Director Revenue Cycle Operations

Our client, a leading patient-centered and integrated medical center dedicated to delivering high-quality healthcare, is hiring an Director of Revenue Cycle Operations. The Director will play a critical role in managing revenue cycle activities, optimizing workflows, and increasing cash flow. This leadership position involves overseeing billing operations, developing strategic initiatives, and collaborating with multidisciplinary teams to ensure operational efficiency and compliance. The role requires proactive management, staff supervision, and continuous process improvement to support the medical center’s financial health.

Responsibilities:

• Lead projects aimed at enhancing cash flow, managing growth, and improving operational quality.
• Serve on the management team of the Billing Office, overseeing revenue cycle leaders across functional areas.
• Develop project plans, analyze data, and provide strategic recommendations to leadership.
• Collaborate with practice managers, account managers, revenue cycle staff, vendors, managed care, credentialing, and IT teams.
• Monitor reports, work queues, and accounts receivable to ensure minimal open balances.
• Train staff in work procedures, policies, and compliance standards.
• Supervise billing employees, assign priorities, and evaluate performance.
• Address employee issues and ensure adherence to accuracy and timeliness standards.
• Compile and present statistical reports on cash flow, referral patterns, and volume trends.
• Review claims and explain complex issues not covered by standard practices.
• Delegate and evaluate billing activities across multiple groups.
• Provide guidance on coding and reimbursement policies, ensuring billing compliance and minimizing denials.
• Identify denial trends, train staff accordingly, and implement corrective actions.
• Review charge forms for completeness, accuracy, and compliance.
• Ensure timely billing submission, collection, and follow-up with vendors.
• Analyze denial data to focus improvement initiatives and reduce open accounts.
• Monitor staff productivity and quality metrics.
• Collaborate with coders and practice staff to align billing practices with current policies and manuals.
• Respond to practice, physician, and patient inquiries according to established guidelines.
• Assist front-end staff with insurance verification and clearance processes.
• Liaise with external billing vendors for data and collections inquiries.

Requirements:

• Minimum 5-7 years of relevant experience in revenue cycle management or equivalent training.
• Bachelor's degree preferred.
• Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing processes.
• Proven leadership skills with the ability to develop effective working relationships.
• High level of accuracy and attention to detail in reviewing charge batches and data analysis.
• Excellent communication and staff training skills.
• Ability to analyze complex billing issues and recommend effective solutions.

Some of the Benefits:

• Competitive salary package commensurate with experience.
• Comprehensive health, dental, and vision insurance plans.
• Retirement savings options.
• Paid time off and holidays.
• Opportunities for professional development and continuous learning.
• Supportive work environment with a focus on work-life balance.

Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
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