System Director Revenue Cycle Revenue Integrity Job at American Nursing Care (Englewood)

Revenue Cycle Director

We are looking for an experienced Revenue Cycle Director to lead reimbursement a...

Location

United States , New Hyde Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

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

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Revenue Cycle Director

We are looking for an experienced Revenue Cycle Director to lead and strengthen ...

Location

United States , Bennington

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 5 years of experience in healthcare revenue cycle leadership or a closely related management role
Strong knowledge of healthcare revenue cycle operations, including billing, collections, reimbursement, and account resolution
Demonstrated experience with medical billing in hospital and ambulatory surgery environments
Solid understanding of hospital billing, hospital coding, and revenue integrity best practices
Ability to analyze revenue cycle data, track performance metrics, and use findings to improve operational results
Familiarity with payer guidelines, regulatory requirements, and compliant billing practices within healthcare settings
Proven leadership skills with the ability to manage teams, prioritize initiatives, and communicate effectively across departments

Job Responsibility

Direct daily revenue cycle activities across billing, coding, claims management, and reimbursement functions for hospital and ambulatory surgery services
Evaluate current financial workflows, identify gaps in performance, and implement process improvements that increase accuracy and accelerate collections
Oversee medical billing operations to promote timely claim submission, payment posting, denial follow-up, and account resolution
Partner with operational and clinical leaders to align revenue cycle practices with organizational goals, regulatory standards, and patient service expectations
Monitor key performance indicators, prepare operational reports, and recommend corrective actions to improve cash flow and reduce revenue leakage
Provide leadership and guidance to revenue cycle staff, supporting accountability, training, and consistent execution of established procedures
Ensure billing and coding activities meet payer requirements and applicable healthcare compliance standards
Support revenue cycle-related operational changes or system updates when needed, ensuring minimal disruption to reimbursement processes

What we offer

Medical
vision
dental
life and disability insurance
enrollment in company 401(k) plan

Fulltime

Interim Sr Director Revenue Integrity

Our Client is seeking a dynamic leader to oversee the development, implementatio...

Location

United States , Phoenix

Salary:

85.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

Bachelor’s degree in healthcare administration, finance, business, or related field (Master’s preferred)
Extensive experience in revenue integrity, charge capture, or healthcare revenue cycle management
Strong knowledge of regulatory requirements and compliance related to healthcare revenue cycle
Demonstrated leadership and staff management experience, with the ability to supervise, develop, and evaluate teams
Proven ability to develop, implement, and monitor revenue integrity programs and quality assurance functions
Experience with charge auditing and revenue recovery in acute and ambulatory service lines
Excellent analytical, reporting, and data interpretation skills, with the ability to prepare and present recommendations to senior leadership
Strong project coordination and change management abilities, including implementing regulatory changes and best practices
Effective communication and relationship-building skills with internal and external stakeholders, including the ability to negotiate and influence
Budget management and contract negotiation experience

Job Responsibility

Develop and sustain compliant charge capture workflows for clinician-driven revenue
Oversee documentation, audit, and system-driven revenue capture processes
Serve as the highest level of escalation for charge capture operations issues
Create and maintain quality assurance functions, including provider education, review, and feedback loops to preserve revenue integrity with charge entry and clinical staff
Monitor and implement regulatory changes impacting the revenue cycle, ensuring ongoing compliance
Coordinate and lead projects to implement required regulatory changes specific to revenue cycle operations
Lead charge auditing functions to generate revenue recoveries in acute and ambulatory service lines
Guide the development and implementation of goals and objectives for revenue integrity programs and processes, such as charge capture, compliance, Charge Description Master, and denials management
Incorporate best practices and respond to emerging trends to enhance operations, programs, and services
Implement and evaluate revenue integrity programs, develop effective tools to measure performance, analyze related data, prepare reports, and make recommendations to senior leadership

What we offer

A flexible work environment
Opportunities for professional growth and leadership development
Health and life insurance
Employee share options
Supportive and collaborative team culture
Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) providing services like virtual counseling, financial services, legal services, life coaching

Associate director mid revenue cycle

This job description indicates the general nature and level of work expected of ...

