong experience with Medicaid and government payer billing
Experience improving revenue cycle processes within a growing or complex organization
Deep knowledge of healthcare billing, reimbursement structures and payer regulations
Strong technical aptitude with revenue cycle systems, reporting tools, and process automation with the ability to leverage technology to improve operational efficiency and data visibility
Experience implementing revenue cycle metrics, reporting frameworks and performance dashboards
Experience operating in multi-state healthcare environments
Experience in home care, healthcare services, or value-based healthcare models preferred
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