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We are looking for an experienced Revenue Cycle Director to lead reimbursement and billing operations for a healthcare organization in New Hyde Park, New York. This Long-term Contract position is ideal for a strategic leader who can strengthen financial performance, improve claim outcomes, and maintain compliance across complex payer environments. The person in this role will guide day-to-day revenue cycle activities while partnering with operational leaders to enhance accuracy, accountability, and overall collections performance.
Job Responsibility
Direct the full revenue cycle function, overseeing eligibility review, prior authorizations, charge capture, billing, payment posting, follow-up, and denial management
Lead timely and accurate claim transmission for commercial plans, Medicare, Medicaid, and other government-funded programs to support consistent reimbursement
Review aging accounts receivable trends and drive prompt resolution of unpaid or underpaid claims through structured follow-up efforts
Research payment variances, claim edits, and denial patterns, then implement corrective actions to reduce revenue leakage
Prepare and present recurring reports on billing activity, denials, collections, and other key performance indicators for senior leadership
Identify workflow inefficiencies and introduce process enhancements that improve operational effectiveness and strengthen revenue capture
Ensure billing practices remain aligned with applicable regulatory requirements and recognized industry standards
Work closely with internal teams responsible for billing systems and payer configuration to maintain accurate setup, rate information, and submission integrity
Assess accounts for potential adjustments or write-offs and provide recommendations based on financial and operational review
Oversee staff performance within the revenue cycle team, including scheduling, timekeeping, and day-to-day team leadership
Requirements
Proven leadership experience managing healthcare revenue cycle operations across billing, collections, denials, and reimbursement activities
Strong knowledge of medical billing requirements for commercial insurance, Medicare, Medicaid, managed care organizations, and other payer types
Hands-on experience analyzing accounts receivable performance and improving collection outcomes in a healthcare setting
Familiarity with regulatory and compliance expectations related to healthcare billing and reimbursement practices
Ability to interpret revenue cycle metrics and translate findings into actionable process improvements
Background supporting credentialing or re-credentialing activities with government and commercial payers is preferred
Experience collaborating with cross-functional teams to maintain billing accuracy, payer setup, and operational alignment
Knowledge of healthcare billing environments such as ambulatory surgery or similar provider settings is highly desirable
Nice to have
Background supporting credentialing or re-credentialing activities with government and commercial payers is preferred
Knowledge of healthcare billing environments such as ambulatory surgery or similar provider settings is highly desirable