Revenue Cycle Director

Position Overview

The Revenue Cycle Director oversees the billing, payment posting, collections, and verification/authorization management for the billing team. They also direct billing and are responsible for financial analysis and audit preparation.

Primary Functions

• Oversight of a billing team of up to 8 staff
• Maintain billing systems and insurance verification/authorization management
• Prepare recurring and adjusting journal entries
• Perform financial analysis for audits and analyze receivables and income
• Evaluate work productivity standards and set achievable goals for accounts receivable reduction
• Review payer-aging reports and establish goals for cash acceleration
• Communicate with leaders about potential systemic issues and high-risk situations
• Develop cross-training plans for staff
• Maintain billing and accounts receivable guidelines by writing and updating policies and procedures
• Create and distribute analytical reports on productivity, billing, collections, denials, and write-offs
• Possess intermediate computer skills, including knowledge of word processor, spreadsheet, and database software
• Write formal staff evaluations and offer mentoring opportunities

Qualifications and Attributes

• 5 years of experience in healthcare revenue cycle management and/or medical billing processes, including knowledge of ICD-10, CPT, and HCPCS codes
• 5 years of progressive related supervisory experience
• Experience with Electronic Health Record (EHR) systems, Medical Billing Clearinghouses
• Intermediate computer skills with demonstrated strengths in Excel and database software
• Strong problem-solving and analytical skills
• Ability to lead and work effectively in a team environment and independently when necessary

Education and Experience

• Minimum of Associate’s Degree in Accounting, Bachelor’s degree in Accounting preferred