Location

United States , Aurora

Salary:

54.90 - 82.35 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Relevant industry certification from an approved accrediting body
Based on function areas, may include bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience
Minimum 9 years of experience in mid-revenue cycle operations, coding, HIM, or healthcare technology, including 2+ years of leadership experience in a large integrated healthcare system
Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows necessary to scope of work
Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS)
Ability to organize, compile and analyze data from various sources in order to detect patterns, and identify areas for improvement
Strong understanding of EHR systems and other revenue cycle technology solutions
Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access
Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment
Skilled in prioritizing business needs and resource management to develop efficient and scalable processes

Job Responsibility

Operational Leadership: Lead assigned Mid Revenue Cycle sub-function area(s) to ensuring alignment with divisional and enterprise-wide goals. service delivery meets organizational goals and regulatory requirements
Operational Efficiency: Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle
Regulatory Compliance & Confidentiality: Ensure adherence to regulatory requirements, accreditation standards, and organizational policies. Maintain confidentiality of patient records and report any perceived non-compliant practices to leadership or the Compliance Department
Performance Monitoring & Reporting: Develop, implement, and monitor quality standards, workflows, and productivity metrics to optimize team performance. Utilize key performance indicators (KPIs) to measure effectiveness, track trends, and implement data-driven strategies for improvement
Quality Assurance: Maintain a high standard of quality and oversee processes and implement corrective actions as needed to ensure high reliability, accuracy and optimal reimbursement
Technology Utilization: Leverage healthcare technology and analytics tools to enhance efficiency, support decision-making, and drive innovation in Mid-Revenue Cycle processes
Collaboration & Stakeholder Engagement: Serve as a liaison across Mid-Revenue Cycle and other organizational units to ensure processes drive value, support enterprise-wide initiatives and priorities and adhere to regulatory requirements. Build and maintain relationships with key stakeholders to drive communication, problem-solving, and operational alignment
Team Leadership & Development: Manage and develop a team of professionals by performing human resource functions such as hiring, performance evaluations, and professional development. Provide training, feedback, and career growth opportunities to foster a high-performing and financially responsible workforce. Ensure proper staffing, training, and resource allocation to meet operational demands and quality standards
Strategic Initiatives & Execution: Contribute to the development and execution of strategic initiatives within the Mid Revenue Cycle to support Advocate Health's long-term goals

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Director, Revenue Operations

Director, Revenue Operations, Paris, France. You'll be part of our Global Sales ...

Location

France , Paris

Salary:

Not provided

Mirakl

Expiration Date

Until further notice

Requirements

10+ years in Revenue Operations, Sales Operations or GTM Strategy in B2B SaaS, ideally at a global, multi-product company
Proven track record of leading multi-functional, internationally distributed teams through periods of transformation
Deep expertise in Salesforce and data governance, including data architecture, CRM hygiene and API integrations as the foundation for AI deployment
Demonstrated ability to influence executive decision-making by translating commercial data into strategic narratives
Systems thinking with the ability to turn complex data into clear executive narratives
Fluency in AI tools and workflow automation platforms (e.g., Dust, Gong, Clay, Claude, n8n), curiosity to always stay up to date on innovation
Salesforce expertise and rigorous data governance instincts
Change leadership — the ability to bring teams and stakeholders through transformation with conviction and clarity
Commercial acumen across both Enterprise and SMB motions
Fluent in English and French (C2 level required)

Job Responsibility

Architect and deploy the AI-powered revenue engine
Drive global business monitoring and executive decision-making
Build operational excellence across the full revenue cycle
Enable new GTM motions and product launches
Lead, develop and inspire a global RevOps team of ~10

What we offer

Public Transport Pass: Reimbursement on your public transport subscription
Health Insurance: Coverage tailored to individual or family needs
Meal Allowance: Monthly meal allowance provided by Mirakl
Hybrid Setup: 4 days in-office & 1 day remote
Gym Allowance: Access to partner gyms and wellness studios
Paid Time Off: Prorated paid vacation days per calendar year

Fulltime

Vice President of Revenue Cycle Operations

The Vice President of Revenue Cycle Operations at Boston Children’s Hospital wil...

Location

United States , Boston

Salary:

237619.00 - 380182.00 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required
advanced degree (MBA, MHA, or related discipline) preferred
12+ years of progressive leadership experience in revenue cycle operations, preferably in an extensive academic or pediatric health system
Demonstrated success in leading complex, multi-functional teams and large-scale revenue cycle transformation initiatives
Proven experience managing hospital and professional revenue cycle functions, including coding, AR, revenue integrity, and financial clearance
Expertise in Epic and modern revenue cycle technologies, analytics, and automation strategies
Strong financial acumen with understanding of healthcare reimbursement, DRGs, denials management, and payer dynamics
Knowledge of compliance and full revenue cycle operations in complex healthcare environments
Skilled in using data and automation to drive performance and efficiency improvements
Ability to lead and develop high-performing teams, drive change, and deliver measurable results

