Director Revenue Cycle Patient Accounting

Job Summary

The Director is responsible for directing and coordinating all aspects of patient financial services, including professional and hospital claims billing, cash posting, and management of patient receivables. This role ensures timely, compliant, and accurate billing and collections processes to optimize revenue while improving patient and customer satisfaction.

This position plays a key role in monitoring pertinent revenue cycle metrics, including charge lag, denial rates, days in Accounts Receivable, and cash collections. The Director also collaborates with leadership and physicians to develop and implement best practices in patient accounting, while ensuring compliance with all federal, state, and contractual requirements.

Job Responsibilities

• Directs daily operations of patient accounting including Epic-based billing, follow-up, payment posting, and Accounts Receivable resolution for both professional and hospital services.
• Ensures accurate and timely claim submission and remittance processing using Epic Resolute Hospital Billing/Professional Billing (HB/PB) and associated claims tools.
• Manages automation tools such as Epic Clearinghouse Integration, Batch Posting, and Auto-Posting configurations.
• Manages and mentors a team of managers and supervisors, ensuring effective use of Epic workflows and task lists.
• Collaborates with Epic Application Support, IT, Revenue Integrity, and clinical departments to resolve issues affecting billing and collections.
• Participates in Epic upgrade testing, revenue cycle optimization projects, and system-wide Epic governance committees as needed.
• Identifies opportunities for automation and improved integration between Epic and external vendors.
• Ensures Epic workflows meet payer billing requirements and comply with Center for Medicare and Medicaid Services (CMS) and state guidelines.
• Works with Compliance and Internal Audit to monitor Epic workflows for proper controls, segregation of duties, and documentation.
• Prepares and manages the patient accounting departmental budget; tracks Epic-related technology costs and identifies Return On Investment (ROI) opportunities.

Skills Required

• Minimum eight (8) years of experience in Hospital and Professional billing and claims in an Epic environment.
• Experience with Epic systems.
• Extensive knowledge of healthcare revenue cycle management, particularly in patient accounting.
• Advanced knowledge of Microsoft 365 and other applicable software applications.
• Strong leadership and team management skills, with a focus on improving efficiency and patient satisfaction.
• Sound organizational skills to manage multiple tasks and deadlines effectively with the ability to identify and resolve problems efficiently.
• Strong ability to develop and execute strategies that improve billing and Accounts Receivable management.
• Effective ability to work in a collaborative team environment and build strong relationships with team members.

Education Required

• Bachelor's degree in Business, Healthcare, or related field.