Director, Revenue Cycle Operations

This is a fully remote position, open to applicants in Arizona, +21 more states.

📋 Description

• Manage and direct Revenue Cycle Operations, encompassing hospital billing, cash posting, claims processing, accounts receivable follow-up, denial management, credit balance resolution, reimbursement, vendor oversight, and associated patient financial services.

• Develop, sustain, and oversee training programs, workflow standardization, and professional development initiatives.

• Recognize, implement, and continually enhance revenue cycle and patient account processes.

• Integrate revenue cycle functions into hospital systems workflows, including Epic Resolute Hospital Billing, claims, remittance, work queues, charge review, claim edits, denial trending, and productivity monitoring.

• Evaluate and monitor volume indicators, financial performance, and operational KPIs.

• Keep abreast of reimbursement methodologies, payer requirements, and contracts while ensuring compliance.

• Enhance the patient financial experience through effective billing communication, financial assistance, patient satisfaction programs, and point-of-service collection practices.

• Supervise the selection, training, oversight, performance management, cross-training, and succession planning for the Patient Financial Services team.

• Formulate operating and capital budgets and supervise cash management, adjustments, credit balances, reconciliation activities, vendor performance, and controls.

• Oversee outsourced revenue cycle vendors and strategic business partners.

• Exemplify Just Culture principles and Organizational Values.

⛳️ Requirements

• A minimum of 7 years of supervisory experience in a healthcare environment is essential.

• Preferred experience in progressive revenue cycle leadership within an acute care hospital or integrated delivery system.

• Demonstrated experience in managing or supervising patient accounts, billing, accounts receivable follow-up, denials, cash posting, claims processing, revenue recovery, vendor relationships, and operational improvement initiatives is preferred.

• Required knowledge of Medicare, Medicaid, Government, managed care, and Commercial Insurance filing regulations and reimbursement methodologies.

• Required experience with Epic revenue cycle workflows, including Resolute Hospital Billing, claims, remittance, work queues, reporting, or post-implementation optimization.

• Preferred certifications include Epic Resolute Hospital Billing, Epic Revenue Cycle Administration, Epic Cogito, or HFMA certification.

• Must comply with HIPAA regulations.

• Residency and work must primarily be in one of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, or WI.

🏝️ Benefits

• Competitive wages.

• Parental leave (4 weeks paid).

• Housing programs.

• Childcare reimbursement.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Tuition Assistance.

• Existing Student Loan Repayment.

• Specialty Certification Reimbursement.

• Annual Supplemental Educational Funds.

• Up to five weeks paid time off in the first year, increasing with tenure.

• 403(b) Retirement plan with immediate matching contributions.

• Life insurance.

• Short and long-term disability coverage.

• Up to $1,000 annual wellbeing reimbursement.

• Discounts on recreational activities.

• Pet insurance.