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Our trusted client is looking for an experienced and strategic Revenue Cycle Director to join their team in Plymouth, Michigan on a long-term contract basis. This role involves providing leadership and oversight of revenue cycle operations within a healthcare organization, with a focus on out-of-network reimbursement and compliance with federal and state regulations. This opportunity offers the chance to drive organizational growth through optimized financial strategies and payer engagement. This role is fully on-site.
Job Responsibility:
Lead the development and execution of revenue cycle strategies to enhance reimbursement and financial performance
Oversee key performance indicators, such as claim submission and remittance, accounts receivable aging, denial rates, and collection outcomes
Ensure compliance with healthcare billing regulations, including the No Surprises Act and Independent Dispute Resolution processes
Direct payer dispute resolution strategies, including negotiations for non-contracted reimbursement models
Establish scalable processes and performance management structures to support organizational efficiency and expansion
Supervise and mentor revenue cycle team members to maximize productivity and operational effectiveness
Partner with finance, accounting, and treasury teams to ensure revenue integrity and audit readiness
Monitor accounts receivable aging reports and implement proactive collection strategies to minimize revenue leakage
Develop financial forecasts and revenue models to address payer trends and reimbursement risks
Create and manage advanced data analytics tools for effective reporting and decision-making
Requirements:
At least 6 years of progressive experience in healthcare revenue cycle management
A minimum of 3–5 years in a leadership role overseeing revenue cycle teams
Extensive knowledge of out-of-network reimbursement models and payer dispute resolution
Proven expertise in compliance with healthcare regulations, including the No Surprises Act
Strong experience in developing scalable billing processes and protocols
Demonstrated ability to manage high-performing teams, including remote staff, using productivity metrics
Hands-on experience collaborating with accounting teams on month-end reporting and accounts receivable reconciliation
Familiarity with multi-state payer environments and managing complex healthcare billing operations
What we offer:
medical, vision, dental, and life and disability insurance