Director of Revenue Cycle (Home Health)

About the role

The Director of Revenue Cycle is responsible for overseeing and optimizing the entire revenue cycle process, including patient intake, coding, billing, collections, accounts payable (AP), and accounts receivable (AR). This role ensures timely and accurate reimbursement for services provided while maintaining compliance with home health care regulations.

Responsibilities

• Oversee the daily operations of the entire revenue cycle process, including patient intake, coding, billing, collections, AP, and AR.
• Develop and implement strategies to optimize revenue and reduce days in accounts receivable.
• Ensure agency adherence to federal, state, and local regulations related to home health care billing and reimbursement; stay current with industry changes to maintain compliance.
• Advise senior management on issues affecting billing, reimbursement, and cash flow; partner with teams to resolve identified issues.
• Implement budgeting and accounting systems to oversee fiscal affairs; prepare reports analyzing billing and AR.
• Manage month-end closing reports, annual operations reporting, and agency evaluation.
• Lead and mentor a team of revenue cycle professionals, including billing specialists, coders, and collections staff; provide training on procedures and compliance.
• Identify opportunities for process improvements and establish benchmarks; leverage technology and automation to streamline operations.
• Work with patients, healthcare providers, and insurance companies to resolve billing issues and address inquiries; ensure clear communication and excellent customer service.
• Collaborate with other departments to ensure seamless integration of revenue cycle processes and support overall organizational goals.

Requirements

• Bachelor’s degree or minimum of 5 years of experience in healthcare billing/AR.
• Minimum 5 years of experience in home healthcare management preferred.
• Minimum 2 years of experience managing revenue cycle, billing, and accounts receivable departments.
• Proficient level experience in Homecare Homebase (HCHB).
• Strong fiscal management experience in Medicare home healthcare (preferably at the multi-site level).
• In-depth knowledge of different billing methodologies: PDGM revenue cycle, Fee for service, Review Choice Demonstration/PCR.
• Knowledge of ICD-10-CM, CPT, and HCPCS classification systems.
• Knowledge of UB04 and HMO billing; all associated fields for billing purposes.
• Strong working knowledge of revenue cycle management systems; ability to manage multiple systems for the agency.
• In-depth knowledge of home health care billing and reimbursement practices.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Strong organizational, analytical, and problem-solving skills.
• Excellent leadership and team management abilities.
• Exceptional communication and people skills.

Benefits

• Very competitive pay.
• Generous paid time off (PTO) and holidays.
• Medical, dental, and vision insurance.
• Company-paid life insurance & LTD/AD&D insurance.
• Short-term disability.
• Supplemental insurances (hospital indemnity, cancer policies, legal plans, and more).
• 401(k) company match.

Location: On-site in Houston, TX (77081).