Senior Director, Revenue Cycle Management

SMI IMAGING LLC

United States

Description

Job Duties:

Develop and execute revenue cycle strategy to optimize revenue and cash flow.
Establish and monitor KPIs (Gross Collection Rate, AR days, clean claim rates, denial rates, cash performance, etc.) and drive continuous improvement.
Partner with executive leadership, clinical operations, and IT to drive revenue optimization and cost containment.
Leverages data and financial insights to optimize revenue performance, improve collections, and reduce denials and AR days.
Oversee the exchange of information between Revenue Cycle, Medical Records, and other departments to ensure accurate documentation, timely billing, effective resolution of insurance inquiries, and proper management of liability accounts.
Lead payer performance initiatives, collaborating with internal stakeholders to identify and resolve payer issues.
Provide strategic oversight and drive performance and accountability for vendor partners, ensuring adherence to Service Level Agreements (SLAs) and KPIs.
Champion a patient-friendly financial experience through transparent billing practices and responsive customer service.
Ensure compliance with all federal, state, and payer regulations including HIPAA, CMS guidelines, and other regulatory requirements.
Partner with legal and compliance to address audit risks and corrective action plans.
Identify and implement tools and AI / automation to improve accuracy, reduce costs, and increase productivity and patient satisfaction.

Education and Experience:

Bachelor's degree in healthcare administration, Business, Finance or related field required. Master's degree (MBA, MHA) strongly preferred.
Minimum 10 years of progressive experience in healthcare revenue cycle management, with at least 3 years in a turnaround or rapid-growth environment. At least 3 years of experience in operational transformation or performance improvement consulting roles strongly preferred.
Experience with EHR and revenue cycle platforms preferred.

Knowledge, Skills, and Abilities:

Comprehensive knowledge of revenue cycle functions including patient access, coding, billing, collections, denials, and reimbursement models.
Proven ability to align revenue cycle strategy with organizational goals, interpret financial data, drive performance metrics, and support long-term financial sustainability.
Strong technical and analytical skills, executive-level communication, and negotiation skills with ability to proactively identify and quantify performance issues, pull and shape data to drive business insights, and structure and drive cross-functional remediation efforts.
Ability to thrive and adapt in an ever-changing and fast-paced environment.
Proven ability to manage GCR and EBITDA impacting metrics in a PE or high-growth environment.
Deep understanding of healthcare regulations and payer requirements (e.g., HIPAA, CMS) to ensure organizational compliance and reduce risk exposure.
Skilled in developing and leading high-performing teams, managing cross-functional initiatives, and executing large-scale transformation and process improvement projects.
Experienced in EHR/RCM systems and data analytics tools, with the ability to leverage technology to optimize workflows and revenue capture.
Demonstrated success in managing multi-site or multi-entity revenue operations within a healthcare provider setting.
Deep understanding of payer contracts, reimbursement models, billing, and regulatory guidelines.
Understanding of RCM vendor landscape (services + tech).

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Vacancy posted 1 day ago

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