Director, Revenue Cycle (30812)
About the role
Run day-to-day billing operations (charge entry, coding, AR follow-up, and denial management) and keep everything running on time and on target.
Own our revenue cycle KPIs: Days in A/R, denial rates, clean claim rate, and cash collections, with a focus on continuous improvement.
Dig into denials, rejections, and payer trends to find root causes and put fixes in place that stick.
Drive EMR optimization - workqueues, edits, and automation - working hand-in-hand with IT and operations to reduce manual lift.
Lead process improvement initiatives that cut rework, raise first-pass resolution, and make the whole team faster and smarter.
Partner with clinical and administrative leaders to tackle upstream issues including documentation gaps, authorization delays and scheduling problems before they hit revenue.
Build, coach, and develop a team of supervisors, leads, and billing staff who are accountable, skilled, and motivated.
Keep us compliant (coding guidelines, billing regulations, audit standards) and ready for whatever comes next.
Support growth: new service lines, provider onboarding, payer contract changes, and beyond.
Qualifications and Experience
- Bachelor’s degree in healthcare administration, business, finance, or related field required.
- Master’s degree (MBA, MHA, or related), preferred.
- Certification such as CPC, CPB, CRCR, or HFMA credential.
- 5+ years of progressive experience in professional billing or revenue cycle management.
- 3+ years of leadership experience overseeing multi-functional billing teams.
- Experience in multi-specialty or large physician group environments.
- Demonstrated success improving KPIs and leading operational transformation.