Assistant Director, Revenue Cycle

About the Role

This is a hands-on, results-driven leadership position that oversees daily revenue cycle operations. The Assistant Director will split their time between strategic team management and working alongside team members to execute daily revenue cycle tasks directly.

Responsibilities

• Supervise Revenue Cycle Managers in areas including Billing, Coding, Payment Posting, Insurance Follow-up, Credit Balance/Refunds, and Customer Service.
• Support Managers in supervision and training of revenue cycle staff and Team Leads; assist with hiring and personnel concerns.
• Develop, implement, and maintain policies and procedures to improve operational efficiency and accuracy across all revenue cycle functions.
• Monitor key performance indicators (KPIs), analyze denial and payment delay trends, and provide reports and recommendations to leadership to drive improvements.
• Maintain understanding of EDI Management for oversight and tracking of Payer portals, clearinghouse, ERA and EFT access and enrollments to streamline and improve efficiency in claims billing.
• Oversee revenue cycle team to ensure all defined metrics and goals are communicated and obtained; implement process improvement and training as needed.
• Ensure defined goals align with quality, efficiency, and maximum revenue generation.
• Maintain knowledge and understanding of billing and coding regulations to ensure compliance.
• Understand and apply payer billing/claims policies and reimbursement, including CMS Medicare, Medicaid, and Managed Care products.
• Perform and/or oversee daily, weekly, and monthly audits on all department processes to ensure production and quality assurance goals and standards are achieved and maintained; address any variances with Managers.
• Maintain regularly scheduled meetings with respective Managers and Team Leads to ensure uninterrupted revenue cycle operations with a focus on increased efficiency and production quality.
• Serve as subject matter expert in all revenue cycle operations.
• Ensure all implemented processes and new projects are maintained successfully, with timely feedback provided to the Director of Revenue Cycle.
• Foster effective communication and collaboration with the Director of Revenue Cycle and other internal departments.
• Ensure timely communication with the Revenue Cycle IT team for ticket completion, including insurance master updates, hold maintenance and updates, clearinghouse issues and enrollments, and system issues for operations.
• Attend staff meetings or other company-sponsored or mandated meetings as required.
• Perform additional duties as assigned; ability to work off-hours when required.

Requirements

• Bachelor's degree in healthcare administration, business administration, or a related field (Master's degree preferred).
• Extensive experience in institutional coding, institutional billing, institutional denials management, and payment posting.
• In-depth knowledge of healthcare regulations, privacy laws, billing requirements, CMS and State regulations, and payer policies.
• Strong leadership and team management skills.
• Intermediate to advanced Microsoft Excel and Microsoft Office skills.
• Excellent communication and interpersonal skills.
• Ability to analyze data, identify trends, and make data-driven decisions.
• Proficient in using healthcare information systems and patient access software.
• Knowledge of revenue cycle management processes and strategies.
• Proven track record in process improvement and implementing best practices.
• Demonstrated ability to lead and motivate teams, collaborate with other departments, and act as a strategic partner to the Revenue Cycle Director.