Director of Revenue Cycle Management
Description
We are seeking a highly skilled and strategic Director of Revenue Cycle Management to lead our revenue cycle operations and optimize the patient financial interaction along the care continuum. This leadership role offers an exciting opportunity to influence the financial health of our organization through innovative management and process improvements. The ideal candidate will bring extensive experience in revenue cycle processes, strong leadership capabilities, and a commitment to excellence.
As a Key Member Of Our Team, You Will
• Oversee the entire revenue cycle process, including billing, coding, collections, and accounts receivable management
• Develop and implement strategies to improve revenue cycle efficiency, accuracy, and cash flow
• Develop, lead and mentor a team of revenue cycle professionals to ensure high performance and continuous improvement
• Collaborate with clinical, financial, and operational teams to streamline workflows and enhance revenue capture
• Implement a Quality Assurance program for PFS functions and monitor staff and team performance, making changes, when required, to support accurate billing to payers and patients in a timely manner and compliance with laws and department procedures
• Ensure compliance with all relevant regulations, policies, and industry standards
• Identify opportunities for automation and technology integration to optimize revenue cycle operations
• Manage vendor relationships and negotiate contracts related to revenue cycle services
• Respond personally to concerns and/or complaints expressed by patients, visitors, hospital staff, and physicians in effort to support optimal operations and excellent customer service
• Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters
• Maintain extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers
• Serve as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS
• Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks
• Maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors
• Review and enhance insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current work flow
Why join us?
Our team has the unique and special opportunity to make a lasting impact in patients' lives during a meaningful journey. We offer a collaborative work environment, opportunities for professional growth, competitive pay and a healthy work-life balance.
Requirements
• Bachelor's degree in Healthcare Administration, Business, Finance, or related field; Master’s degree preferred
• Proven experience (typically 7+ years) in revenue cycle management within healthcare or a related industry
• Strong initiative, leadership and team management skills
• Excellent analytical, problem-solving, and organizational abilities
• In-depth knowledge of billing, coding, collections, and compliance regulations
• Proficiency with revenue cycle management software and healthcare information systems
• Exceptional communication and interpersonal skills
• Ability to adapt to changing industry standards and technological advancements
Medical Equipment Manufacturing
Finance and Sales
Full-time