Director of Revenue Cycle

About the Role

We are seeking an experienced revenue cycle leader to guide patient billing and financial operations for a healthcare organization in Seatac, Washington. This role is responsible for strengthening end-to-end revenue performance, supporting timely and accurate reimbursement, and leading teams that manage billing, collections, and payment posting.

Responsibilities

• Lead daily revenue cycle operations across patient intake, authorization, billing, payment posting, collections, and accounts receivable follow-up.
• Direct billing activities for multiple service lines, ensuring claims and invoices are processed accurately and within monthly close deadlines.
• Build and maintain controls, workflows, and policies that improve reimbursement accuracy, reduce revenue leakage, and support regulatory compliance.
• Monitor denied, underpaid, and aged accounts, driving timely appeals and corrective action to improve cash flow and lower bad debt exposure.
• Partner with payer contracting leadership to translate contract terms into effective billing practices and verify expected payment performance.
• Work closely with patients, insurers, government payers, and internal stakeholders to resolve complex reimbursement and account issues.
• Oversee the use, support, and optimization of revenue cycle applications, coordinating with IT and external vendors on training, maintenance, and system performance.
• Provide leadership to patient billing and finance teams through coaching, prioritization, and accountability for service levels and operational results.

Requirements

• Demonstrated leadership experience in healthcare revenue cycle, patient financial services, or revenue accounting.
• Strong understanding of accounts receivable management, billing operations, cash posting, collections, and denial resolution.
• Knowledge of revenue recognition principles, including ASC 606, and their practical application in financial operations.
• Familiarity with healthcare reimbursement processes involving commercial insurance, Medicare, and Medicaid.
• Working knowledge of medical billing systems and revenue cycle software; experience with D365 is beneficial.
• Ability to interpret payer contracts and collaborate across finance, legal, compliance, and operational teams.
• Solid understanding of medical terminology and its relevance to billing accuracy and claim adjudication.

Pay

The salary range for this position is $155k to $185k.

Benefits

• Medical, dental, and vision insurance
• Life and disability insurances
• Participation in the company’s 401(k) plan with a match
• 15 days of paid vacation
• 5 days of paid sick leave
• 10 paid holidays per calendar year