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Revenue Cycle Director

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Robert Half

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Location:
United States , Durham

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Category:
Finance

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Contract Type:
Employment contract

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Salary:

Not provided
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Job Description:

This role involves strategic oversight and management of all revenue cycle operations, ensuring maximized financial performance and compliance with various regulations. The Director will be closely collaborating with clinical, financial, and administrative leaders to enhance efficiency, improve cash flow, and enrich the patient financial experience.

Job Responsibility:

  • Enhance revenue cycle efficiency and effectiveness by developing and implementing strategic initiatives
  • Lead and provide oversight for the entire revenue cycle, including patient access, medical and dental coding, billing, collections, and payer contract management
  • Foster a culture of accountability, detail-oriented development, and continuous improvement by supervising and mentoring revenue cycle staff
  • Ensure compliance with federal, state, and payer-specific regulations, and implement policy changes and staff training as required
  • Oversee denial management and appeals processes to maximize reimbursement and avoid revenue loss
  • Monitor and implement improvement initiatives for key performance indicators (KPIs) for revenue cycle operations
  • Build and maintain strong relationships with payers, third-party vendors, and internal stakeholders to optimize revenue cycle performance
  • Collaborate with clinical leadership to ensure accurate documentation and coding for claims submission and reimbursement
  • Implement technology and process improvements to enhance billing and collections accuracy and efficiency
  • Support financial reporting, budget planning, and revenue forecasting by collaborating with finance leadership
  • Lead training programs for revenue cycle staff and educate health center employees on evolving payer requirements and reimbursement models
  • Oversee the effective use of practice management systems and troubleshoot issues that may impact revenue
  • Contribute to executive leadership meetings, providing strategic insights on revenue cycle operations and financial performance
  • Improve patient financial experience by enhancing transparency, billing accuracy, and customer service related to financial matters

Requirements:

  • Must possess a strong understanding of Accounts Receivable (AR) processes and procedures
  • Proven experience in auditing is required
  • Demonstrated knowledge of various billing functions is essential
  • Must have experience in claim administration, particularly in a healthcare setting
  • Familiarity with Medicaid billing processes is necessary for the role
  • Proficiency in handling Medicaid claims is a must
  • Experience with Medicare billing is a key requirement
  • Expertise in medical insurance billing is required
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
March 26, 2025

Employment Type:
Fulltime
Work Type:
On-site work
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