Director of Revenue Cycle

Description

The Director of Revenue Cycle is responsible for the strategic oversight and operational performance of all revenue cycle functions, including patient access, insurance verification, coding, billing, collections, and accounts receivable management. This individual ensures that the organization optimizes its revenue generation while maintaining compliance with payer regulations and delivering an excellent patient financial experience.

This position has oversight of all points within the organization where money is to be collected, including front desk check-in, and ensures that effective processes, training, and accountability are in place to support accurate and timely patient collections. The Director of Revenue Cycle will also work closely with the Director of Finance to ensure accounts are accurately reconciled, support month-end close activities, and maintain alignment between operational and financial reporting.

The Director of Revenue Cycle will have a number of direct reports, including the Billing Manager, and will be responsible for leading, developing, and supporting a team that ensures the organization's revenue cycle functions operate at the highest level of performance and compliance.

Key Responsibilities:

• Provide leadership and direction for all revenue cycle departments, including front-end and back-end operations.
• Oversee patient-facing financial functions, including check-in collections and front desk financial workflows, to ensure alignment with best practices and revenue goals.
• Supervise a team of direct reports, including the Billing Manager, and ensure clear accountability, professional development, and performance management.
• Develop and implement a comprehensive revenue cycle strategy that improves financial performance and operational efficiency.
• Monitor and evaluate key performance indicators (KPIs) and use data-driven insights to guide continuous improvement.
• Oversee billing and collections processes to ensure timely and accurate reimbursement from all payers.
• Ensure effective collaboration with the Director of Finance to reconcile accounts, support financial reporting, and improve cash flow accuracy.
• Collaborate with clinical, administrative, and IT teams to align revenue cycle operations with organizational goals.
• Ensure compliance with federal and state regulations, payer contracts, and internal policies.
• Analyze revenue cycle performance trends and prepare reports for executive leadership.
• Manage vendor relationships related to revenue cycle, including billing software, clearinghouses, and collection agencies.
• Stay current with changes in healthcare reimbursement, including government and commercial payer policies.
• Train, mentor, and support a high-performing revenue cycle team focused on accountability and excellence.
• Identify and mitigate revenue leakage through internal audits and workflow improvements.
• Lead initiatives to improve patient financial engagement, including transparency, estimates, and collections.

Requirements

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred.
• Minimum of 3-5 years of progressive leadership experience in revenue cycle management in a healthcare setting.
• Strong knowledge of billing, coding, payer contracting, insurance reimbursement, and compliance regulations.
• Experience with EMR/EHR systems and revenue cycle management software. Experience with Athena and Central Reach is preferred.
• Proven ability to lead teams, drive operational performance, and implement strategic initiatives.
• Excellent communication, leadership, and problem-solving skills.
• Experience with pediatric or outpatient services is a plus.