Director, Revenue Cycle Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee operational, financial, programmatic, and personnel functions for Tegria’s Revenue Cycle Services team.

• Direct management of claims, payments, credit balances, insurance reimbursements, denials, coding, systems, third-party management, and self-pay management.

• Establish, monitor, and achieve goals and objectives that align with Tegria’s strategic vision.

• Manage daily operations, budgeting and forecasting, client financial management, and human resource management.

• Lead Operations, Client Engagement, and Business Development within Revenue Cycle Services.

• Set performance benchmarks and promote ongoing improvement.

• Create and oversee operational initiatives with clear, measurable outcomes.

• Build and lead a cooperative team, enhancing morale and defining shared success.

• Ensure the development and retention of a strong customer base.

• Maintain collaboration with MEDITECH to support enhancements, consulting engagements, implementations, and billing-as-a-service.

• Work with executives to outline goals, strategic plans, and informed decision-making.

• Present to executives across Tegria, partner organizations, and healthcare clients.

• Collaborate with sales to attract new clients and expand services for current clients, including meeting assigned revenue targets.

• Implement business development strategies to support growth, productivity, decision-making, and customer service.

• Lead product innovation and guide the product and service roadmap.

• Assess services, analyze data, identify challenges, and implement creative solutions.

• Incorporate regulatory changes, industry trends, and best practices into Revenue Cycle programs.

• Align team objectives with client goals and measure and communicate success through data.

• Protect business-critical information and ensure compliance with standardized procedures.

• Develop contingency plans and uphold compliant policies, processes, and procedures.

• Effectively allocate budget and personnel resources.

• Hire, retain, train, coach, and evaluate team members, including conducting pay reviews and corrective actions.

• Perform other related duties as assigned.

⛳️ Requirements

• Bachelor’s degree in healthcare administration, business administration, or a related field, or an equivalent combination of education and experience.

• Extensive experience with direct responsibility for P&L management, strategic planning, operations, financial oversight, and leadership development.

• Broad knowledge of IT governance, change management, service delivery, and customer support.

• Proven success in selling products and services to clients, with experience in business development, client services, or business operations.

• Over five years of experience with electronic health record (EHR) applications.

• In-depth understanding of revenue cycle performance, including various billing, coding, and reimbursement models.

• Comprehensive knowledge of relevant laws and regulations, including HIPAA, False Claims Act (FCA), Anti-Kickback Statute (AKS), Stark Law, Affordable Care Act (ACA), Fair Debt Collection Practices Act (FDCPA), state collection laws, EMTALA, IRS regulations for non-profit hospitals, and state-specific regulations.

• Advanced leadership capabilities, including fostering a high-performing organization in a remote setting, enhancing employee engagement, and mentoring team members and peers.

• Ability to formulate and implement strategic plans that yield measurable business results.

• Outstanding interpersonal, communication, and organizational skills.

• Capability to deliver engaging presentations, manage positive client relationships, and enhance customer satisfaction.

• Ability to work independently and effectively in a remote work environment.

• Proficient in Office productivity and collaboration tools, such as O365.

• Reliable internet access with adequate speed to fulfill job requirements.

• Secure and private home office environment.

• W2 project-based consultants must provide a computing device that meets industry standards and security best practices.

🏝️ Benefits

• Multiple health and dental plans with nationally recognized networks.

• Vision benefits.

• Total wellness program.

• Employee assistance program for employees and their families.

• Retirement savings plans.

• Company-sponsored disability and life insurance.

• Pre-tax savings options (HSA and/or FSA).

• Professional development opportunities.

• Remote work options.

• Generous paid-time-off policy.

• Flexible scheduling options.