Director Of Revenue Cycle

Job DetailExperience Level DirectorDegree Type Bachelor of Science (BS)Employment Full TimeWorking Type On SiteJob Reference 0000014588Salary Type AnnuallyIndustry Hospital and Health CareSelling Points Lead revenue cycle strategy at a healthcare organization, driving impactful financial outcomes. Mentor teams, optimize workflows, and ensure compliance excellence. Shape organizational success and enhance patient satisfaction.Job DescriptionOverviewLead revenue cycle operations for a healthcare organization, ensuring financial accuracy and operational efficiency across departments.Collaborate with clinical and administrative teams to optimize workflows and enhance patient satisfaction through streamlined processes.Develop and implement strategic initiatives to maximize collections and minimize denials, driving robust financial performance.Provide mentorship and leadership to revenue cycle teams, fostering professional growth and a collaborative work environment.Oversee credentialing and payer enrollment processes with precision and adherence to compliance standards.Ensure compliance with federal, state, and industry-specific regulations in all revenue cycle operations.Leverage advanced technology solutions to enhance revenue cycle performance and reporting capabilities.Prepare and present detailed performance analyses to senior leadership to support informed strategic decision-making.Key Responsibilities & DutiesManage billing, collections, authorizations, and credentialing processes efficiently across multiple healthcare locations.Monitor claim submissions, payment postings, and denial management workflows to ensure operational accuracy.Ensure timely insurance verification and prior authorization procedures to support seamless patient care.Collaborate with technology vendors to optimize electronic medical records and billing systems for enhanced functionality.Develop and implement training programs for revenue cycle staff to enhance skills and knowledge.Support recruitment, onboarding, and professional development of team members to build a high-performing team.Prepare audit reports and compliance documentation for internal and external stakeholders.Coordinate payer communications and resolve disputes effectively to maintain positive relationships.Job RequirementsBachelor’s Degree in Healthcare Administration, Business, or a related field; Master’s preferred.Certified Professional Coder (CPC) certification or equivalent is preferred.Minimum of 2 years of healthcare revenue cycle management experience; 5 years preferred.Proficiency in revenue cycle processes, compliance regulations, and payer requirements.Experience with Medicare, Medicaid, and commercial insurance systems is essential.Strong leadership, communication, and analytical skills to drive team and organizational success.Knowledge of surgical or specialty care settings is advantageous.Ability to manage onsite teams effectively in a fast-paced healthcare environment.