Job Responsibility

Develop and execute a multi-year transformation roadmap to position BCH as a top-performing revenue cycle organization
Align strategies across departments to enhance enterprise capabilities in coding, accounts receivable, revenue integrity, and financial clearance
Serve as a key advisor and second-in-command to the SVP, Revenue Cycle, providing executive-level oversight across initiatives and teams
Provide day-to-day leadership and accountability for: Pre-Service Financial Clearance, Coding (Inpatient & Outpatient), Revenue Integrity, Hospital Accounts Receivable
Ensure achievement of departmental KPIs, including targets for uncollectible rates, AR days, clean claim rates, and denial prevention
Drive initiatives to reduce uncollectible accounts toward a goal of 2.0% of NPSR (FY27 target)
Lead strategies to decrease AR days from 80+ to ~70 while improving cash flow and reducing cost to collect
Protect and optimize BCH’s $3B+ annual revenue through strong controls, visibility, and accountability
Mentor and develop Director and Senior Director-level leaders to ensure operational excellence and leadership continuity
Build bench strength within mid-level management to support organizational growth and succession planning

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Director Patient Financial Services & Revenue Analytics

Director Patient Financial Services & Revenue Analytics Job CategoryManagement S...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Bachelor's Degree from an accredited college or university
Seven (7) years of progressive management-level experience including five (5) years' experience within an acute care hospital environment
Three (3) to five (5) years of recent HB Epic experience
Thorough knowledge of health care reimbursement methods
Thorough knowledge of current practices, regulations, and techniques in access services
Knowledge of building and supporting teams and collaborative workgroups
Knowledge of Medicare and AHCCCS regulations relevant to access services
Skill in conflict management
Skill in strong verbal and written communications
Skill in tactful interaction with providers regarding compliance best practice guidelines, utilization of hospital resources, documentation requirements, and other case management issues

Job Responsibility

Directs daily operations related to the development, maintenance, and configuration of patient financial services and revenue analytics
Leads a team of billing professionals and collaborates with various departments to optimize billing and follow-up procedures
Responsible for developing, planning, organizing, and implementing Revenue Cycle strategies
Responsible for all Patient Financial Services functions for all TMC Healthcare facilities
Responsible for identifying charging issues and opportunities within departments, to expedite claims adjudication
Facilitates process improvement related to Revenue Cycle by analyzing data, interacting with Revenue Cycle staff, and interacting with other departments that impact the Revenue Cycle
Resolves and troubleshoots charging related errors in various work queues to ensure timely processing of accounts
Assists with analyzing data to identify opportunities for process improvement and help implement the solutions that ensure accurate and compliant charge capture
Directs and participates in the planning process for future development and growth of the business
periodically presents such plans for general review and approval by Administration

Fulltime

Controller/Finance Manager

Growing opportunity Controller/Finance Manager -Responsibility for and leading F...

Location

United States , Villa Park

Salary:

155000.00 - 200000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Accounting, Finance, or related field required
Master’s degree (MBA or related field) preferred
CPA preferred
candidates with significant relevant experience and strong technical accounting expertise will also be considered
Some experience with PE preferred or VC
Healthcare, durable medical equipment or health medical equipment
9 years – 25 plus years
Revenue cycle and Netsuite a plus
Experience operating within a private equity-backed and/or high-growth organization, including familiarity with EBITDA-focused financial management, lender reporting, board reporting, and investor reporting cadences
Strong knowledge of GAAP, financial statement preparation, budgeting, forecasting, cash flow management, audit coordination, internal controls, and financial compliance

Job Responsibility

Lead the preparation of monthly, quarterly, and annual financial statements according to GAAP
Oversee the monthly close process and ensure the integrity and accuracy of all financial reporting and supporting schedules
Oversee all day-to-day accounting operations, including accounts payable, accounts receivable, payroll, cash management, fixed assets, and general ledger activities
Prepare and present financial and operational reporting, analyses, and dashboards for executive leadership and the Board of Directors
Monitor and analyze financial performance, trends, variances, risks, and operational opportunities
Develop financial models, forecasts, pro formas, and scenario analyses support growth initiatives, and acquisitions
Research technical accounting matters
Ensure timely and accurate processing of financial transactions and maintenance of accounting records and supporting documentation
Serve as administrator for payroll and 401(k) systems, including review and approval of payroll processing and related reporting
Manage organizational cash flow forecasting, liquidity planning, banking relationships, debt compliance, covenant reporting, and treasury activities

What we offer

Bonus structure
medical, dental, 401k, PTO
Health, dental & vision insurance
401(k) with employer match
Life insurance
Unlimited Paid Time Off

Fulltime

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System Director Revenue Cycle Revenue Integrity

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