Director Revenue Cycle

Position Summary:

The Revenue Cycle Director is responsible for the strategic leadership, planning, and oversight of all revenue cycle functions across the health system. This includes patient access, billing, coding, charge capture, claims management, payment posting, accounts receivable, and collections. The Director ensures compliance with regulatory requirements, maximizes reimbursements, and drives process improvements to optimize financial performance and the patient experience.

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Key Responsibilities:

• Develop and execute strategies to enhance efficiency, accuracy, and timeliness in all revenue cycle operations.
• Oversee the full revenue cycle including registration, scheduling, insurance verification, coding, charge entry, billing, collections, denials management, and cash posting.
• Monitor and improve key performance indicators (KPIs) such as days in A/R, clean claim rate, and denial rate.
• Lead, mentor, and manage revenue cycle teams including managers, supervisors, and frontline staff.
• Collaborate with clinical, operational, and financial leaders to align revenue cycle goals with organizational priorities.
• Ensure compliance with federal and state regulations including HIPAA, CMS guidelines, payer contracts, and audit requirements.
• Drive implementation of technologies (EHRs, billing software, RPA tools) to automate and enhance revenue cycle functions.
• Prepare regular reports and dashboards for executive leadership and board-level presentations.
• Lead process improvement initiatives to reduce cost-to-collect and enhance patient financial engagement.
• Serve as a liaison with payers and vendors to resolve payment issues and contract disputes.

Qualifications:

Education:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required.
• Master’s degree (MHA, MBA, or equivalent) preferred.

Experience:

• Minimum of 7–10 years of progressive experience in healthcare revenue cycle management.
• At least 3–5 years in a leadership role within a hospital, health system, or large physician group practice.