Director of Revenue Cycle

Join a Team That Makes a Difference at Optimus Health Care!

Are you passionate about working for an organization that provides high-quality, patient-centered care? Optimus Health Care-the largest provider of primary health care services in Fairfield County-is looking for dedicated professionals to join our team! With multiple locations in Bridgeport, Stratford, and Stamford, our mission is to be a lifelong health care partner, dedicated to achieving optimal wellness for the communities we serve.

Optimus Healthcare is looking for an experienced Director of Revenue Cycle with at least 8 years of progressively responsible revenue cycle management experience and at least 5 years in a senior revenue cycle leadership role. to join our team onsite in Stratford.

The Director of Revenue Cycle is responsible for the strategic, operational, financial, and personnel leadership of Optimus Health Care's end-to-end revenue cycle, including billing, claims management, denial management, reimbursement, accounts receivable, cash posting, and collections. This role ensures timely and accurate reimbursement, regulatory compliance, optimized cash flow, and continuous improvement of revenue cycle performance.

As a senior member of the Finance leadership team, the Director of Revenue Cycle partners closely with executive leadership, Operations, Clinical leadership, and Information Systems to align revenue cycle strategy with organizational priorities, financial sustainability, and patient-centered care. This position provides enterprise oversight of revenue cycle functions, drives data-informed decision making, and ensures strong internal controls across all billing and collection activities.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

The Director of Revenue Cycle provides comprehensive leadership and accountability for all revenue cycle operations.

Key responsibilities include, but are not limited to:

1. Provide strategic and operational leadership for all billing, claims management, reimbursement, denial management, accounts receivable, cash posting, and collection activities.
2. Establish, monitor, and continuously improve revenue cycle performance metrics, including days in accounts receivable, denial rates, net collection rate, cash collections, and write-offs.
3. Develop, implement, and monitor revenue cycle goals, benchmarks, and key performance indicators using internal and external benchmarking data.
4. Analyze revenue cycle data to identify trends, root causes, risks, and opportunities; develop and execute corrective action and performance improvement plans.
5. Oversee denial prevention and management strategies, including root cause analysis, appeals processes, and payer trend monitoring.
6. Ensure accurate charge capture, coding, billing, and reimbursement processes through collaboration with Clinical, Operations, and Compliance leadership.
7. Ensure compliance with all applicable federal, state, payer, and HRSA/FQHC regulations and requirements.
8. Lead revenue cycle audits, both internal and external, and implement corrective action plans as needed.
9. Develop, maintain, and enforce standardized revenue cycle policies, procedures, and internal controls.
10. Oversee management of delinquent accounts, adjustments, refunds, and write-offs in accordance with organizational policy and regulatory requirements.
11. Partner with Operations and Clinical leadership to support timely encounter closure and efficient billing workflows.
12. Oversee revenue cycle reporting and dashboards for leadership, including financial performance, trends, and budget variances.
13. Lead system optimization and effective utilization of Epic and other revenue cycle technologies.
14. Drive continuous improvement initiatives to enhance efficiency, accuracy, and financial performance across revenue cycle operations.
15. Provide leadership, coaching, and performance management for revenue cycle management staff and teams.
16. Provide direct oversite of Financial Counselors ensuring they maintain quality, customer service, and productivity standards in addition to enrolling all eligible patients into the Optimus Financial Assistance program, state, or ACHT exchange plans consistent with regulatory requirements.
17. Work with Practice Managers to ensure the front office registrars are trained in using EPIC to record patient data, including eligibility verification and insurance authorization to ensure accurate billing.
18. Manage complex interdepartmental and interdisciplinary relationships to ensure collaboration and effective operations.
19. Remain current on industry trends, payer changes, reimbursement methodologies, and regulatory updates impacting revenue cycle operations.
20. Represent the Revenue Cycle function on internal and external committees, as appropriate.
21. Incorporate Optimus Health Care's mission, vision, and values into all revenue cycle initiatives and activities.
22. Perform other duties as assigned.

JOB QUALIFICATIONS & REQUIREMENTS

EDUCATION:

• Bachelor's degree in business, Healthcare Administration, or a related field required.
• Master's degree preferred. EXPERIENCE:
• Minimum of eight (8) years of progressively responsible revenue cycle or healthcare financial management experience
• At least five (5) years in a senior revenue cycle leadership role
• Experience in an FQHC, large medical group, hospital system, or complex healthcare environment preferred.

LANGUAGE SKILLS: Bilingual English/Spanish preferred.

Working for Optimus:
• OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function.
• 100% Outpatient Setting

* Excellent health & welfare benefit options
• Competitive Compensation
• Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment.

Optimus is committed to providing equal employment opportunities to all applicants and employees as protected by applicable federal and/or state law.