Director of Revenue Cycle

Job Description

Job Description

General Information:

Job title: Director of Revenue Cycle

Schedule: Full-time, 80 hours per pay period

Weekend Requirement: No Weekend

Holiday Requirement: Paid Holidays

Position Summary:

The Revenue Cycle Director position oversees the Patient Financial Services, Patient Access Services, and Coding departments for Mile Bluff Medical Center. The Director is responsible for leading and optimizing the end-to-end revenue cycle to ensure accurate, timely reimbursement and financial sustainability. This role provides strategic oversight of patient access, coding, billing, claims management, and collections while driving operational efficiency, regulatory compliance, and an exceptional patient financial experience. The Director collaborates closely with frontline teams and leadership to identify issues, remove barriers, improve processes, and drive measurable financial results.

Position Responsibilities:

• Direct and actively oversee operations across all revenue cycle functions, including scheduling, registration, insurance verification, coding, charge capture, billing, claims processing, payment posting, denials, and collections.
• Monitor work queues, productivity, and quality metrics to ensure timely claim submission and follow-up.
• Identify workflow bottlenecks and implement process improvements to reduce delays and revenue leakage.
• Lead denial prevention and resolution efforts, including root cause analysis and corrective action plans.
• Review aging reports and high-dollar accounts to ensure appropriate and timely follow-up.
• Partner with coding, clinical, and payer relations teams to address recurring denial trends.
• Ensure adherence to federal, state, and payer regulations related to billing, coding, and collections.
• Oversee internal audits for coding accuracy, documentation integrity, and billing compliance.
• Stay current on payer policy changes and regulatory updates, translating them into operational processes.
• Monitor key performance indicators such as days in A/R, clean claim rate, denial rate, net collection rate, and cash acceleration.
• Develop and execute action plans to improve underperforming metrics.
• Prepare and present regular performance reports for executive leadership.
• Directly supervise revenue cycle managers and supervisors; provide coaching, performance feedback, and accountability.
• Support staff training on systems, workflows, payer requirements, and compliance standards.
• Foster a culture of service, accuracy, urgency, and continuous improvement.
• Work firsthand within revenue cycle systems (EHR/PM systems, clearinghouses, payer portals) to troubleshoot issues and optimize workflows.
• Lead and participate in system upgrades, implementations, and revenue cycle technology enhancements.
• Develop and maintain standardized policies, procedures, and job aids.
• Partner with clinical departments, patient access, HIM, compliance, and finance to ensure accurate charge capture and documentation.
• Perform other duties as requested.

Position Requirements:

• High school diploma or equivalent required.
• Bachelor's degree in business, Healthcare Administration or minimum of 5 years of equivalent and relevant education and work experience in lieu of degree.
• Coding or billing related certification preferred.
• 3+ years of related work experience required.
• Experience working in the medical industry required.

Knowledge, Skills, & Abilities

• Knowledge of coding conventions and reimbursement guidelines across all service areas, LCD/NCDS and MAC/FIs.
• Knowledge of facility professional fee billing, reimbursement and third-party regulation and medical terminology is required.
• Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations.
• Intermediate to Expert proficiency with computers is required.
• Thorough understanding of billing process.
• Demonstrated coding and billing knowledge/experience preferred.
• Knowledge of billing claim scrubber software is preferred.
• Strong quantitative and analytical competency.
• Initiative-taker with excellent interpersonal communication and critical thinking skills.

Why Mile Bluff Medical Center?

Mile Bluff Medical Center is a place where people come first. Our team is comprised of caring, patient-centered professionals serving pediatric through geriatric populations in our rural community. Our not-for-profit organization prides itself on providing state-of-the-art healthcare services, a positive work environment, and a team where employees feel valued and supported. Mile Bluff is an independent organization that offers competitive wages, great benefits and the opportunity for growth. Mile Bluff makes decisions for its employees and patients locally without relying on a large health system in another community.

Mauston Location Description

With a population of 4,500, Mauston maintains a small town feel while being surrounded by unique recreational and cultural experiences. Located on the Lemonweir River and next door to Wisconsin's second and fourth largest lakes, Petenwell and Castle Rock Lake, our community finds you surrounded by natural wonder, wildlife and a rich variety of outdoor recreation. Mauston is centrally located in southwestern Wisconsin on Interstate 90-94, approximately 73 miles to Madison, 140 miles to Milwaukee, and 215 miles to each Chicago and Minneapolis.