Senior Director, Revenue Cycle

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

📋 Description

• Provide strategic guidance for essential Revenue Cycle initiatives and objectives.

• Lead and oversee intricate Revenue Cycle projects and personnel.

• Manage and supervise patient eligibility, demographics, billing, accounts receivable, analytics, and reporting functions.

• Create, implement, and uphold documented best practices and strategic operations for the revenue cycle.

• Ensure adherence to CMS and payer regulations, along with company policies.

• Cultivate a culture of excellence in both internal and external customer service.

• Build trust and foster collaboration among direct reports through employee engagement, performance management, coaching, and mentoring.

• Collaborate with the RCM team on operational reporting, claims analysis, and workflow support.

• Establish revenue cycle KPIs and reports focusing on quality, efficiency, and throughput.

• Design decision flowcharts to document current workflows and new processes.

• Monitor workflow efficiency, identify bottlenecks, and perform root cause analysis.

• Develop and integrate financial models into workflows to determine optimal next steps.

• Analyze outstanding claims, denial, and collection trends to predict collections.

• Identify opportunities for process improvement and technology optimization.

• Provide workforce management reporting and analysis concerning cost and efficiency.

• Monitor regulatory requirements and the reimbursement landscape to guide process modifications.

• Collaborate with Operations, Information Technology, and internal and external departments to enhance billing processes.

• Oversee departmental revenue cycle policies, procedures, controls, and review mechanisms.

⛳️ Requirements

• 7+ years of experience in business operations (call center, enrollment, billing, payment processing, or similar), preferably within a healthcare setting.

• 3+ years of management experience encompassing strategy, operations analytics oversight, and staff performance management.

• 5+ years of experience in operations-related data analytics and reporting to enhance performance and quality.

• Required experience in strategic planning, business planning, and budget development/management.

• Strong background in presenting data and complex analyses.

• Excellent motivational, written, oral, presentation, and communication skills.

• Ability to adapt effectively and lead organizational transformations.

• Proven ability to collaborate and achieve outcomes through interpersonal and influencing skills.

• Capability to engage with and adapt to diverse audiences, from frontline staff to executive leadership.

• Demonstrated customer focus with the ability to prioritize and manage complex initiatives.

• Proficient in MS Office applications.

• Experience in database management is a plus.

• Preferred experience in health insurance and project management.

• Ability to work at a computer terminal for 6–8 hours a day.

• Ability to lift and move materials weighing up to 20 lbs. occasionally.

🏝️ Benefits

• Opportunities for professional development and personal growth.

• Commitment to employee development.

• Reasonable accommodations for individuals with disabilities.