Revenue Cycle Director

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The Revenue Cycle Director oversees all billing department functions and ensures effective, compliant, and efficient revenue cycle management. This role supervises the process of collecting and analyzing data related to revenue, accounts receivable, budgeting, and other financial operations. The Revenue Cycle Director plans, approves, and implements systems and workflows that align with organizational goals while maintaining regulatory compliance. This position also provides training and guidance to department staff to promote accuracy, efficiency, and performance.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES OF THE POSITION

• Performs workflow analysis assessments to enhance billing operations.
• Develops, maintains, and enforces policies and procedures related to charge entry, claims filing, payment posting, denials, credit balances, refunds, and patient balances.
• Monitors compliance with private, federal, state, and local billing regulations.
• Prepares and supports the annual revenue budget process.
• Supervises the Revenue Cycle Manager and revenue cycle staff.
• Builds and develops a team of expert billing representatives.
• Provides strategic direction for revenue cycle initiatives.
• Mentors and guides billing staff to ensure optimal performance.
• Maintains and analyzes revenue to ensure proper revenue recognition and compliance.
• Reviews trends and initiates changes in coordination with Directors and Executive Team.
• Prepares and reviews complex journal entries and account reconciliations.
• Oversees cash receipts for both operated and nonoperated properties.
• Delivers reports and actionable insights across revenue management teams.
• Manages multiple operational teams involved in revenue cycle projects.
• Supports integration of revenue, receivables, and billing functions for new acquisitions.
• Partners with the finance team to assist in budgeting, forecasting, and strategic planning.
• Creates and maintains a list of payerspecific filing deadlines.
• Monitors payment accuracy in relation to payer contracts and fee schedules.
• Communicates with providers about billing or coding discrepancies.
• Performs monthend and yearend closings; updates leadership on A/R days, billing totals, collections, denials, refunds, bad debt, and trending data.
• Oversees the analysis, maintenance, and communication of billing records in compliance with laws and internal policies.
• Annually updates the sliding fee scale and supervises the eligibility determination process.
• Performs other duties as assigned.

• Demonstrates leadership, analytical thinking, and organizational management.
• Possesses indepth knowledge of billing procedures, insurance requirements, and healthcare financial systems.
• Communicates clearly and leads teams effectively.
• Applies regulatory standards and adapts to industry changes.

• Bachelor’s degree in accounting, business, or related field required. Master’s degree preferred.
• Minimum of five years of healthcare billing and coding experience required.
• Minimum of one year in a supervisory or leadership role required.
• Previous experience as a Revenue Cycle Manager preferred.
• Familiarity with Athena Health EHR strongly preferred.

• HEALTH & WELLNESS o Medical, dental, and vision insurance
• Employee Assistance Program (EAP)
• FINANCIAL SECURITY o Competitive salary
• 403(b) retirement plan with company match oLife and disability insurance
• Travel reimbursement
• WORKLIFE BALANCE o Generous paid time off, holidays, floating holidays, and sick leave
• CAREER DEVELOPMENT o Professional development and training opportunities
• EXTRA PERKS o Employee discounts or perks program
• Company events

• Seniority level Director

• Employment type
  
  Full-time

• Job function
  
  Finance and Sales
• Industries Hospitals and Health Care

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Charleston, WV $-$ 3 months ago

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