Director Professional Billing Revenue Cycle

Under the direction of the Senior Director of Professional Billing and Revenue Integrity, this role provides strategic and operational leadership for physician billing and revenue cycle activities across the Physician Organization. The Director oversees charging and billing processes, work queue management, and ensures timely and effective follow-up of outstanding claims through the third-party billing vendor.

Responsibilities

• Provide strategic leadership and oversight of Billing Operations, establishing departmental priorities, performance expectations, and operational strategies while directing the Billing Senior Manager and their team to achieve short- and long-term organizational, service quality, and compliance objectives.
• Partner with Revenue Cycle leadership, Vendor Operations, and third-party billing vendors to optimize billing performance, maximize revenue capture, and ensure timely, accurate reimbursement.
• Lead the transformation and continuous improvement of physician revenue cycle processes, driving operational efficiency, financial performance, and organizational effectiveness.
• Monitor revenue cycle performance through Epic dashboards, reports, and key performance indicators to proactively identify risks, barriers, and opportunities for improvement.
• Serve as the primary operational liaison among physician practices, clinical leaders, third-party vendors, and Revenue Cycle departments to ensure service levels, communication, and performance objectives are met.
• Oversee the implementation, optimization, and governance of revenue cycle technologies, business processes, and workflow enhancements to improve productivity, quality, and compliance.
• Develop and communicate performance metrics and financial indicators to leadership, conducting trend analysis, root cause investigations, and corrective action planning to improve financial outcomes.
• Champion automation, system enhancements, and process standardization initiatives that streamline operations, reduce manual effort, and improve revenue cycle performance and collections.

Requirements

• Bachelor’s Degree in Business, Finance, Financial Management, Healthcare Administration, or a related field with a minimum of 10 years of related experience in healthcare revenue cycle operations; or an equivalent combination of education and experience.
• Master’s Degree in Business or Healthcare Administration preferred.
• Experience utilizing Epic system software preferred.

Skills

• Physician Revenue Cycle Expertise: Comprehensive knowledge of physician revenue cycle operations, including billing, claims management, payer reimbursement methodologies, denial management, regulatory requirements, and payment policies.
• Coding & Regulatory Knowledge: Strong understanding of CPT coding principles, payer reimbursement rules, and third-party payer regulations to ensure compliance and optimize revenue capture.
• Operational & Vendor Management: Knowledge of principles involved in managing physician revenue cycle operations, staff performance management, resource allocation, work prioritization, and third-party vendor governance.
• Advanced Analytics: Ability to interpret data, identify performance trends, perform root cause analysis, and develop actionable solutions via Epic dashboards and data models.
• Relationship Management & Communication: Ability to effectively engage, influence, and communicate with executive leadership, physician practices, operational teams, vendors, and both technical and non-technical stakeholders.
• Healthcare Technology Systems: Proficiency with healthcare technology and data systems, including Epic, nThrive, payer portals, and Microsoft Office applications (particularly Excel) for reporting and performance monitoring.
• Change Management & Process Optimization: Knowledge of change management methodologies and the ability to design policies, workflows, automation opportunities, and operational strategies that enhance efficiency and financial outcomes.

Pay

Compensation range: $122,000.00 - $177,000.00. This range offers an estimate based on the minimum job qualifications. Factors considered include education, experience, skills, certifications/licensures, business/organizational needs, internal equity, and market competitiveness. Geographic location may modify the range.

Benefits

• Medical, dental, vision, and pharmacy benefits
• Discretionary annual bonuses and merit increases
• Flexible Spending Accounts
• 403(b) savings matches
• Paid time off
• Career advancement opportunities
• Resources to support employee and family well-being

Schedule

Full Time