Director of Revenue Cycle Management

About the Company: Our client is a rapidly growing healthcare organization who are looking to add a Director of Revenue Cycle Management to their team. The organization has enjoyed incredible success in the last few years' and are seeking a candidate with a similar background in healthcare to join their team as they continue their expansion. Full-time benefits include: Senior leadership Retirement saving plan Strong health / dental / vision Life Insurance Strong PTO Personal illness Disability cover SUMMARY We are seeking a dedicated Director of Revenue Cycle . Reporting to the Chief Financial Officer, the Director of Revenue Cycle is accountable for ensuring the coordination of all revenue cycle functions and activities with the goal of optimizing revenue. This position directs the operations of patient scheduling and registration, insurance verification, provider enrollment, clinical documentation management program(s), authorizations, patient accounting and collections, reimbursement denial management, health information management, and charge description master file maintenance. The Director assumes responsibility to direct, plan and supervise activities of patient registration and financial services, case management, utilization review, and health information management functions involved in following patients throughout continuum of care to ensure optimum utilization of resources, service delivery and compliance with external requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES Assures revenue cycle activities are coordinated and integrated with other related departments such as patient registration, financial services, case management, utilization review, and health information management. Serves as the primary contact for senior leadership, providing high-level communications and status reporting of revenue cycle metrics, initiatives, opportunities, and timely issues resolution. Develops and implement standards, processes, and controls for all billing activities to ensure a timely, correct and appropriate revenue cycle process. Standardizes revenue cycle reporting to include benchmarks and key performance indicators for departments reporting to revenue cycle. Requests, prepares, and maintains reports on billing, coding, utilization and collection activities. Monitors aged accounts and verifies appropriate collections procedures are being followed. Reviews, monitors and recommends updates to the Clinic's fee schedule to maintain fees at levels that maximize reimbursement. Educates management and staff on revenue cycle standards and provides timely feedback of key performance indicators. Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers. Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers. Works with departments to develop and maintain internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions. Leads denial management initiatives, collaborating with various clinical and financial team to identify, evaluate and address patterns of rejections, root causes of payment delays and/or payer denials with focus on improving workflows, optimizing revenue collections, and reducing avoidable write-offs. Manages and implements chart audit process. Directs, plans and supervises activities of case managers and discharge planners in following patients throughout the continuum of care to include strategic planning and daily management of operations related to case management for all inpatient units; ensure optimum utilization of resources, service delivery and compliance with external requirements. Participates in multidisciplinary team meetings regarding the planning and implementation of patient care and denials; facilitates communication and problem solving related to discharge planning. Chairs the Revenue Cycle Governance Committee and directs the Charge Master and Denial Management committees. Organizes the agendas, ensures appropriate representation, and bring reports and data to support decision-making. Actively participates in the Utilization Management Committee and provides monthly statistical activity report. Maintains liaison with physicians, hospital administration and ancillary department managers to analyze unit needs, identify problems and effect change as needed to improve services. Other duties may be assigned. QUALIFICATIONS Required: Bachelor's degree in Accounting or other related field, or in lieu of degree, two years of experience for each year of college required; Previous management or supervisory experience; In depth knowledge of hospital, charging and billing practices normally acquired through 5 or more years' experience in a department that performs revenue cycle functions (e.g., patient accounts, registration, coding, etc.) in order to understand revenue cycle issues. Working knowledge of Meditech, Epic or other similar electronic health application(s); Excellent communication and customer service skills; Excellent public speaking and presentation skills; Proficient in Microsoft Office applications, including strong Excel skills; Excellent analytical and problem-solving skills. #LI-DG1 #INSEP2025 #LI-Hybrid #ZRCFS Director of Revenue Cycle Management Director of Revenue Cycle Management Director of Revenue Cycle Management Director of Revenue Cycle Management Director of Revenue Cycle Management Director of Revenue Cycle Management

Created: 2025-09-25