Job Details
Position Summary:
We are seeking an experienced Director of Revenue Cycle to oversee and optimize the organization’s revenue cycle operations. This leader will be responsible for billing, collections, accounts receivable, claims management, reimbursement, and revenue integrity while driving financial performance, compliance, and operational efficiency.
Key Responsibilities:
- Lead and oversee all revenue cycle functions, including patient registration, billing, claims, collections, payment posting, and accounts receivable.
- Develop and implement strategies to improve cash flow, reimbursement, and overall revenue performance.
- Monitor key revenue cycle metrics, including days in A/R, denial rates, collection rates, and aging balances.
- Identify trends and implement corrective actions to reduce denials, claim errors, and revenue leakage.
- Oversee payer relationships, reimbursement issues, contract compliance, and claims resolution.
- Establish and maintain effective billing and collection policies and procedures.
- Lead revenue cycle staff, establish performance expectations, and provide coaching and development.
- Collaborate with finance, clinical operations, compliance, IT, and other departments to resolve revenue cycle issues.
- Ensure accurate and timely billing, payment posting, and account reconciliation.
- Oversee denial management, appeals, and follow-up activities.
- Analyze financial and operational reports and present revenue cycle performance to executive leadership.
- Ensure compliance with applicable healthcare billing regulations, payer requirements, HIPAA, and organizational policies.
- Identify opportunities to automate processes and improve revenue cycle technology and workflows.
- Lead continuous improvement initiatives to increase efficiency, accuracy, and revenue collection.
Required Qualifications:
- Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or a related field.
- 5 years of progressive healthcare revenue cycle experience, including leadership experience.
- Strong knowledge of medical billing, coding, claims processing, collections, denials, and reimbursement.
- Experience with healthcare payer requirements and revenue cycle systems.
- Strong analytical, financial, problem-solving, and leadership skills.
- Excellent communication and interpersonal skills.
- Proficiency with Microsoft Office and healthcare financial systems.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
Preferred Qualifications:
- Master’s degree in Healthcare Administration, Business, Finance, or a related field.
- Experience managing revenue cycle operations for a hospital, healthcare organization, medical group, or staffing organization.
- Experience with Medicare, Medicaid, commercial insurance, and managed care payers.
- Knowledge of revenue cycle analytics, automation, and process improvement.
- Experience with denial prevention and reimbursement optimization.
- Professional certification such as CRCR, HFMA, or related revenue cycle certification preferred.
- Strong strategic leadership and change-management skills.
Pay Rate
$87,817.00 - $122,616.00/year
About us :
At MedCadre , we’re dedicated collaborators, bridging the gap between top-tier professionals and healthcare organizations that prioritize excellence. By fostering transparent communication and leveraging deep industry expertise, we build enduring partnerships rooted in trust.
For more relevant healthcare job opportunities, please visit our website: MedCadre Careers
