Director of Revenue Cycle

Key Responsibilities

• Manage end-to-end revenue cycle operations for multiple healthcare provider clients.
• Oversee medical billing, claims submission, payment posting, denial management, and accounts receivable follow-up.
• Monitor revenue cycle performance metrics, including clean claim rate, denial rate, days in A/R, net collection rate, and reimbursement trends.
• Develop and implement strategies to improve cash flow and maximize client revenue.
• Lead, coach, and develop revenue cycle staff, including billing specialists, collectors, and team leads.
• Conduct regular audits to ensure compliance with payer guidelines, HIPAA regulations, and client-specific requirements.
• Collaborate with clients to identify operational challenges and recommend revenue cycle improvements.
• Review aging reports and establish collection priorities to reduce outstanding balances.
• Analyze denial trends and implement corrective action plans to minimize future claim rejections.
• Prepare and present revenue cycle performance reports to clients and executive leadership.
• Partner with coding, compliance, and operational teams to resolve complex billing issues.
• Maintain knowledge of healthcare reimbursement methodologies, including commercial insurance, Medicare, Medicaid, and managed care plans.
• Assist with client onboarding, process documentation, and workflow optimization initiatives.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field preferred.
• 5+ years of progressive revenue cycle management experience.
• Experience working for a healthcare provider, physician group, hospital system, or third-party revenue cycle management company.
• Strong knowledge of medical billing, coding, claims processing, collections, and payer reimbursement methodologies.
• Experience managing teams and client relationships.
• Proficiency with EMR/EHR and practice management systems such as Epic, eClinicalWorks, athenaOne, or similar platforms.
• Advanced skills in Microsoft Excel and revenue cycle reporting.
• Strong analytical, problem-solving, and communication skills.