Director of Revenue Cycle

Job Description

Job Description

We are looking for an experienced revenue cycle leader to guide patient billing and financial operations for a healthcare organization in Seatac, Washington. This role is responsible for strengthening end-to-end revenue performance, supporting timely and accurate reimbursement, and leading teams that manage billing, collections, and payment posting. The ideal candidate brings deep knowledge of healthcare revenue operations, strong financial oversight, and the ability to collaborate across finance, payer relations, compliance, and technology functions.

Responsibilities:

• Lead daily revenue cycle operations across patient intake, authorization, billing, payment posting, collections, and accounts receivable follow-up.

• Direct billing activities for multiple service lines, ensuring claims and invoices are processed accurately and within monthly close deadlines.

• Build and maintain controls, workflows, and policies that improve reimbursement accuracy, reduce revenue leakage, and support regulatory compliance.

• Monitor denied, underpaid, and aged accounts, driving timely appeals and corrective action to improve cash flow and lower bad debt exposure.

• Partner with payer contracting leadership to translate contract terms into effective billing practices and verify expected payment performance.

• Work closely with patients, insurers, government payers, and internal stakeholders to resolve complex reimbursement and account issues.

• Oversee the use, support, and optimization of revenue cycle applications, coordinating with IT and external vendors on training, maintenance, and system performance.

• Provide leadership to patient billing and finance teams through coaching, prioritization, and accountability for service levels and operational results.

The salary range for this position is $155k to $185k. Benefits available with this position include medical, dental and vision; life and disability insurances; participation in the company’s 401(k) plan with a match and 15 days of paid vacation, 5 days of paid sick leave and 10 paid holidays per calendar year

• Demonstrated leadership experience in healthcare revenue cycle, patient financial services, or revenue accounting.
• Strong understanding of accounts receivable management, billing operations, cash posting, collections, and denial resolution.
• Knowledge of revenue recognition principles, including ASC 606, and their practical application in financial operations.
• Familiarity with healthcare reimbursement processes involving commercial insurance, Medicare, and Medicaid.
• Working knowledge of medical billing systems and revenue cycle software; experience with D365 is beneficial.
• Ability to interpret payer contracts and collaborate across finance, legal, compliance, and operational teams.
• Solid understanding of medical terminology and its relevance to billing accuracy and claim adjudication.