Director, Revenue Cycle

Position Overview

The Director of Revenue Cycle supports all Revenue Cycle functions and contributes to overall organizational and financial health by leveraging metric and performance-driven strategies, lean methodologies and a variety of data mining and interpretation to develop sound solutions, support business-critical systems, design and implement workflows in accordance with best practices, and proactively audits Revenue Cycle workflows and outcomes to optimize financial health.

This role works closely with leaders and teams across the continuum of care to streamline processes, explain drivers and variance among Key Performance Indicators (KPIs), and identify holistic solutions for the best patient, provider, and financial outcomes.

The Director of Revenue Cycle serves as the key contact and supports enterprise-wide projects and initiatives that relate to strategic priorities, health care legislation and compliance, systems redesign, integrations, revenue optimization, and cost reduction.

Responsibilities/ Essential Functions

This Director role is both strategic and tactical, developing short- and long-term strategies for optimal KPI’s.

Focus on people and process performance that constantly strives to eliminate waste, improve patient and provider satisfaction via the use of continuous improvement tools and methodologies.

Serve as vendor management for RCM partnerships, continuously assessing and addressing business needs.

Develop strategic roadmap and project plans focused on efficiency, optimization, and quality.

Deliver significant and quantifiable improvement and financial benefit across the organization.

Develops policies and procedures across the system for greater efficiency, reduced variation and increased patient satisfaction.

Collaborates with physician and operational leadership to optimize workflows, system enhancements and strives for best practice.

Develops objectives and manages operational initiatives, change management and monitors for successful results with measurable outcomes.

Prepares and delivers executive level reports, summaries and presentations outlining progress toward meeting annual goals and objectives.

Creates business plan(s), justifying variances and analyzing cost benefit of programs. Contribute to the success of the organization by providing leadership, direction and coordination.

Education/Experience: Bachelor of Science in Health Services Management, Business or other related field required.

Experience: 7 to 10 Years of experience in Billing/Collections/Management in a physician office and/or RCM offices preferred.

Knowledge and Skills: Knowledge of advanced financial accounting, analysis and reporting. Must have extensive knowledge of contracts and reimbursements. Knowledge of automated accounting systems and governmental regulations. Knowledge of reimbursement procedures to compile and allocate cost information to specific accounts. Skill in budgeting and computer applications. Skill in exercising initiative, judgment, discretion and decision-making. Skill in establishing and maintaining effective working relationships with patients, physicians, management team and staff. Skill in identifying and resolving problems. Ability to delegate responsibility and authority to staff. Ability to work creatively with management and department staff to achieve objectives.