Revenue Cycle Director

Job Description

Job Description

We are looking for an experienced Revenue Cycle Director to lead front-end financial operations for a healthcare organization in Florida. This contract position with the potential to become permanent is well suited for a leader who can strengthen patient financial clearance, improve reimbursement outcomes, and reduce obstacles that may delay access to care. The person in this role will guide teams responsible for insurance verification, authorizations, referrals, and intake while helping create efficient, compliant workflows that support long-term financial performance.

Responsibilities:
• Direct daily operations related to financial clearance, benefits verification, and patient access activities to support accurate reimbursement and timely care delivery.
• Oversee authorization and utilization review coordination to help ensure services are approved appropriately and claims issues are minimized before treatment begins.
• Lead referral and intake workflows, ensuring information is captured correctly and routed efficiently to support a smooth onboarding experience.
• Monitor data accuracy across revenue cycle processes and partner with operational teams to address documentation gaps that could affect billing or collections.
• Manage and develop supervisory staff, including leadership support for financial counseling functions, with a focus on accountability, coaching, and performance improvement.
• Evaluate existing procedures and implement workflow enhancements that increase productivity, reduce denials, and improve the patient financial experience.
• Collaborate with internal stakeholders to resolve complex payer, coverage, and regulatory questions involving Medicaid, Medicare, and commercial insurance plans.
• Support revenue cycle initiatives by using reporting, payer tools, and practice management or EMR systems to identify trends and improve operational outcomes.• At least 5 years of experience in healthcare revenue cycle, patient access, financial counseling, medical billing, or a closely related function.
• Prior leadership experience managing teams in a healthcare financial operations setting, including responsibility for supervision and staff development.
• Strong knowledge of Medicaid, Medicare, and commercial insurance coverage rules, eligibility requirements, and reimbursement processes.
• Ability to handle complex authorization, payer, and regulatory issues with sound judgment and a solutions-focused approach.
• Experience working with EMR or practice management platforms and payer portals used in healthcare revenue cycle operations.
• Behavioral health industry experience is preferred.
• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or a related field is preferred.