Director of Revenue Cycle Job Description

Revenue Cycle Director directs and oversees the overall policies, objectives, and initiatives of an organization’s revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. Being a Revenue Cycle Director tracks numerous metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials. Additionally, Revenue Cycle Director may require a bachelor’s degree. Typically reports to top management. The Revenue Cycle Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Revenue Cycle Director typically requires 5+ years of managerial experience.

Director of Revenue Cycle Job Description Template

Our company is looking for a Director of Revenue Cycle to join our team.

Responsibilities:

  • Bachelor’s degree required;
  • Optimize all revenue through billing and collection activities;
  • Improve organization performance by identifying areas of improvement in the revenue cycle;
  • Provides guidance in the day to day activities;
  • Manage and direct revenue cycle functions for a team of Representatives and clients;
  • Identify trends by root cause and/or payer specific;
  • Continuous Improvement in policies and procedures;
  • Cross covers other related administrative positions and performs other duties as assigned/requested;
  • Responsible for and manage actions relating to quality audits of team members as well as ensure productivity targets are being met;
  • Ensure all revenue cycle personnel are educated and involved in the performance of the organization;
  • Create and implement strategies to maximize revenue for our clients;
  • Monitor employee performance as well as payroll and time clock management;
  • Analyze workflow and demand within the revenue cycle and set the organizational structure to meet this demand;
  • Prepare written report for clients of high dollar accounts and case summaries;
  • Responsible for review of accounts prior to closure to ensure all avenues for recovery have been exhausted.

Requirements:

  • Healthcare Billing Laws, Medical Terminology/abbreviations;
  • Advanced knowledge of CPT code and ICD-10;
  • Bachelor’s degree or equivalent in education, training and/or experience plus at least five years’ related experience required;
  • ICD-9, ICD-10, and HIPAA knowledge;
  • Must hold a coding certificate (ex: CPC, CPC-H, CCS, CCSP, ROCC etc);
  • Bachelor’s degree;
  • Must successfully complete systems training requirements;
  • Professional Billing Policies, Procedures, Processes and Protocols;
  • Must stay abreast with medical terminology, as well as a knowledge of current codes and coding regulations;
  • Multiple hospital oversight required;
  • Proficiency in Microsoft applications;
  • Bachelors preferred, five (5) years in healthcare revenue cycle experience required (NOT physician); equivalent management experience;
  • Must possess excellent written and oral communication, interpersonal/organizational skills;
  • Solid financial management skills, including budgeting, forecasting, trending, benchmarking, and financial analysis of the department performance;
  • Must possess excellent problem solving skills.