Position Overview

The Director of Revenue Cycle Management holds a pivotal role in overseeing and optimizing the revenue cycle for our venture-backed healthcare organization. This position demands a seasoned professional with extensive experience in billing systems, a proactive leadership approach, and a keen eye for optimizing operational efficiency. Reporting directly to the CFO, the Director will be responsible for managing a team, ensuring adherence to policies and procedures, fostering vendor relationships, and driving revenue performance.

Key Responsibilities

•         Oversee the entire revenue cycle, encompassing training, internal auditing, billing, claims production, collections, productivity, and performance reporting

•         Report directly to the CFO and serve as the primary point of contact for pre-service collection activities, ensuring accurate patient demographic, authorization, and insurance verification processes for clean claim submissions and reduced insurance denials

•         Manage vendor relationships effectively, ensuring clear communication and resolution of revenue cycle-related concerns

•         Supervise a team of 6-8 individuals, including Managers and employees, with direct oversight of Accounts Receivable procedures, policies, and efficiency in customer service, billing, collections, and payment posting

•         Act as the lead liaison for outsourced billing partnerships and ensure seamless data input, update, and integrity of Accounts Receivable reports

•         Communicate directly with patients/clients, referral sources, and insurance agencies to address reimbursement-related queries or issues

•         Coach and collaborate with Managers to drive team performance, monitor productivity, and facilitate team-building opportunities

•         Proactively identify and resolve issues related to pre-authorization, claims denials, and collections, implementing and educating on lessons learned

•         Establish, support, and monitor quality standards and goals for the team to ensure continuous improvement in performance metrics

Qualifications

•         5-10 years of comprehensive experience in Billing systems, specifically proficient in Athena and eClinicalworks

•         Strong background in multi-specialty, multi-site outpatient healthcare services

•         Demonstrated expertise in payor contracting, out-of-network, and self-pay strategies

•         Proven ability to thrive in small team dynamics within a fast-paced, venture-backed company environment

•         Self-reliant with a hands-on work ethic and advanced problem-solving skills

•         Proficient in database management, Excel, and fundamental financial accounting principles

•         Exceptional leadership abilities with a natural inclination toward change management

•         Experience in handling disciplinary matters and terminations in collaboration with HR

•         Proficient in common Compliance and Human Resource policies

•         Excellent communication skills, both written and verbal

•         Proactive mindset with a commitment to maintaining regular attendance and taking initiative