Director of Revenue Cycle

Director Of Revenue Cycle

Kansas City Orthopedic Alliance is the largest independently owned orthopedic practice in the Kansas City metro area with over 50 medical providers practicing out of five locations.

We're seeking an experienced Director of Revenue Cycle to join our team. This is a full-time, exempt position, Mondays-Fridays and works under the direction of the Chief Operating Officer.

Job Function:

Onsite leadership role overseeing the revenue cycle for a large, multi-location private orthopedic practice, including its orthopedic surgery, rehabilitation (physical and occupational therapy), durable medical equipment (DME), and radiology/imaging service lines. This role manages the accounts receivable department responsible for billing and collections across all clinic locations, and creates, generates, and maintains reporting dashboards on clinic and service-line financial performance for physician partners and key stakeholders.

Essential Functions:

• Demonstrate strong leadership skills through training, supervision, coaching, and mentoring of billing and collections staff across multiple clinic locations and service lines.
• Develop and implement standardized billing procedures across all clinic locations, working with clinic managers and service-line leaders (orthopedics, rehab/therapy, and radiology) to ensure proper collection of demographic, insurance, and billing information.
• Delegate and assign work to revenue cycle staff for billing across orthopedic, rehab/therapy, DME, and radiology service lines.
• Establish and maintain internal controls related to billing and collections, working closely with the Director of Finance.
• Maintain compliance with all federal, state, and local billing and coding guidelines, including payer-specific requirements for orthopedic surgery, physical/occupational therapy (e.g., therapy caps, modifiers), DME, and diagnostic imaging/radiology services.
• Be proficient in practice management and EHR billing software systems used across clinic locations; learn and utilize the practice's EMR revenue cycle management system to optimize billing, claims submission, and reporting workflows.
• Work with the accounting department to reconcile accounts receivable and contractual write-offs on a monthly basis across all locations and service lines.
• Establish and maintain best-practice benchmark metrics (e.g., days in AR, clean claim rate, denial rate, net collection rate) to demonstrate departmental performance across the practice.
• Oversee insurance verification, prior authorization, and denial management processes for surgical procedures, imaging studies, and therapy services.
• Represent the department and the organization at cross-departmental and physician leadership meetings.
• Recruit, train, and retain revenue cycle staff across all clinic locations.

Additional Responsibilities:

• Resolve patient problems related to their account balances across all clinic locations.
• Create and maintain standardized policies and procedures for the billing department across the practice.
• Ensure cross-training across all areas of revenue cycle operations, including orthopedic, rehab, DME, and radiology billing workflows.
• Maintain monthly and quarterly key performance indicators by clinic location and service line.
• Compile financial reports as requested by practice leadership and physician partners.
• Manage relationships with clearinghouses, payers, and outside collection agencies as needed.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.