Director of Revenue Cycle POST NUMBER: 207588

On-Site in Louisville, KY
Direct Hire

Position Summary

The Revenue Cycle Manager is responsible for overseeing all aspects of the revenue cycle process for multiple healthcare clients, ensuring efficient billing operations, timely reimbursement, compliance with payer regulations, and exceptional client service. This role leads a team of billing, coding, collections, and accounts receivable professionals while driving process improvements, key performance metrics, and client satisfaction.

Key Responsibilities

• Manage end-to-end revenue cycle operations for multiple healthcare provider clients.
• Oversee medical billing, claims submission, payment posting, denial management, and accounts receivable follow-up.
• Monitor revenue cycle performance metrics, including clean claim rate, denial rate, days in A/R, net collection rate, and reimbursement trends.
• Develop and implement strategies to improve cash flow and maximize client revenue.
• Lead, coach, and develop revenue cycle staff, including billing specialists, collectors, and team leads.
• Conduct regular audits to ensure compliance with payer guidelines, HIPAA regulations, and client-specific requirements.
• Collaborate with clients to identify operational challenges and recommend revenue cycle improvements.
• Review aging reports and establish collection priorities to reduce outstanding balances.
• Analyze denial trends and implement corrective action plans to minimize future claim rejections.
• Prepare and present revenue cycle performance reports to clients and executive leadership.
• Partner with coding, compliance, and operational teams to resolve complex billing issues.
• Maintain knowledge of healthcare reimbursement methodologies, including commercial insurance, Medicare, Medicaid, and managed care plans.
• Assist with client onboarding, process documentation, and workflow optimization initiatives.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field preferred.
• 5 years of progressive revenue cycle management experience.
• Experience working for a healthcare provider, physician group, hospital system, or third-party revenue cycle management company.
• Strong knowledge of medical billing, coding, claims processing, collections, and payer reimbursement methodologies.
• Experience managing teams and client relationships.
• Proficiency with EMR/EHR and practice management systems such as Epic, eClinicalWorks, athenaOne, or similar platforms.
• Advanced skills in Microsoft Excel and revenue cycle reporting.
• Strong analytical, problem-solving, and communication skills